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It is not recommended to lower blood pressure rapidly and abruptly in patients in a hypertensive emergency situation.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Sociedad Catalana de Medicina Familiar y Comunitaria
In the event of a hypertensive crisis, it should be ruled out if there is damage to the target organs, to identify whether it is a hypertensive emergency or a hypertensive emergency. Hypertensive emergencies are not associated with short-term adverse outcomes and most are due to lack of adherence to usual treatment for hypertension. The management of hypertensive emergencies is carried out with oral treatment and not intravenously, although it will be necessary to assess the indication of oral ...
ver más ... 2021It is recommended that the transapical transcatheter mitral valve-in-valve implantation for a failed surgically implanted mitral valve bioprosthesis only be used with special arrangements for ...
NICE
NICE
Mitral valve replacement is where an artificial prosthetic valve (bioprosthetic or mechanical) is inserted by open heart surgery. It is most commonly done for severe symptomatic mitral regurgitation but may also be done in patients with severe mitral valve stenosis or a combination of both. Symptoms of severe mitral valve disease typically include shortness of breath, fatigue and palpitations (because of atrial fibrillation). Bioprosthetic valves have some advantages over mechanical valves, but ...
ver más ... 2021Is recommednded to healthcare workers to wear N95 respirators in high-risk coronavirus areas and medical masks in low-risk areas.
Evidencias COVID-19
Evidence-Aid
At the time of this review, there was no significant evidence of a difference between N95 respirators and medical masks for protecting healthcare workers from respiratory viruses, but low-quality evidence suggested that N95 respirators have a stronger protective effectiveness against coronavirus infections than medical masks.
ver más ... 2021Low-dose aspirin (81 mg/day) is recommended as a preventative medication after 12 weeks' gestation in people at high risk of preeclampsia.
U.S. Preventive Services Task Force A and B recommendations
U.S Preventive Services Task Force
Preeclampsia is one of the most serious health problems that affect pregnant persons. It is a multisystem inflammatory syndrome that is often progressive but has an unclear etiology. Worldwide, preeclampsia is the second most common cause of maternal morbidity and mortality. It is a complication in approximately 4% of pregnancies in the US and contributes to both maternal and infant morbidity and mortality.1 Preeclampsia also accounts for 6% of preterm births and 19% of medically indicated ...
ver más ... 2021Screening for chlamydia and gonorrhea is recommended for all sexually active women age 24 and younger and for women age 25 and older who are at increased risk of infection.
U.S. Preventive Services Task Force A and B recommendations
U.S Preventive Services Task Force
Chlamydia and gonorrhea are among the most common sexually transmitted infections (STIs) in the US Chlamydia infection among women (698.9 cases per 100,000 women) was almost double the rate among men (399.9 cases per 100,000 men). Gonorrhea infection was more frequent in men (224.4 cases per 100,000 men) than in women (152.6 cases per 100,000 women). Infection rates are highest among adolescents and young adults of both sexes. In 2019, almost two-thirds (61.0%) of all reported chlamydial ...
ver más ... 2021