Publications by authors named "Pablo Javier Marchena Yglesias"

Article Synopsis
  • Chronic thromboembolic pulmonary hypertension (CTEPH) is a serious complication that can occur after acute pulmonary embolism (PE), and this study evaluated a screening program for its detection among PE survivors.
  • The study involved contacting patients diagnosed with acute PE two years prior to assess for symptoms like dyspnoea, leading to further testing for CTEPH diagnosis.
  • The results showed that the symptom screening led to a significant increase in CTEPH diagnoses, highlighting the importance of follow-up protocols for better patient outcomes.
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The risk of recurrent venous thromboembolism is nearly 40% of all patients after 10 years of follow up. The risk is higher in patients with permanent risk factors, who should receive indefinite anticoagulation with acenocoumarol or warfarin, except cancer patients who should receive lower doses of low molecular weight heparin The remaining patients should receive a 3-month course of treatment, after which the need to continue this treatment should be reevaluated. The decision to continue should be individually tailored and balanced against hemorrhagic risk.

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We report a case of pacemaker lead infection caused by Aspergillus fumigatus that was successfully treated by surgery and with voriconazole. This infection is rare and dangerous. When it is suspected, transesophageal echocardiography should be performed to look for lead-attached vegetations and the entire pacing system should be removed.

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