{"id":12442,"date":"2017-09-14T08:00:20","date_gmt":"2017-09-14T07:00:20","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=12442"},"modified":"2017-09-14T08:00:20","modified_gmt":"2017-09-14T07:00:20","slug":"sesion-bibliografica-jama-tratamientos-poco-eficaces-no-todos-los-nacos-son-iguales","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-bibliograficas\/2017-09-14\/sesion-bibliografica-jama-tratamientos-poco-eficaces-no-todos-los-nacos-son-iguales\/","title":{"rendered":"Sesi\u00f3n bibliogr\u00e1fica JAMA: tratamientos poco eficaces, no todos los NACOs son iguales&#8230;"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-11399\" src=\"https:\/\/mileon.files.wordpress.com\/2017\/02\/jama-logo.jpg?w=300\" alt=\"jama-logo\" width=\"300\" height=\"195\" \/>La sesi\u00f3n bibliogr\u00e1fica del pasado 1 de Septiembre correspondi\u00f3 al Dr. Muela que repas\u00f3 diferentes art\u00edculos publicados sobre todo en la revista JAMA:<\/p>\n<ul>\n<li>Association between dabigatran vs warfarin and risk of osteoporotic fractures among patients with nonvalvular atrial fibrillation<\/li>\n<li>Major bleeding and hemorrhagic stroke with direct oral anticoagulants in patients with renal failure (Chest)<\/li>\n<li>Postapproval observational studies of non-vitamin K antagonist oral anticoagulants in atrial fibrillation<\/li>\n<li>Effect of natriuretic peptide-guided therapy on hospitalization or cardiovascular mortality in high-risk patients with heart failure and reduced ejection fraction<\/li>\n<li>Declining risk of sudden death in heart failure<\/li>\n<li>Effect of oral iron repletion on exercise capacity in patients with heart failure with reduced ejection fraction and iron deficiency<\/li>\n<li>Effect of oral prednisone on sympton duration and severity in non asthmatic adults with acute lower respiratory tract infection<\/li>\n<li>Effect of insulin degludec vs insulin glargine U100 on hypoglycemia in patients with type 2 diabetes. SWITCH 1 y 2<\/li>\n<li>Eficacy and safety of degludec vs glargine in type 2 diabetes<\/li>\n<\/ul>\n<p>Algunas conclusiones r\u00e1pidas: no todos los NACOs son iguales, y posiblemente con el tiempo acaben perfil\u00e1ndose caracter\u00edsticas distintivas entre ellos. Siguiendo el t\u00edtulo de la sesi\u00f3n&#8230; ni el hierro oral es eficaz en el tratamiento de la insuficiencia cardiaca, ni los corticoides oral son \u00fatiles en las infecciones respiratorias ni tampoco guiarnos por el proBNP a la hora de titular el tratamiento de la insuficiencia cardiaca es mejor que el abordaje cl\u00e1sico, buscando titular a dosis de estudios cl\u00ednicos evitando la inercia, y de hecho este abordaje ha permitido reducir la incidencia de muerte s\u00fabita en estos pacientes. Y por \u00faltimo, comentarios sobre degludec y el menor riesgo de hipoglucemia comparado con glargina cl\u00e1sica.<br \/>\nLa presentaci\u00f3n de la sesi\u00f3n se encuentra disponible\u00a0<a href=\"https:\/\/drive.google.com\/open?id=0BxXYCqMXR4ZaM3F6TEI1MEpMaFk\">aqu\u00ed.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La sesi\u00f3n bibliogr\u00e1fica del pasado 1 de Septiembre correspondi\u00f3 al Dr. Muela que repas\u00f3 diferentes art\u00edculos publicados sobre todo en la revista JAMA: Association between dabigatran vs warfarin and risk of osteoporotic fractures among patients with nonvalvular atrial fibrillation Major bleeding and hemorrhagic stroke with direct oral anticoagulants in patients with renal failure (Chest) Postapproval [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[722],"tags":[946],"class_list":["post-12442","post","type-post","status-publish","format-standard","hentry","category-sesiones-bibliograficas","tag-muela"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/12442","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=12442"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/12442\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=12442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=12442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=12442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}