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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

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Heart Failure III: Clinical Manifestations01:26

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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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Video Experimental Relacionado

Updated: Jan 7, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

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Manifestaciones Clínicas

Jennifer A Frontera1, Arjun V Masurkar1,2,3, Alok Vedvyas1,2,3

  • 1NYU Grossman School of Medicine, New York, NY, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen

Los pacientes con COVID prolongado muestran una función cognitiva significativamente peor y tasas más altas de deterioro cognitivo leve (DCL), incluido el tipo Alzheimer, en comparación con aquellos sin síntomas de COVID prolongado. Esto resalta el impacto neurológico persistente de la infección por SARS-CoV-2.

Palabras clave:
COVID prolongadodeterioro cognitivoDCL tipo Alzheimerfunción cognitivaSARS-CoV-2

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Área de la Ciencia:

  • Neurociencia
  • Enfermedades Infecciosas
  • Gerontología

Sus antecedentes:

  • Existen datos limitados que comparan los resultados neuropsiquiátricos en pacientes con COVID prolongado frente a controles.
  • La investigación de las diferencias cognitivas es crucial para comprender las secuelas a largo plazo de la COVID-19.

Objetivo del estudio:

  • Comparar los resultados de las pruebas neuropsiquiátricas en pacientes con y sin COVID prolongado.
  • Determinar la asociación entre el COVID prolongado y los diagnósticos de deterioro cognitivo.

Principales métodos:

  • Estudio transversal que compara pacientes positivos (COV+) y negativos (COV-) para COVID.
  • Se utilizó la Escala de Detección de Demencia 3 (UDS3) de la Universidad de las Indias Occidentales para las pruebas neuropsiquiátricas.
  • Los diagnósticos de consenso médico (normal, DCL, demencia) se realizaron de forma ciega al estado de COVID prolongado.

Principales resultados:

  • Los pacientes con COVID prolongado exhibieron resultados significativamente peores en las pruebas cognitivas (64% frente a 46%) y puntuaciones CDR más altas (26% frente a 6%).
  • El 25% de los pacientes con COVID prolongado recibieron diagnósticos de DCL o demencia, en comparación con el 6% sin COVID prolongado.
  • El COVID prolongado se asoció con un aumento de las probabilidades de DCL, particularmente DCL de tipo Alzheimer (aOR 4,4).

Conclusiones:

  • El COVID prolongado se asocia con un peor rendimiento cognitivo y un aumento de las tasas de deterioro cognitivo leve.
  • El DCL de tipo Alzheimer es significativamente más prevalente en personas que experimentan síntomas de COVID prolongado.
  • Se necesita más investigación para dilucidar los mecanismos detrás del deterioro cognitivo relacionado con el COVID prolongado.