Estratificación clínica del enfermo con estado de choque cardiogénico, el valor agregado del poder cardíaco y del índice de las resistencias periféricas / Clinical stratification of cardiogenic shock
Arch. cardiol. Méx
;
76(supl.2): S261-S268, abr.-jun. 2006.
Article
in Spanish
| LILACS
| ID: lil-568807
ABSTRACT
Cardiogenic shock (CHC) associated to acute myocardial infarct has high mortality and their manifestations are heterogenous. In our institution historical mortality, was 98%, but with different methods of reperfusion, its reduced to 53%. In other hand, with opportune clinical stratification is useful to improve the treatment strategy. This stratification on basis in clinical signs age, infarction location, cardiac frequency and systemic arterial pressure, and hemodynamical valuation with the use of right catheterism with quantification miocardial work parameters like [quot ]Cardiac power[quot ] that is the product of flow and arterial pressure and that is of utility to know the [quot ]Miocardial reserve[quot ]. In our experience after reperfusion procedure patients with CHC and cardiac power less than 1.0 had highly mortality.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Shock, Cardiogenic
/
Vascular Resistance
/
Cardiac Output
Type of study:
Prognostic study
Limits:
Humans
Language:
Spanish
Journal:
Arch. cardiol. Méx
Journal subject:
Cardiology
Year:
2006
Type:
Article
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