{"id":7191,"date":"2013-07-23T18:24:06","date_gmt":"2013-07-23T23:24:06","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7191"},"modified":"2013-07-23T18:24:06","modified_gmt":"2013-07-23T23:24:06","slug":"indice-de-detsky-modificado-de-riesgo-cardiaco","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7191","title":{"rendered":"Indice de Detsky modificado de riesgo cardiaco."},"content":{"rendered":"<h3><\/h3>\n<table width=\"287\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"260\"><b>Enfermedad coronaria<\/b><\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Infarto agudo de miocardio en 1-6 meses previos<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">10<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Infarto agudo de miocardio en m\u00e1s de 6 meses antes<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Angina (seg\u00fan clasificaci\u00f3n Canadiense)**<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Clase III (peque\u00f1os esfuerzos)<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">10<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Clase IV (reposo)<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">20<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Angina inestable los \u00faltimos 6 meses<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">10<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\"><b>Edema agudo de pulm\u00f3n<\/b><\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">La \u00faltima semana<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">10<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">En cualquier momento<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\"><b>Estenosis a\u00f3rtica sintom\u00e1tica <\/b><\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">20<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\"><b>Arritmias<\/b><\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Ritmo sinusal con extras\u00edstoles auriculares o ritmo diferente a RS en el \u00faltimo ECG<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">preoperatorio<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">M\u00e1s de cinco extras\u00edstoles ventriculares por minuto en cualquier ECG<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\"><b>Estado m\u00e9dico (alguno de los siguientes):<\/b><\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">PO2 &lt; 60 mmHg, PCO2 &gt; 50 mmHg, K &lt; 3 mEq\/l<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">HCO3 &lt; 20 mEq\/l, BUN &gt; 50, Cr &gt; 3 mg\/dl, GOT elevada<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Enfermedad hep\u00e1tica cr\u00f3nica<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Inmovilidad de causa no cardiaca<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\"><b>Edad mayor a 70 a\u00f1os <\/b><\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\"><b>Cirug\u00eda urgente <\/b><\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">10<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Clase I: 0-15 puntos<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Clase II: 20-30 puntos<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"260\">Clase III: m\u00e1s de 30 puntos<\/td>\n<td valign=\"top\" width=\"27\">\n<p align=\"center\">\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Fuente: Detsky AS, Abrams HB, Forbath N, et al. Arch Intern Med 1986; 146: 2121.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enfermedad coronaria Infarto agudo de miocardio en 1-6 meses previos 10 Infarto agudo de miocardio en m\u00e1s de 6 meses antes 5 Angina (seg\u00fan clasificaci\u00f3n Canadiense)** Clase III (peque\u00f1os esfuerzos) 10 Clase IV (reposo) 20 Angina inestable los \u00faltimos 6 meses 10 Edema agudo de pulm\u00f3n La \u00faltima semana 10 En cualquier momento 5 Estenosis &hellip; <a href=\"https:\/\/medicinainterna.com.mx\/?p=7191\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Indice de Detsky modificado de riesgo cardiaco.&#8221;<\/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-7191","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\/7191","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=7191"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7191\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7191"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7191"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}