24 results on '"A. Alfaro-Rubio"'
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2. Preoperative evaluation by functional magnetic resonance imaging in patients with dysembryoplastic neuroepithelial tumours: A case series
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García-Casares, Natalia, Alfaro-Rubio, Francisco, Ramos-Rodríguez, José Ramón, Ocaña-Ledesma, Álvaro, Márquez-Márquez, Bernarda, Fernández-Sánchez, Victoria E., Ibáñez-Botella, Guillermo, Arráez-Sánchez, Miguel Ángel, and Serrano-Castro, Pedro J.
- Abstract
Dysembryoplastic neuroepithelial tumours (DNET) are a type of benign glioneuronal neoplasia of typically temporal location that produce drug-resistant epileptic seizures in children and young adults.
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- 2020
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3. Evaluación prequirúrgica mediante resonancia magnética funcional en pacientes con tumores neuroepiteliales disembrioplásicos: una serie de casos
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García-Casares, Natalia, Alfaro-Rubio, Francisco, Ramos-Rodríguez, José Ramón, Ocaña-Ledesma, Álvaro, Márquez-Márquez, Bernarda, Fernández-Sánchez, Victoria E., Ibáñez-Botella, Guillermo, Arráez-Sánchez, Miguel Ángel, and Serrano-Castro, Pedro J.
- Abstract
Los tumores neuroepiteliales disembrioplásicos (DNET) son un tipo de neoplasia glioneuronal benigna de localización típicamente temporal que producen crisis epilépticas resistentes al tratamiento farmacológico en niños y adultos jóvenes.
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- 2020
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4. Evaluación prequirúrgica mediante resonancia magnética funcional en pacientes con tumores neuroepiteliales disembrioplásicos: una serie de casos.
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García-Casares, Natalia, Alfaro-Rubio, Francisco, Ramos-Rodríguez, José Ramón, Ocaña-Ledesma, Álvaro, Márquez-Márquez, Bernarda, Fernández-Sánchez, Victoria E., Ibáñez-Botella, Guillermo, Arráez-Sánchez, Miguel Ángel, and Serrano-Castro, Pedro J.
- Abstract
Los tumores neuroepiteliales disembrioplásicos (DNET) son un tipo de neoplasia glioneuronal benigna de localización típicamente temporal que producen crisis epilépticas resistentes al tratamiento farmacológico en niños y adultos jóvenes. Se muestran 4 casos valorando la utilidad de la resonancia magnética funcional en el estudio prequirúrgico de pacientes con tumores neuroepiteliales disembrionarios. Para la obtención de imágenes se utilizó un equipo de resonancia magnética Philipps Intera de 3.0 Tesla y la técnica Blood Oxygenation Level-Dependent , permitiendo localizar las áreas elocuentes de lenguaje y motora mediante la aplicación de paradigmas específicos. En un caso el tumor se encontraba adyacente al área de Broca, en 2 casos coincidía con Wernicke, en un paciente estaba menos de 1 cm del área motora de la mano y en otro próximo a la memoria. Solo 2 de los pacientes fueron operados, no produciéndose déficit funcional postoperatorio. Se observó activación hemisférica contralateral al tumor sugestivo de neuroplasticidad en uno de los pacientes. La resonancia magnética funcional supone un método no invasivo que permite evaluar la proximidad de las lesiones a las áreas elocuentes, clave en la evaluación del riesgo quirúrgico. Además, ha permitido detectar probable neuroplasticidad en un caso, la cual ha garantizado el éxito de la cirugía. Dysembryoplastic neuroepithelial tumours (DNET) are a type of benign glioneuronal neoplasia of typically temporal location that produce drug-resistant epileptic seizures in children and young adults. This work aims to assess the usefulness of functional magnetic resonance imaging (fMRI) in the preoperative study in four patients with DNET. A Philips Intera 3.0 Tesla magnetic resonance imaging scanner and the Blood-Oxygen-Level-Dependent (BOLD) technique were used to obtain the images, making it possible to locate the eloquent areas for language and motor areas through the application of specific paradigms. In one case the tumour was adjacent to Broca's area, in two cases it coincided with Wernicke's area, in one patient it was < 1 cm from the motor area for the hand and in another close to memory. Only two of the patients were operated on, without postoperative functional deficit. Hemispheric activation contralateral to the tumour suggestive of neuroplasticity was observed in one of the patients. fMRI is a non-invasive method that allows us to assess the proximity of lesions to eloquent areas, which is key in the evaluation of surgical risk. In addition, it allowed the detection of probable neuroplasticity in one case, which guaranteed the success of the surgery. [ABSTRACT FROM AUTHOR]
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- 2020
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5. Teledermatología por WhatsApp en la Comunidad Valenciana. Características de esta teleconsulta y su repercusión en la vida del dermatólogo
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Gimeno-Vicente, M., Alfaro-Rubio, A., and Gimeno-Carpio, E.
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La aplicación WhatsApp es la herramienta preferida de los pacientes para realizar teleconsultas. Sin embargo, la falta de un claro marco de legalidad o un mal uso puede tener repercusiones emocionales negativas en el dermatólogo.
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- 2020
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6. Teledermatology by WhatsApp in Valencia: Characteristics of Remote Consultation and Its Emotional Impact on the Dermatologist
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Gimeno-Vicente, M., Alfaro-Rubio, A., and Gimeno-Carpio, E.
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WhatsApp is a preferred method of remote consultation for patients. However, the lack a legal framework for this type of patient-physician contact or the inappropriate use of the application can have negative emotional effects on the dermatologist.
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- 2020
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7. Description of patients excluded for Mohs surgery after pre-surgical evaluation: data from the Regesmohs Spanish registry
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Ruiz-Salas, V., Garcés, J.R., Alonso-Alonso, T., Rodríguez-Prieto, M.A., Toll-Abelló, A., Eusebio Murillo, E., Miñano, R., López-Estebaranz, J.L., Sanmartín-Jiménez, O., Guillén Barona, C., Allende Markixana, I., Alfaro Rubio, A., Delgado Jiménez, Y., Navarro, R., Barchino Ortiz, L., Lázaro Ochaita, P., Vilarasa, E., Ciudad Blanco, C., Vázquez-Veiga, H., Artola Igarza, J.L., Alonso, M.L., García-Doval, I., Descalzo, M.A., and Redondo Bellón, P.
- Abstract
Regesmohs registry is a nationwide registry including patients evaluated for Mohs surgery in 17 Spanish centres since July 2013. Given that Mohs surgery is the therapy with best results for high risk basal cell carcinoma (BCC) and other skin tumours, we wanted to describe the reasons that lead to some patients being excluded from this therapy and the alternative treatments that they received. These data may be useful to avoid excluding patients for Mohs surgery use, to estimate the healthcare demand of these patients and the demand for Hedgehog inhibitors therapy in this group.
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- 2018
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8. Descripción de pacientes no aptos para ser sometidos a cirugía de Mohs tras valoración prequirúrgica: datos del registro español Regesmohs
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Ruiz-Salas, V., Garcés, J.R., Alonso-Alonso, T., Rodríguez-Prieto, M.A., Toll-Abelló, A., Eusebio Murillo, E., Miñano, R., López-Estebaranz, J.L., Sanmartín-Jiménez, O., Guillén Barona, C., Allende Markixana, I., Alfaro Rubio, A., Delgado Jiménez, Y., Navarro, R., Barchino Ortiz, L., Lázaro Ochaita, P., Vilarasa, E., Ciudad Blanco, C., Vázquez-Veiga, H., Artola Igarza, J.L., Alonso, M.L., García-Doval, I., Descalzo, M.A., and Redondo Bellón, P.
- Abstract
El registro Regesmohs es un registro de ámbito nacional, de pacientes evaluados y sometidos a una cirugía de Mohs, en 17 centros españoles, desde julio de 2013. Como la cirugía de Mohs es el tratamiento que mejores resultados da para el manejo del carcinoma de células basales (CCB) de alto riesgo y otros tumores de la piel, queríamos describir los motivos por los que algunos pacientes fueron considerados no aptos para ser sometidos a este tratamiento y qué tratamientos alternativos recibieron. Estos datos pueden ser útiles para evitar excluir a pacientes aptos para ser sometidos a una cirugía de Mohs, para calcular la demanda que estos pacientes generan a nivel sanitario, así como la demanda que hay de tratamientos de inhibidores de la vía de Hedgehog en dicho grupo de pacientes.
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- 2018
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9. Characterization of Surgical Procedures in the Spanish Mohs Surgery Registry (REGESMOHS) for 2013-2015
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de Eusebio Murillo, E., Martín Fuentes, A., Ruiz-Salas, V., Garcés, J.R., Miñano Medrano, R., López-Estebaranz, J.L., Alonso-Alonso, T., Rodríguez-Prieto, M.Á., Delgado Jiménez, Y., Morales, V., Redondo Bellón, P., Manubens-Mercadé, E., Sanmartín-Jiménez, O., Guillén Barona, C., Cabeza, R., Cano, N., Toll-Abelló, A., Navarro Tejedor, R., Artola Igarza, J.L., Allende Markixana, I., Alfaro Rubio, A., Ciudad Blanco, C., Vázquez-Veiga, H., Barchino Ortiz, L., Descalzo, M.A., and García-Doval, I.
- Abstract
The Spanish Mohs Surgery Registry is used to collect data on the use and outcomes of Mohs micrographic surgery (MMS) in Spain. The aim of this study was to describe perioperative and intraoperative data recorded for MMS procedures performed between July 2013 (when the registry started) and January 2016.
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- 2017
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10. Descripción de las intervenciones quirúrgicas recogidas en el registro español de cirugía de Mohs (REGESMOHS) (2013-2015)
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de Eusebio Murillo, E., Martín Fuentes, A., Ruiz-Salas, V., Garcés, J.R., Miñano Medrano, R., López-Estebaranz, J.L., Alonso-Alonso, T., Rodríguez-Prieto, M.Á., Delgado Jiménez, Y., Morales, V., Redondo Bellón, P., Manubens-Mercadé, E., Sanmartín-Jiménez, O., Guillén Barona, C., Cabeza, R., Cano, N., Toll-Abelló, A., Navarro Tejedor, R., Artola Igarza, J.L., Allende Markixana, I., Alfaro Rubio, A., Ciudad Blanco, C., Vázquez-Veiga, H., Barchino Ortiz, L., Descalzo, M.A., and García-Doval, I.
- Abstract
El Registro Español de Cirugía de Mohs recoge los datos de aplicación y resultados de esta técnica en España. Se describen los datos de las intervenciones realizadas desde el inicio del Registro en julio de 2013 a enero de 2016. Se analizan los datos de las cirugías tanto perioperatorios como intraoperatorios.
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- 2017
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11. Descripción de los pacientes intervenidos mediante cirugía de Mohs en España. Datos basales del registro español de cirugía de Mohs (REGESMOHS)
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Ruiz-Salas, V., Garcés, J.R., Miñano Medrano, R., Alonso-Alonso, T., Rodríguez-Prieto, M.Á., López-Estebaranz, J.L., Sanmartín-Jiménez, O., Guillén Barona, C., Delgado Jiménez, Y., Toll-Abelló, A., Vargas Diez, E., Ciudad Blanco, C., Alfaro Rubio, A., Allende Markixana, I., de Eusebio Murillo, E., Manubens-Mercadé, E., Vázquez-Veiga, H., Barchino Ortiz, L., García-Doval, I., and Redondo Bellón, P.
- Abstract
En julio de 2013 se inició la recogida de datos del registro español de cirugía micrográfica de Mohs, que describe la aplicación y los resultados de esta técnica en España. En este artículo se describen las características del paciente y de los tumores tratados.
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- 2015
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12. La utilidad de la nitroglicerina tópica al 0,2% en la condrodermatitis nodular del hélix
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Sanz-Motilva, V., Martorell-Calatayud, A., Gutiérrez García-Rodrigo, C., Hueso-Gabriel, L., García-Melgares, M.L., Pelufo-Enguix, C., Alfaro-Rubio, A., and Vanaclocha-Sebastián, F.
- Abstract
La condrodermatitis nodular del hélix (CNH) es un proceso idiopático, degenerativo y doloroso que afecta a la piel y al cartílago del hélix o del antéhelix.
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- 2015
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13. Description of Patients Undergoing Mohs Surgery in Spain: Initial Report on Data From the Spanish Registry of Mohs Surgery (REGESMOHS)
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Ruiz-Salas, V., Garcés, J.R., Miñano Medrano, R., Alonso-Alonso, T., Rodríguez-Prieto, M.Á., López-Estebaranz, J.L., Sanmartín-Jiménez, O., Guillén Barona, C., Delgado Jiménez, Y., Toll-Abelló, A., Vargas Diez, E., Ciudad Blanco, C., Alfaro Rubio, A., Allende Markixana, I., de Eusebio Murillo, E., Manubens-Mercadé, E., Vázquez-Veiga, H., Barchino Ortiz, L., García-Doval, I., and Redondo Bellón, P.
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The Spanish registry of Mohs micrographic surgery started collecting data in July 2013. The aim of the registry is to report on the use of this technique in Spain and the outcomes achieved. In the present article, we describe the characteristics of patients and the tumors treated.
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- 2015
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14. The Usefulness of 0.2% Topical Nitroglycerin for Chondrodermatitis Nodularis Helicis
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Sanz-Motilva, V., Martorell-Calatayud, A., Gutiérrez García-Rodrigo, C., Hueso-Gabriel, L., García-Melgares, M.L., Pelufo-Enguix, C., Alfaro-Rubio, A., and Vanaclocha-Sebastián, F.
- Abstract
Chondrodermatitis nodularis helicis (CNH) is a painful idiopathic degenerative condition involving the skin and cartilage of the helix or antihelix of the ear. Topical nitroglycerin 2% is a relatively recent treatment option for CNH that has produced good results, although with adverse effects (17% of cases). The use of a lower concentration would probably achieve similar results with fewer adverse effects. The aim of this study was to evaluate the effectiveness and safety of topical nitroglycerin 0.2% in the treatment of CNH.
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- 2015
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15. Riesgo de aparición de segundas neoplasias cutáneas en una cohorte de pacientes diagnosticados de carcinoma queratinocítico (carcinoma basocelular y carcinoma epidermoide) tratados con cirugía de Mohs. Estudio de cohortes prospectivo nacional
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Miñano Medrano, R., López Estebaranz, J.L., Sanmartin-Jiménez, O., Garcés, J.R., Rodríguez-Prieto, M.A., Vilarrasa-Rull, E., de Eusebio-Murillo, E., Escutia-Muñoz, B., Flórez-Menéndez, Á., Artola-Igarza, J.L., Alfaro-Rubio, A., Redondo, P., Delgado-Jiménez, Y., Sánchez-Schmidt, J.M., Allende-Markixana, I., Alonso-Pacheco, M.L., García-Bracamonte, B., de la Cueva-Dobao, P., Navarro-Tejedor, R., Ciudad-Blanco, C., Carnero-González, L., Vázquez-Veiga, H., Cano-Martínez, N., Ruiz-Salas, V., Sánchez-Sambucety, P., Botella-Estrada, R., González-Sixto, B., Martorell-Calatayud, A., Gil, P., Morales-Gordillo, V., Toll-Abelló, A., Ocerin-Guerra, I., Mayor-Arenal, M., Suárez-Fernández, R., Sainz-Gaspar, L., Descalzo, M.A., and García-Doval, I.
- Abstract
Los pacientes diagnosticados de cáncer queratinocítico (carcinoma basocelular y carcinoma epidermoide cutáneo) o cáncer cutáneo no melanoma (CCNM) tienen un riesgo aumentado de desarrollar una segunda neoplasia cutánea. Nuestro objetivo es describir la frecuencia, tasa de incidencia y factores de riesgo predisponentes para desarrollar una segunda neoplasia cutánea en una cohorte de pacientes tratados mediante cirugía micrográfica de Mohs (CMM).
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- 2022
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16. Chemotherapy-Induced Acral Erythema: A Clinical and Histopathologic Study of 44 Cases
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Hueso, L., Sanmartín, O., Nagore, E., Botella-Estrada, R., Requena, C., Llombart, B., Serra-Guillén, C., Alfaro-Rubio, A., and Guillén, C.
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Acral erythema, also known as palmoplantar erythrodysesthesia or hand-foot syndrome, is a relatively common cutaneous reaction caused by a variety of chemotherapeutic agents. It presents during cancer treatment as painful erythema and paresthesia affecting the palms and soles. It seems to be dose dependent and its appearance is determined by both the peak plasma concentration and the cumulative dose of the chemotherapeutic agent. The symptoms and histopathology findings are suggestive of direct cytotoxicity affecting the epidermis of the extremities caused by high concentrations of chemotherapeutic agents. The most commonly implicated agents are doxorubicin, 5-fluoracil and its derivatives, cytarabine, and docetaxel.
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- 2008
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17. Giant Dermatofibroma: Case Report and Review of the Literature
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Hueso, L., Sanmartín, O., Alfaro-Rubio, A., Serra-Guillén, C., Martorell, A., Llombart, B., Requena, C., Nagore, E., Botella-Estrada, R., and Guillé, C.
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Dermatofibroma is a very frequent lesion that usually appears as a slowly growing nodule in the dermis, and preferentially involves the lower extremities of women. Several clinical variants have been described. Giant dermatofibroma has been defined as a rare variant of dermatofibroma measuring more than 5 cm that presents typical histological features and a benign biological behavior. We report the case of a 52-year-old man that presented a giant dermatofibroma with a diameter of 6 cm in the right shoulder and we review the few cases of this variant that have been described in the literature.
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- 2007
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18. Stewart-Bluefarb Syndrome
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Hueso, L., Llombart, B., Alfaro-Rubio, A., Serra-Guillén, C., Requena, C., González, M., Cano, B., Nagore, E., Sanmartín, O., Botella-Estrada, R., and Guillén, C.
- Abstract
Stewart—Bluefarb syndrome is a rare condition involving skin lesions that share clinical features with Kaposi sarcoma and that are secondary to an underlying arteriovenous fistula. We report the case of a 24-year-old man with progressive growth of skin lesions on the lower third of his left leg. Diagnosis of Stewart-Bluefarb syndrome was confirmed histologically and with detection of an arteriovenous fistula.
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- 2007
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19. Benign Epitheliod Fibrous Histiocytoma
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Alfaro-Rubio, A., Botella-Estrada, R., Calatrava, A., Requena, C., Serra-Guillén, C., Hueso, L., Martorell, A., Sanmartín, O., Nagore, E., Llombart, B., and Guillén, C.
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- 2007
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20. Paraneoplastic Ichthyosis
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Hueso, L., Requena, C., Alfaro-Rubio, A., and Serra-Guillén, C.
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- 2008
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21. Obtention of a Panoramic Histological View with Dermatoscopy
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Alfaro-Rubio, A., Hueso, L., Serra-Guillén, C., and Botella-Estrada, R.
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- 2007
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22. Reticular Telangiectatic Plaque
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Alfaro-Rubio, A., Serra-Guillén, C., and Botella-Estrada, R.
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- 2007
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23. Behçet's Disease and Periarteritis Nodosa with Cutaneous Lesions
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Serra-Guillén, C., Llombart, B., Alfaro-Rubio, A., Hueso, L., Martorell-Calatayud, A., Requena, C., Nagore, E., Botella-Estrada, R., Sanmartín, O., and Guillén, C.
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- 2007
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24. Poster session Thursday 12 December - AM: 12/12/2013, 08:30-12:30 * Location: Poster area
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Abdovic, E, Abdovic, S, Hristova, K, Hristova, K, Katova, TZ, Katova, TZ, Gocheva, N, Gocheva, N, Pavlova, M, Pavlova, M, Gurzun, M M, Ionescu, A, Canpolat, U, Yorgun, H, Sunman, H, Sahiner, L, Kaya, EB, Ozer, N, Tokgozoglu, L, Kabakci, G, Aytemir, K, Oto, A, Gonella, A, Dascenzo, F, Casasso, F, Conte, E, Margaria, F, Grosso Marra, W, Frea, S, Morello, M, Bobbio, M, Gaita, F, Seo, HY, Lee, SP, Lee, JM, Yoon, YE, Park, E, Kim, HK, Park, SJ, Lee, H, Kim, YJ, Sohn, DW, Nemes, A, Domsik, P, Kalapos, A, Orosz, A, Lengyel, C, Forster, T, Enache, R, Muraru, D, Popescu, BA, Calin, A, Nastase, O, Botezatu, D, Purcarea, F, Rosca, M, Beladan, CC, Ginghina, C, Canpolat, U, Aytemir, K, Ozer, N, Yorgun, H, Sahiner, L, Kaya, EB, Oto, A, Trial, Turkish Atrial Fibrosis, Muraru, D, Piasentini, E, Mihaila, S, Padayattil Jose, S, Peluso, D, Ucci, L, Naso, P, Puma, L, Iliceto, S, Badano, LP, Cikes, M, Jakus, N, Sutherland, GR, Haemers, P, Dhooge, J, Claus, P, Yurdakul, S, Oner, FATMA, Direskeneli, HANER, Sahin, TAYLAN, Cengiz, BETUL, Ercan, G, Bozkurt, AYSEN, Aytekin, SAIDE, Osa Saez, A M, Rodriguez-Serrano, M, Lopez-Vilella, R, Buendia-Fuentes, F, Domingo-Valero, D, Quesada-Carmona, A, Miro-Palau, VE, Arnau-Vives, MA, Palencia-Perez, M, Rueda-Soriano, J, Lipczynska, M, Piotr Szymanski, PS, Anna Klisiewicz, AK, Lukasz Mazurkiewicz, LM, Piotr Hoffman, PH, Kim, KH, Cho, SK, Ahn, Y, Jeong, MH, Cho, JG, Park, JC, Chinali, M, Franceschini, A, Matteucci, MC, Doyon, A, Esposito, C, Del Pasqua, A, Rinelli, G, Schaefer, F, group, the 4C study, Kowalik, E, Klisiewicz, A, Rybicka, J, Szymanski, P, Biernacka, EK, Hoffman, P, Lee, S, Kim, W, Yun, H, Jung, L, Kim, E, Ko, J, Ruddox, V, Norum, IB, Edvardsen, T, Baekkevar, M, Otterstad, JE, Erdei, T, Edwards, J, Braim, D, Yousef, Z, Fraser, AG, Cardiff, Investigators, MEDIA, Melcher, A, Reiner, B, Hansen, A, Strandberg, LE, Caidahl, K, Wellnhofer, E, Kriatselis, C, Gerd-Li, H, Furundzija, V, Thnabalasingam, U, Fleck, E, Graefe, M, Park, YJ, Moon, JG, Ahn, TH, Baydar, O, Kadriye Kilickesmez, KK, Ugur Coskun, UC, Polat Canbolat, PC, Veysel Oktay, VO, Umit Yasar Sinan, US, Okay Abaci, OA, Cuneyt Kocas, CK, Sinan Uner, SU, Serdar Kucukoglu, SK, Ferferieva, V, Claus, P, Rademakers, F, Dhooge, J, Le, T T, Wong, P, Tee, N, Huang, F, Tan, RS, Altman, M, Logeart, D, Bergerot, C, Gellen, B, Pare, C, Gerard, S, Sirol, M, Vicaut, E, Mercadier, JJ, Derumeaux, G A, investigators, PREGICA, Park, T-H, Park, J-I, Shin, S-W, Yun, S-H, Lee, J-E, Makavos, G, Kouris, N, Keramida, K, Dagre, A, Ntarladimas, I, Kostopoulos, V, Damaskos, D, Olympios, CD, Leong, DP, Piers, SRD, Hoogslag, GE, Hoke, U, Thijssen, J, Ajmone Marsan, N, Schalij, MJ, Bax, JJ, Zeppenfeld, K, Delgado, V, Rio, P, Branco, L, Galrinho, A, Cacela, D, Abreu, J, Timoteo, A, Teixeira, P, Pereira-Da-Silva, T, Selas, M, Cruz Ferreira, R, Popa, B A, Zamfir, L, Novelli, E, Lanzillo, G, Karazanishvili, L, Musica, G, Stelian, E, Benea, D, Diena, M, Cerin, G, Fusini, L, Mirea, O, Tamborini, G, Muratori, M, Gripari, P, Ghulam Ali, S, Cefalu, C, Maffessanti, F, Andreini, D, Pepi, M, Mamdoo, F, Goncalves, A, Peters, F, Matioda, H, Govender, S, Dos Santos, C, Essop, MR, Kuznetsov, V A, Yaroslavskaya, E I, Pushkarev, G S, Krinochkin, D V, Kolunin, G V, Bennadji, A, Hascoet, S, Dulac, Y, Hadeed, K, Peyre, M, Ricco, L, Clement, L, Acar, P, Ding, WH, Zhao, Y, Lindqvist, P, Nilson, J, Winter, R, Holmgren, A, Ruck, A, Henein, MY, Illatopa, V, Cordova, F, Espinoza, D, Ortega, J, Cavalcante, JL, Patel, MT, Katz, W, Schindler, J, Crock, F, Khanna, MK, Khandhar, S, Tsuruta, H, Kohsaka, S, Murata, M, Yasuda, R, Tokuda, H, Kawamura, A, Maekawa, Y, Hayashida, K, Fukuda, K, Le Tourneau, T, Kyndt, F, Lecointe, S, Duval, D, Rimbert, A, Merot, J, Trochu, JN, Probst, V, Le Marec, H, Schott, JJ, Veronesi, F, Addetia, K, Corsi, C, Lamberti, C, Lang, RM, Mor-Avi, V, Gjerdalen, G F, Hisdal, J, Solberg, EE, Andersen, TE, Radunovic, Z, Steine, K, Maffessanti, F, Gripari, P, Tamborini, G, Muratori, M, 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- Abstract
Purpose: Atrial fibrillation (AF) is the most prevalent sustained arrhythmia. It is a disease of the elderly and it is common in patients (pts) with structural heart disease. Hypertension (HA), hypertensive heart disease (HHD), diabetes mellitus (DM), coronary artery disease (CAD), heart failure (HF), and valvular heart disease (VHD) are recognized predisposing factors to AF. Objectives: To echocardiographicly disclose the most common predisposing morbidities to AF in our population sample. Methods: From June 2000 to February 2013, 3755 consecutive pts with AF were studied during echocardiographic check-up. According to transthoracic echo, pts were divided in groups based on dominative underlying heart diseases. Electrocardiographically documented AF was subdivided in two groups: transitory and chronic. Transitory AF fulfilled criteria for paroxysmal or persistent AF. Chronic AF were cases of long-standing persistent or permanent AF. Results: The median age was 72 years, age range between 16 and 96 years. There were 51.4% of females. Chronic AF was observed in 68.3% pts. Distribution of underlying heart diseases is shown in figure. Lone AF was diagnosed in only 25 pts, mostly in younger males (median age 48 years, range 29–59, men 80%). Chronic AF was predominant in groups with advanced cardiac remodeling such as dilatative cardiomyopaty (DCM) and VHD, mostly in elderly. HA and DM were found in 75.4% and 18.8%, respectively. Almost 1/2 of pts with AF had HF and 59.2% had diastolic HF. Conclusion: Up to now, echocardiographic categorization of the predisposing factors to AF was not reported. Echocardiographic evaluation of patients with AF could facilitate in identification and well-timed treatment of predisposing comorbidites.
Figure Etiological distribution of AF - Published
- 2013
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