{"id":7101,"date":"2013-07-23T15:12:12","date_gmt":"2013-07-23T20:12:12","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7101"},"modified":"2013-07-23T15:12:12","modified_gmt":"2013-07-23T20:12:12","slug":"estratificacion-del-riesgo-en-la-angina-inestable","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7101","title":{"rendered":"Estratificaci\u00f3n del riesgo en la angina inestable."},"content":{"rendered":"

<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n
\n

Bajo riesgo<\/i><\/b><\/p>\n<\/td>\n

\n

Riesgo intermedio<\/i><\/b><\/p>\n<\/td>\n

\n

Riesgo elevado<\/i><\/b><\/p>\n<\/td>\n<\/tr>\n

Anginas tipo I-III A<\/td>\nAnginas tipo I-III B<\/td>\nAnginas III B-III C<\/td>\n<\/tr>\n
Angina de inicio >15 d\u00edas
\nHemodin\u00e1mica estable<\/td>\n		IC (si IAM < 1 mes)
\nNTG sl. eficaz
\nEdad > 65 a\u00f1os<\/td>\n		Signos de IC, HTA \u00f3 MI
\nRefractaria a NTG s.l.
\nCardiopat\u00eda previa<\/td>\n<\/tr>\n
ECG normal o anodino<\/td>\nOndas Q antiguas y\/o ondas T peque\u00f1as y negativas<\/td>\nElevaci\u00f3n ST > 1 mm y\/o nuevas ondas Q –> IAM
\nPatr\u00f3n EGG \u201cde riesgo\u201d<\/td>\n<\/tr>\n
Troponina < 0,35<\/td>\nTroponina < 1<\/td>\nTroponina > 1<\/td>\n<\/tr>\n
U: Observaci\u00f3n (<12 h) y control en consulta externa<\/td>\nU: Ingreso en planta<\/td>\nU: ingreso en UCI<\/td>\n<\/tr>\n
T: Correcci\u00f3n de la causa, AAS y nitratos<\/td>\nT: AAS, nitratos, HBPM, Betabloqueantes<\/td>\nT: AAS, NTG iv, HBPM, Betabloqueantes<\/td>\n<\/tr>\n
E: Ergometr\u00eda reglada<\/td>\nE: Coronariograf\u00eda a corto plazo<\/td>\nE: Coronariograf\u00eda urgente<\/td>\n<\/tr>\n
(U): ubicaci\u00f3n; (T): tratamiento inicial; (E): exploraci\u00f3n complementaria; (IC): insuficiencia card\u00edaca, (HTA): hipertensi\u00f3n arterial; (IM): soplo de insuficiencia mitral de nueva aparici\u00f3n; (HBPM): heparina de bajo peso molecular.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Basado en : Jare\u00f1o et al. Protocolo del s\u00edndrome coronario agudo-angina inestable- Diciembre, 1997 y Braunwald et al. Diagnosing and managing unstable angina. Circulation 1994: 90: 613-622.<\/p>\n","protected":false},"excerpt":{"rendered":"

Bajo riesgo Riesgo intermedio Riesgo elevado Anginas tipo I-III A Anginas tipo I-III B Anginas III B-III C Angina de inicio >15 d\u00edas Hemodin\u00e1mica estable IC (si IAM < 1 mes) NTG sl. eficaz Edad > 65 a\u00f1os Signos de IC, HTA \u00f3 MI Refractaria a NTG s.l. Cardiopat\u00eda previa ECG normal o anodino Ondas … Continue reading “Estratificaci\u00f3n del riesgo en la angina inestable.”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-7101","post","type-post","status-publish","format-standard","hentry","category-cardiologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7101","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7101"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7101\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7101"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7101"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}