{"id":7208,"date":"2013-07-23T18:34:01","date_gmt":"2013-07-23T23:34:01","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7208"},"modified":"2013-07-23T18:34:01","modified_gmt":"2013-07-23T23:34:01","slug":"predictores-clinicos-de-aumento-del-riesgo-cardiovascular-perioperatorio-iam-icc-muerte","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7208","title":{"rendered":"Predictores cl\u00ednicos de aumento del riesgo cardiovascular perioperatorio (IAM, ICC, muerte)."},"content":{"rendered":"

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

\u00a0<\/i><\/b><\/p>\n<\/td>\n

\n

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

Mayor <\/b><\/p>\n

\u00a0<\/b><\/td>\n

S\u00edndromes coronarios inestables:<\/p>\n

IM reciente con evidencia de riesgo isqu\u00e9mico importante por cl\u00ednica o estudios no invasivos.<\/p>\n

Angina inestable o severa (Clase III o IV de la clasificaci\u00f3n canadiense).<\/p>\n

ICC descompensada.<\/p>\n

Arritmias significativas:<\/p>\n

Bloqueo aur\u00edculo-ventricular de alto grado.<\/p>\n

Arritmias ventriculares sintom\u00e1ticas en presencia de enfermedad card\u00edaca subyacente.<\/p>\n

Arritmias supraventriculares con respuesta ventricular no controlada.<\/p>\n

Enfermedad valvular severa.<\/td>\n<\/tr>\n

Intermedio <\/b><\/p>\n

\u00a0<\/b><\/td>\n

\u00c1ngor ligero (Clase I o II de la clasificaci\u00f3n canadiense).<\/p>\n

IM previo por historia o por Q en ECG.<\/p>\n

ICC previa compensada.<\/p>\n

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

Menor <\/b><\/p>\n

\u00a0<\/b><\/td>\n

Edad avanzada.<\/p>\n

ECG anormal (hipertrofia de VI, BRIHH, anomal\u00edas del ST-T).<\/p>\n

Ritmos distintos del sinusal.<\/p>\n

Baja capacidad funcional (disnea al subir un piso con bolsa de la compra).<\/p>\n

Historia de AVC.<\/p>\n

HTA sist\u00e9mica no controlada.<\/td>\n<\/tr>\n

 <\/td>\nIAM: infarto agudo de miocardio; ICC: insuficiencia card\u00edaca congestiva; ECG: electrocardiograma<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Eagle KA et al. Guidelines for perioperative cardiovascular evaluation for noncardiac surgery: A report of the American College of Cardiology\/American Heart Association Task Force on practice guidelines.\u00a0 Circulation 1996; 93: 1278-1317.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 Riesgo cardiovascular Mayor \u00a0 S\u00edndromes coronarios inestables: IM reciente con evidencia de riesgo isqu\u00e9mico importante por cl\u00ednica o estudios no invasivos. Angina inestable o severa (Clase III o IV de la clasificaci\u00f3n canadiense). ICC descompensada. Arritmias significativas: Bloqueo aur\u00edculo-ventricular de alto grado. Arritmias ventriculares sintom\u00e1ticas en presencia de enfermedad card\u00edaca subyacente. Arritmias supraventriculares con … Continue reading “Predictores cl\u00ednicos de aumento del riesgo cardiovascular perioperatorio (IAM, ICC, muerte).”<\/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-7208","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\/7208","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=7208"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7208\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7208"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}