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array:23 [ "pii" => "S0025775300712000" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71200-0" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71200" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;114:85-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2307 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 2142 "PDF" => 157 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775300712012" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71201-2" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71201" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;114:89-90" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2256 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 2086 "PDF" => 164 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Evaluación de las vías de acceso venoso innecesarias en un servicio de urgencias" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "89" "paginaFinal" => "90" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of unnecessary intravenous cannulation in an emergency department" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Velasco Díaz, Bernabé Fernández González, Susana García Ríos, Esther Hernández del Corro" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Velasco Díaz" ] 1 => array:2 [ "nombre" => "Bernabé" "apellidos" => "Fernández González" ] 2 => array:2 [ "nombre" => "Susana" "apellidos" => "García Ríos" ] 3 => array:2 [ "nombre" => "Esther" "apellidos" => "Hernández del Corro" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300712012?idApp=UINPBA00004N" "url" => "/00257753/0000011400000003/v1_201307291400/S0025775300712012/v1_201307291400/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0025775300711997" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71199-7" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71199" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;114:81-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1729 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1571 "PDF" => 152 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Biopsia extemporánea en la valoración de órganos para trasplante" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "81" "paginaFinal" => "84" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Frozen section biopsy in donor graft evaluation" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco Vera-Sempere, José Luis Vicente, Mireya Prieto, Puri Gironés, María Jordá" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Francisco" "apellidos" => "Vera-Sempere" ] 1 => array:2 [ "nombre" => "José Luis" "apellidos" => "Vicente" ] 2 => array:2 [ "nombre" => "Mireya" "apellidos" => "Prieto" ] 3 => array:2 [ "nombre" => "Puri" "apellidos" => "Gironés" ] 4 => array:2 [ "nombre" => "María" "apellidos" => "Jordá" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300711997?idApp=UINPBA00004N" "url" => "/00257753/0000011400000003/v1_201307291400/S0025775300711997/v1_201307291400/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Presión arterial nocturna y factores de riesgo cardiovascular en pacientes con hipertensión arterial" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "85" "paginaFinal" => "88" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Fernando Cobo Martínez, Blas Gil Extremera, Antonia Maldonado Martín, Juan de Dios Luna Castillo, Fabiola Muñoz Parra, Francisca Huertas Hernández, M.<span class="elsevierStyleSup">a</span> Teresa León-Espinosa de los Monteros, M.<span class="elsevierStyleSup">a</span> Fuensanta Ruiz López" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Cobo Martínez" ] 1 => array:3 [ "nombre" => "Blas" "apellidos" => "Gil Extremera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Antonia" "apellidos" => "Maldonado Martín" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "de Dios Luna Castillo" ] 4 => array:2 [ "nombre" => "Fabiola" "apellidos" => "Muñoz Parra" ] 5 => array:2 [ "nombre" => "Francisca" "apellidos" => "Huertas Hernández" ] 6 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Teresa León-Espinosa de los Monteros" ] 7 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Fuensanta Ruiz López" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Hipertensión y Lípidos. Servicio de Medicina Interna A. Hospital Clínico San Cecilio. Granada" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "**" "correspondencia" => "Correspondencia: Dr. B. Gil Extremera. Facultad de Medicina. Departamento de Medicina. Avda. Madrid, 11. 18012 Granada." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Nocturnal blood pressure and cardiovascular risk factors in hypertensive patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-12-02" "fechaAceptado" => "1999-12-09" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec220563" "palabras" => array:5 [ 0 => "Presión arterial nocturna" 1 => "Monitorización ambulatoria de presión arterial" 2 => "Factores de riesgo cardiovascular" 3 => "Hipertensión" 4 => "Dipper" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La presión arterial tiene un ritmo nictameral. En la mayoría de las personas, éstadesciende entre un 10-20% durante la noche (condición dipper). Estas variaciones circadianasson medidas por monitorización ambulatoria continua de la presión arterial (MAPA). Estudiamosen pacientes hipertensos la posible relación entre el descenso nocturno de la presión arterialy los factores de riesgo cardiovascular.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se seleccionan 100 pacientes hipertensos de la Unidad de Hipertensión y Lípidos delHospital Clínico San Cecilio de Granada. Se establecieron dos grupos: dipper y no dipper, segúnhubiera o no descenso superior al 10% de PAS y PAD nocturna. A los pacientes incluidosen el estudio se les realizó anamnesis, exploración física, exploraciones complementarias, conanálisis de sangre y orina y MAPA mediante el sistema Space Labs.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se apreció una frecuencia cardíaca significativamente superior (p = 0,0253) en hipertensosdipper respecto a los no dipper. Los no dipper tuvieron valores de creatinina plasmáticasuperiores (p = 0,0343) y de potasemia inferiores (p = 0,0140) a los dipper. Los dipperpresentaron concentraciones de cHDL significativamente más elevadas (p = 0,008) que los nodipper, y valores de PAD diurna (p = 0,0211) asimismo más elevados.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los hipertensos no dipper tienen un mayor número de factores de riesgo cardiovascular,mayor tendencia a la lesión renal y peor pronóstico que los dipper.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Blood pressure (BP) has a circardian rhythm. Most of the people presents a BPfall between 10-20% during nighttime hours (dipper condition). Measurement of these circadianvariations is performed by continuous blood pressure ambulatory monitoring. We have studiedthe possible relation between blood pressure nocturnal fall and cardiovascular risk factorsin hypertensive patients.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We selected 100 hypertensive patients from the Hypertension and Lipids Unit of SanCecilio University Hospital of Granada, Spain. They were divided into two groups: dippers groupand non-dippers, depending of whether or not the fall of nocturnal systolic and diastolic BPwas > 10%. All patients included in the study underwent complete clinical history, exhaustivephysical examination, complementary examinations, urine and hematology tests, and continuousblood pressure ambulatory monitoring by the Space Labs system.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The heart rate was found to be significantly higher (p = 0.0253) in the hypertensivedippers group than in the non-dippers. The latter showed higher plasma creatinine values (p =0.0343) and lower potassemia values (p = 0.0140) than the dippers group. The dippers grouppresented concentrations of HDL-cholesterol significantly higher (p = 0.008) and diurnal diastolicBP values (p = 0.0211) also higher than the other group.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Non dippers hypertensive patients present a higher number of cardiovascular riskfactors as well as a higher tendency to renal lesions, and worse prognosis than the dippersgroup.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib00005" "etiqueta" => "1." 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