Puentes miocárdicos como causa de infarto agudo del miocardio Reporte de una serie de once casos y...
6
6HUYLFLR GH +HPRGLQDPLD 8QLGDG &DUGLRYDVFXODU )XQGDFLyQ 9DOOH GHO /LOL &DOL &RORPELD &(6 &DOL &RORPELD 8QLYHUVLGDG GHO 9DOOH &DOL &RORPELD )XQGDFLyQ 9DOOH GHO /LOL &DOL &RORPELD &RUUHVSRQGHQFLD 'U(GXDUGR - (FKHYHUU\ $Y 6LPyQ %ROtYDU &UD 1R 7HO )XQGDFLyQ 9DOOH GHO /LOL &DOL &RORPELD &RUUHR HOHFWUyQLFR HMHFKH#KRWPDLOFRP 5HFLELGR $FHSWDGR &$5',2/2*Ë$ '(/ $'8/72 ± 35(6(17$&,Ï1 '( &$626 3XHQWHV PLRFiUGLFRV FRPR FDXVD GH LQIDUWR DJXGR GHO PLRFDUGLR 5HSRUWH GH XQD VHULH GH RQFH FDVRV \ UHYLVLyQ GH OD OLWHUDWXUD 0\RFDUGLDO EULGJHV DV D FDXVH RI DFXWH P\RFDUGLDO LQIDUFWLRQ 5HSRUW RI D VHULHV RI HOHYHQ FDVHV DQG OLWHUDWXUH UHYLHZ (GXDUGR - (FKHYHUU\ 0' 1HOVRQ ( 0XULOOR 0' -XDQ 6 9LOODGLHJR 0' -XOLiQ $ 2FKRD 0' -RUJH * 9HOiVTXH] 0' &DOL &RORPELD /RV SXHQWHV PLRFiUGLFRV VRQ XQD FRQGLFLyQ FRQJpQLWD FRQ XQD IUHFXHQFLD YDULDEOH +DQ VLGR FRQVL GHUDGRV FRPR YDULDQWH DQDWyPLFD KDVWD FDXVDQWHV GH LVTXHPLD LQIDUWR DJXGR GHO PLRFDUGLR \ PXHUWH V~ELWD /RV PHFDQLVPRV LQYROXFUDGRV JXDUGDQ UHODFLyQ FRQ OD FRPSUHVLyQ VLVWyOLFD GH OD DUWHULD HO UHWDUGR HQ OD UHFXSHUDFLyQ GH VX GLiPHWUR HQ GLiVWROH \ OD DOWHUDFLyQ HQ HO SHU¿O GH ODV YHORFLGDGHV \ HO ÀXMR FRURQDULR (O DERUGDMH GLDJQyVWLFR D~Q FRQVLGHUD OD DQJLRJUDItD FRURQDULD SHUR FDGD YH] VH DFHSWD XQ URO PD\RU GHO XOWUDVRQLGR LQWUDYDVFXODU \ HO GRSSOHU LQWUDFRURQDULR (O WUDWDPLHQWR IDUPDFROyJLFR HV OD SULPHUD RSFLyQ DXQTXH HQ SDFLHQWHV VHOHFFLRQDGRV FRQ DQJLQD UHIUDFWDULD R IDOOD D OD WHUDSLD PpGLFD VH SRGUtD FRQVLGHUDU OD UHYDVFXODUL]DFLyQ SHUFXWiQHD \R TXLU~UJLFD $ FRQWLQXDFLyQ VH SUHVHQWD XQD VHULH GH RQFH SDFLHQWHV HQ TXLHQHV VH GRFXPHQWDURQ SXHQWHV PLRFiUGLFRV FRPR SDUWH GHO HVWXGLR GLDJQyVWLFR HQ HO FRQWH[WR GH XQ VtQGURPH FRURQDULR DJXGR LQIDUWR DJXGR GHO PLRFDUGLR VLQ HOHYDFLyQ GHO 67 \ VH GLVFXWH VX UHODFLyQ FRPR DJHQWH FDXVDO \ ODV RSFLRQHV WHUDSpXWLFDV GLVSRQLEOHV 3$/$%5$6 &/$9( HQIHUPHGDG GH ODV DUWHULDV FRURQDULDV LQIDUWR DJXGR GHO PLRFDUGLR FRURQDULR JUDItD VWHQWV 7KH P\RFDUGLDO EULGJHV DUH D FRQJHQLWDO FRQGLWLRQ ZLWK D YDULDEOH IUHTXHQF\ 7KHVH KDYH EHHQ FRQ VLGHUHG IURP DQ DQDWRPLFDO YDULDQW XS WR WKH FDXVH RI LVFKHPLD DFXWH P\RFDUGLDO LQIDUFWLRQ DQG VXGGHQ GHDWK 7KH PHFKDQLVPV LQYROYHG DUH UHODWHG WR WKH V\VWROLF FRPSUHVVLRQ RI WKH FRURQDU\ DUWHU\ WKH GHOD\ LQ UHFRYHULQJ LWV GLDPHWHU GXULQJ GLDVWROH DQG WKH DOWHUDWLRQ LQ WKH VSHHG SUR¿OH DQG WKH FRURQDU\ ÀRZ 7KH GLDJQRVWLF DSSURDFK VWLOO FRQVLGHUV FRURQDU\ DQJLRJUDSK\ EXW D JUHDWHU UROH RI LQWUDYDVFXODU XOWUDVRXQG DQG LQWUDFRURQDU\ 'RSSOHU LV LQFUHDVLQJO\ DFFHSWHG 'UXJ WKHUDS\ LV WKH ¿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
Transcript of Puentes miocárdicos como causa de infarto agudo del miocardio Reporte de una serie de once casos y...
