4 results on '"Tepayotl-Aponte, Antonio"'
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2. Primera declaración Mexicana en materia de Insuficiencia Cardiaca
- Author
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Alcocer Gamba, Marco Antonio, primary, Borrayo Sánchez, Gabriela, additional, Gutiérrez Fajardo, Pedro, additional, Tepayotl Aponte, Antonio, additional, Ruiz Ruiz, Vicente Eduardo, additional, Castán Flores, David, additional, Herrera Garza, Eduardo Heberto, additional, Araiza Garaygordobil, Diego, additional, Guízar Sánchez, Carlos Alberto, additional, Álvarez Álvarez, Rolando Joel, additional, Álvarez San Gabriel, Amada, additional, Hernández Rendón, Edgar, additional, González, Jorge, additional, Mariona Montero, Vitelio Augusto, additional, Coutiño, Hugo Enrique, additional, de León Larios, Gerardo, additional, Pacheco Bouthillier, Alex Daniel, additional, Pombo Bartelt, Ernesto, additional, Aceves García, Moisés, additional, Fernández Muñoz, María de Jesús, additional, Olalde Román, Marcos Jaciel, additional, Chávez Leal, Sergio, additional, Olmos Dominguez, Luis, additional, Mendoza Zavala, Genaro Hiram, additional, Mendez Machado, Gustavo Francisco, additional, Rascón Sabido, Rafael, additional, Ivey Miranda, Juan Betuel, additional, Aguilera Mora, Luisa Fernanda, additional, Galván Oseguera, Héctor, additional, Rayo Chávez, Jorge, additional, Chávez Mendoza, Adolfo, additional, Cigarroa López, José Ángel, additional, and Magaña Serrano, José Antonio, additional
- Published
- 2021
- Full Text
- View/download PDF
3. Introducción Primer Posicionamiento Nacional en Insuficiencia Cardiaca
- Author
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Alcocer Gamba, Marco Antonio, primary, Borrayo Sánchez, Gabriela, additional, Gutiérrez Fajardo, Pedro, additional, Tepayotl Aponte, Antonio, additional, Ruiz Ruiz, Vicente Eduardo, additional, Castán Flores, David, additional, Herrera Garza, Eduardo Heberto, additional, Araiza Garaygordobil, Diego, additional, Guízar Sánchez, Carlos Alberto, additional, Álvarez Álvarez, Rolando Joel, additional, Álvarez San Gabriel, Amada, additional, Hernández Rendón, Edgar, additional, González, Jorge, additional, Mariona Montero, Vitelio Augusto, additional, Coutiño, Hugo Enrique, additional, de León Larios, Gerardo, additional, Pacheco Bouthillier, Alex Daniel, additional, Pombo Bartelt, Ernesto, additional, Aceves García, Moisés, additional, Fernández Muñoz, María de Jesús, additional, Olalde Román, Marcos Jaciel, additional, Chávez Leal, Sergio, additional, Olmos Dominguez, Luis, additional, Mendoza Zavala, Genaro Hiram, additional, Mendez Machado, Gustavo Francisco, additional, Rascón Sabido, Rafael, additional, Ivey Miranda, Juan Betuel, additional, Aguilera Mora, Luisa Fernanda, additional, Galván Oseguera, Héctor, additional, Rayo Chávez, Jorge, additional, Chávez Mendoza, Adolfo, additional, Cigarroa López, José Ángel, additional, and Magaña Serrano, José Antonio, additional
- Published
- 2021
- Full Text
- View/download PDF
4. External validation of the natriuretic response prediction equation to discriminate diuretic response in heart failure.
- Author
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Ramírez-Sánchez P, Falcón-Aguirre A, Tepayotl-Aponte A, Mendoza-Zavala GH, Olmos-Dominguez L, Chavez-Mendoza A, Magaña-Serrano JA, Cigarroa-López JA, Aceves-Garcia M, Rayo-Chavez J, Olalde-Roman MJ, Revilla-Monsalve C, Almeida-Gutierrez E, Chavez-Iñiguez JS, Posada-Martinez EL, and Ivey-Miranda JB
- Subjects
- Humans, Male, Female, Aged, Diuretics administration & dosage, Diuretics therapeutic use, Middle Aged, Sodium urine, Sodium Potassium Chloride Symporter Inhibitors administration & dosage, Sodium Potassium Chloride Symporter Inhibitors therapeutic use, Natriuresis drug effects, Natriuresis physiology, Heart Failure drug therapy, Heart Failure physiopathology, Heart Failure urine
- Abstract
Aims: Incomplete decongestion due to lack of titration of diuretics to effective doses is a common reason for readmission in patients with acute decompensated heart failure (ADHF). The natriuretic response prediction equation (NRPE) is a novel tool that proved to be rapid and accurate to predict natriuretic response and does not need urine collection. However, the NRPE has not been externally validated. The goal of this study was to externally validate the discrimination capacity of the NRPE in patients with ADHF and fluid overload., Methods and Results: Patients admitted with ADHF who required intravenous loop diuretics were included. A spot urine sample was obtained ~2 h following diuretic administration, and a timed 6-h urine collection by study staff was carried out. Urine sodium and urine creatinine from the spot urine sample were used to predict the 6-h natriuretic response using the NRPE. The primary goal was to validate the NRPE to discriminate poor loop diuretic natriuretic response (sodium output <50 mmol in the 6 h following diuretic administration). The NRPE was compared with urine sodium and measured urine output which are the methods currently recommended by international guidelines to assess diuretic response. Eighty-seven diuretic administrations from 49 patients were analysed. Mean age of patients was 57 ± 17 years and 67% were male. Mean estimated glomerular filtration rate was 65 ± 28 mL/min/1.73 m
2 , and ejection fraction was 35 ± 15%. Median dose of intravenous furosemide equivalents administered the day of the study was 80 mg (IQR 40 - 160). Poor natriuretic response occurred in 39% of the visits. The AUC of the NRPE to predict poor natriuretic response during the 6-h urine collection was 0.91 (95% CI 0.85-0.98). Compared with the NRPE, spot urine sodium concentration (AUC 0.75) and urine output during the corresponding nursing shift (AUC 0.74) showed lower discrimination capacity., Conclusions: In this cohort of patients with ADHF, the NRPE outperformed spot urine sodium concentration and all other metrics related to diuretic response to predict poor natriuretic response. Our findings support the use of this equation at other settings to allow rapid and accurate prediction of natriuretic response., (© 2024 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)- Published
- 2025
- Full Text
- View/download PDF
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