Publications by authors named "Antonio R Vilches"

Article Synopsis
  • Travel for transplantation has sparked intense discussions in medical, legal, and ethical fields, particularly about patients receiving kidney transplants in other countries.
  • A study from 1971 to 2008 evaluated 58 patients who underwent kidney transplants abroad, mostly in the USA and Bolivia, and compared their outcomes with patients transplanted domestically.
  • Findings indicated that there were no significant differences in kidney function and graft survival between travelers and local patients, and travelers spent less time on dialysis before their transplants.
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The tumor lysis syndrome (TLS) is a metabolic disorder resulting from a massive tumor breakdown. It is characterized by hyperuricemia, hyperphosphatemia, hypocalcemia and hyperkalemia and predisposes to acute renal failure. TLS usually occurs after the initiation of cytotoxic therapy and is more frequent in the case of neoplasias with a high proliferative rate or that are highly chemo-sensitive.

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Thyrotoxicosis may present with a variety of cardiovascular symptoms. Sinus tachycardia is the most frequently encountered electrocardiographic abnormality and conduction disturbances are extremely uncommon. We present a case of first degree atrio-ventricular block in a patient with newly diagnosed hyperthyroidism and discuss the underlying pathophysiological mechanisms and the clinical implications from the internist's standpoint.

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