{"id":7181,"date":"2013-07-23T18:21:06","date_gmt":"2013-07-23T23:21:06","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7181"},"modified":"2013-07-23T18:21:06","modified_gmt":"2013-07-23T23:21:06","slug":"estimacion-preoperatoria-del-riesgo-en-cirugia-cardiaca-newark-beth-israel-medical-center","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7181","title":{"rendered":"Estimaci\u00f3n preoperatoria del riesgo en cirug\u00eda card\u00edaca, Newark Beth Israel Medical Center."},"content":{"rendered":"

<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Factor de riesgo<\/i><\/b><\/td>\n\n

Valor<\/i><\/b><\/p>\n<\/td>\n

\n

Puntuaci\u00f3n<\/i><\/b><\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Mujer<\/td>\n <\/td>\n\n

1<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
\nEdad<\/td>\n70-74
\n75-79
\n>79<\/td>\n		\n

1
\n2
\n3<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Fracci\u00f3n de eyecci\u00f3n<\/td>\n30-49%
\n<30%<\/td>\n		\n

1
\n3<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Obesidad m\u00f3rbida<\/td>\nPeso >1,5 x ideal<\/td>\n\n

1<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Diabetes<\/td>\n <\/td>\n\n

1<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
HTA<\/td>\n>140\/90 \u00f3 en tratamiento<\/td>\n\n

1<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Reintervenci\u00f3n<\/td>\nPrimera
\nSegunda o siguientes<\/td>\n		\n

4
\n8<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
BIAP preoperatorio<\/td>\n <\/td>\n\n

3<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Aneurisma VI Resecado en la cirug\u00eda<\/td>\n <\/td>\n\n

3<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Cirug\u00eda v\u00e1lvula mitral<\/td>\n <\/td>\n\n

4<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Cirug\u00eda v\u00e1lvula a\u00f3rtica<\/td>\n <\/td>\n\n

5<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Cirug\u00eda v\u00e1lvula tricusp\u00eddea<\/td>\n <\/td>\n\n

3<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
Cirug\u00eda valvular + coronaria<\/td>\n <\/td>\n\n

3<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n

<\/p>\n

PUNTUACI\u00d3N PARA SITUACIONES ESPECIALES<\/b><\/p>\n<\/td>\n<\/tr>\n

Situaci\u00f3n especial<\/b><\/td>\n\n

Puntuaci\u00f3n<\/b><\/p>\n<\/td>\n

Situaci\u00f3n especial<\/b><\/td>\nPuntuaci\u00f3n<\/b><\/td>\n<\/tr>\n
Card\u00edacas<\/td>\n\n

\n<\/td>\n

Hepatorrenal<\/td>\n <\/td>\n<\/tr>\n
IAA (endocarditis)<\/td>\n\n

10<\/p>\n<\/td>\n

Cirrosis<\/td>\n\n

5<\/p>\n<\/td>\n<\/tr>\n

Shock cardiog\u00e9nico<\/td>\n\n

10<\/p>\n<\/td>\n

Di\u00e1lisis<\/td>\n\n

2<\/p>\n<\/td>\n<\/tr>\n

Cardiomegalia<\/td>\n\n

1<\/p>\n<\/td>\n

FRA o cr\u00f3nico (creatinina >2 mg\/dl)<\/td>\n\n

5<\/p>\n<\/td>\n<\/tr>\n

ICC<\/td>\n\n

4<\/p>\n<\/td>\n

Vascular<\/td>\n\n

\n<\/td>\n<\/tr>\n

Endocarditis activa<\/td>\n\n

10<\/p>\n<\/td>\n

AAA asintom\u00e1tico<\/td>\n\n

2<\/p>\n<\/td>\n<\/tr>\n

Endocarditis tratada<\/td>\n\n

1<\/p>\n<\/td>\n

Oclusi\u00f3n unilateral car\u00f3tida (100%)<\/td>\n\n

3<\/p>\n<\/td>\n<\/tr>\n

Complicaci\u00f3n de ACTP o cateterismo<\/td>\n\n

7<\/p>\n<\/td>\n

Patolog\u00eda carot\u00eddea bilateral<\/td>\n\n

5<\/p>\n<\/td>\n<\/tr>\n

Lesi\u00f3n de tronco, angina inestable<\/td>\n\n

1<\/p>\n<\/td>\n

Disecci\u00f3n aorta tor\u00e1cica<\/td>\n\n

10<\/p>\n<\/td>\n<\/tr>\n

IMA<\/td>\n\n

10<\/p>\n<\/td>\n

Vasculopat\u00eda perif\u00e9rica severa<\/td>\n\n

2<\/p>\n<\/td>\n<\/tr>\n

MP dependiente<\/td>\n\n

1<\/p>\n<\/td>\n

Miscel\u00e1nea<\/td>\n\n

\n<\/td>\n<\/tr>\n

IAM transmural (<48 h)<\/td>\n\n

7<\/p>\n<\/td>\n

Neoplasia activa<\/td>\n\n

5<\/p>\n<\/td>\n<\/tr>\n

CIV aguda<\/td>\n\n

20<\/p>\n<\/td>\n

SIDA activo<\/td>\n\n

10<\/p>\n<\/td>\n<\/tr>\n

TV, FV, muerte s\u00fabita<\/td>\n\n

3<\/p>\n<\/td>\n

Aglutininas fr\u00edas<\/td>\n\n

5<\/p>\n<\/td>\n<\/tr>\n

Pulmonar<\/td>\n\n

\n<\/td>\n

Negativa transfusi\u00f3n<\/td>\n\n

5<\/p>\n<\/td>\n<\/tr>\n

Asma<\/td>\n\n

2<\/p>\n<\/td>\n

E. neurol\u00f3gica grave<\/td>\n\n

5<\/p>\n<\/td>\n<\/tr>\n

EPOC severa<\/td>\n\n

2<\/p>\n<\/td>\n

Abuso de sustancias (alcohol, drogas)<\/td>\n\n

3<\/p>\n<\/td>\n<\/tr>\n

Intubaci\u00f3n preoperatoria<\/td>\n\n

5<\/p>\n<\/td>\n

 <\/td>\n <\/td>\n<\/tr>\n
PTI<\/td>\n\n

10<\/p>\n<\/td>\n

 <\/td>\n <\/td>\n<\/tr>\n
HTP (p.m >30 mm Hg)<\/td>\n\n

2<\/p>\n<\/td>\n

 <\/td>\n <\/td>\n<\/tr>\n
La mortalidad estimada ser\u00eda la suma de las puntuaciones en tanto por ciento.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Parsonnet V, Bernstein AD, Gera M. Cardiac risk stratification project. Newark Beth Israel Medical Center. Enero 1.995.<\/p>\n","protected":false},"excerpt":{"rendered":"

Factor de riesgo Valor Puntuaci\u00f3n   Mujer   1   Edad 70-74 75-79 >79 1 2 3   Fracci\u00f3n de eyecci\u00f3n 30-49% <30% 1 3   Obesidad m\u00f3rbida Peso >1,5 x ideal 1   Diabetes   1   HTA >140\/90 \u00f3 en tratamiento 1   Reintervenci\u00f3n Primera Segunda o siguientes 4 8   BIAP preoperatorio … Continue reading “Estimaci\u00f3n preoperatoria del riesgo en cirug\u00eda card\u00edaca, Newark Beth Israel Medical Center.”<\/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-7181","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\/7181","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=7181"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7181\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}