Time filter

Source Type

Buenos Aires, Argentina

Masson W.,Clinica de Lipidos | Masson W.,Centro Agustin Rocca | Fernandez-Otero L.,Centro Agustin Rocca | Siniawski D.,Clinica de Lipidos | And 3 more authors.
Revista Argentina de Endocrinologia y Metabolismo

Severe hypertriglyceridemia is associated with acute pancreatitis and it is usually caused by a genetic or acquired deficiency in the activity of lipoprotein lipase (LPL). The usual treatment in outpatients is based on healthy eating, exercise, weight control, omega-3 supplements and drugs such as fibrates and niacin. In situations of severe hypertriglyceridemia, whether or not associated with pancreatitis, treatment with insulin and/or heparin is recommended to rapidly decrease triglyceride levels by increasing LPL activity, in diabetic and non-diabetic patients. We report the case of a young, obese smoker woman with no prior history of dyslipidemia, who had severe hypertriglyceridemia (12214 mg/dL) detected in a control test in the context of new onset diabetes. During hospitalization, intravenous insulin, sodium heparin and gemfibrozil were administered, with a rapid decrease in triglyceride levels and good progress with no development of pancreatitis. Copyright © 2012 por la Sociedad Argentina de Endocrinología y Metabolismo. Source

Fernandez G.,Centro Agustin Rocca | Barslund S.,Centro Agustin Rocca | Bagnati R.,Centro Agustin Rocca | Masson W.,Centro Agustin Rocca | And 3 more authors.
Neurologia Argentina

Background: The improper placement of pacemaker leads is a rare cause of cardioembolic ischemic stroke. Clinical observation and results: We present the case of a 70-year-old woman who was placed a dual-chamber pacemaker at another hospital three months ago, and who presented an ischemic stroke two months ago without known cause. She consulted our hospital with dizziness, dyspnea and malaise. The electrocardiogram showed sinus rhythm and images typical of complete right bundle branch block. The chest x-ray showed a ventricular lead trajectory suggesting its location at the left ventricle. Echocardiography and computed tomography confirmed the finding that the two leads were in the aorta, with the ventricular lead penetrating through the aortic valve. Conclusion: The abnormal placement of pacemaker leads is uncommon but may be associated with high morbidity and mortality events, such as stroke. Finding an image of complete right bundle branch block in the electrocardiogram can help us identify this condition in our patients. © 2015 Sociedad Neurológica Argentina. Source

Discover hidden collaborations