Clinical practice guidelines for diagnostic and treatment of the chronic heart failure.

Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients. This document establishes the clinical practice guide (CPG) prepared at the initiative of the Mexican Society of Cardiology (SMC) in collaboration with the Iberic American Agency for the Development and Evaluation of Health Technologies, with the purpose of establishing recommendations based on the best available evidence and agreed upon by an interdisciplinary group of experts.

[Metabolic syndrome reversion by polyunsaturated fatty acids ingestion].

Background And Objective: Metabolic syndrome (MS) frequency is growing and diet has an important influence on its evolution. Our objective was to study the effect of 3 sources of polyunsaturated fatty acids on MS parameters in humans.

Patients And Method: The MS was diagnosed according to the International Diabetes Federation.

[Dengue fever during pregnancy. Cases report].

Dengue is known as an endemic disease of tropical and subtropical regions. It was considered a disease very frequent on kids, but recently an increase was reported on adult people. Some of these cases were related to pregnant women, for that reason, we decided to check eight cases, including just the mothers who presented dengue virus infection through ELISA IgM.

Abdominal wall hernias in end-stage renal disease patients on peritoneal dialysis.

Objective: To describe our experience with hernioplasty in peritoneal dialysis patients and to identify possible risk factors for surgical complications.

Design: A 4-year retrospective chart review of data.

Setting: Peritoneal dialysis unit of a university hospital.

Living related kidney transplantation without calcineurin inhibitors: initial experience in a Mexican center.

We performed a prospective randomized trial comparing sirolimus/mycophenolate mofetil (MMF)/prednisone to cyclosporine/MMF/prednisone and selected induction therapy with basiliximab. Twenty patients received sirolimus (10 mg loading dose followed by 3 mg/m body surface area/day, keeping 24-hr trough levels at 10-15 ng/mL for six months and 5-10 ng/mL thereafter. Twenty-one patients began cyclosporine (4 to 8 mg/kg/day, keeping 12-hour trough levels at 150-300 ng/mL for 6 months and 100-200 ng/mL afterwards).

Conversion from calcineurin inhibitor to sirolimus for renal function deterioration in kidney allograft recipients.

Background: Calcineurin inhibitors play an important role in chronic allograft dysfunction. Sirolimus is an interesting alternative in renal transplant patients because it is less nephrotoxic than calcineurin inhibitors.

Methods: A chart review of the clinical outcome of kidney transplant patients converted to sirolimus with progressive allograft dysfunction is reported herein.

[Perinatal hospital mortality: its relationship with prenatal care quality].

Objective: Our aim was to analyze infant mortality at the Mexican Institute of Social Security (IMSS) North Veracruz, Mexico, Delegation from the perspective of prenatal care quality.

Materials And Methods: We performed a retrospective case-control study and included all cases of perinatal mortality at the IMSS at North Veracruz from July 1 to December 31, 2003. There were two controls per case matched by gender and date of birth.