angina inestable secundaria a disección coronaria espontánea

7
+RVSLWDO 3DEOR 7REyQ 8ULEH 0HGHOOtQ &RORPELD &RUUHVSRQGHQFLD 'U 1LOVRQ /ySH] 8QLGDG GH &DUGLRORJtD +RVSLWDO 3DEOR 7REyQ 8ULEH &O % 0HGHOOtQ&RORPELD &RUUHR HOHFWUyQLFR QORSH]#KSWXRUJFR 5HFLELGR $FHSWDGR &$5',2/2*Ë$ '(/ $'8/72 35(6(17$&,Ï1 '( &$626 $QJLQD LQHVWDEOH VHFXQGDULD D GLVHFFLyQ FRURQDULD HVSRQWiQHD 8QVWDEOH DQJLQD VHFRQGDU\ WR VSRQWDQHRXV FRURQDU\ GLVVHFWLRQ 1LOVRQ /ySH] 0' 0HGHOOtQ &RORPELD /D GLVHFFLyQ FRURQDULD HVSRQWiQHD HV XQD FDXVD UDUD GH LQIDUWR DJXGR GHO PLRFDUGLR \ SXHGH GHEXWDU DGHPiV FRPR DQJLQD HVWDEOH R VtQGURPH GH IDOOD FDUGLDFD 6H SUHVHQWD HO FDVR GH XQD PXMHU GH DxRV TXLHQ WXYR HYHQWRV UHFXUUHQWHV GH GRORU WRUiFLFR HQ HO SULPHU PHV GH SRVSDUWR \ HQ TXLHQ VH GLDJQRVWLFy GLVHFFLyQ FRURQDULD GH OD DUWHULD FLUFXQÀHMD OD FXDO IXH LQWHUYHQLGD FRQ VWHQWV PHGLFDGRV 9HLQWH PHVHV GHVSXpV SHUPDQHFtD OLEUH GH VtQWRPDV \ VLQ HYLGHQFLD GH LVTXHPLD PLRFiUGLFD LQGXFLEOH 3$/$%5$6 &/$9( DQJLQD HQIHUPHGDG GH ODV DUWHULDV FRURQDULDV HFRFDUGLRJUDItD FRURQDULRJUDItD DQJLRSODVWLD FRURQDULD WUDQVOXPLQDO SHUFXWiQHD 6SRQWDQHRXV FRURQDU\ DUWHU\ GLVVHFWLRQ LV D UDUH FDXVH RI DFXWH P\RFDUGLDO LQIDUFWLRQ ZKLFK PD\ DOVR RFFXU DV VWDEOH DQJLQD RU KHDUW IDLOXUH V\QGURPH +HUH UHSRUWHG WKH FDVH RI D \HDUV ROG ZRPDQ ZKR SUHVHQWHG UHFXUUHQW FKHVW SDLQ HYHQWV LQ WKH ¿UVW PRQWK RI SRVWSDUWXP DQG LQ ZKRP FRURQDU\ GLVVHFWLRQ RI WKH FLUFXPÀH[ DUWHU\ ZDV GLDJQRVHG ZKLFK ZDV LQWHUYHQHG ZLWK GUXJ HOXWLQJ VWHQWV 7ZHQW\ PRQWKV ODWHU VKH UHPDLQHG IUHH RI V\PSWRPV DQG ZLWK QR HYLGHQFH RI LQGXFLEOH P\RFDUGLDO LVFKHPLD .(<:25'6 DQJLQD FRURQDU\ DUWHU\ GLVHDVH HFKRFDUGLRJUDSK\ FRURQDU\ DQJLRJUDSK\ SHUFXWDQHRXV WUDQVOXPLQDO FRURQDU\ DQJLRSODVW\ 5HY &RORPE &DUGLRO ,QWURGXFFLyQ /D GLVHFFLyQ FRURQDULD HVSRQWiQHD HQ XQD FDXVD UDUD GH VtQGURPH FRURQDULR R PXHUWH FDUGLDFD V~ELWD (O XVR GH DQJLRJUDItD FRURQDULD KD SHUPLWLGR VX UHFR QRFLPLHQWR SHUR D OD YH] VH KDQ SODQWHDGR GLOHPDV HQ HO WUDWDPLHQWR SHUFXWiQHR \D TXH VH KD H[WUDSRODGR GHO TXH VH UHDOL]D HQ HQIHUPHGDG FRURQDULD DWHURVFOHUyWLFD (Q HVWH UHSRUWH VH LQIRUPD XQ FDVR FRQ SUHVHQWDFLyQ DWtSLFD \ VH KDFH XQD UHYLVLyQ GH ODV VHULHV GH FDVRV LQIRUPDGDV HQ OD OLWHUDWXUD 'HVFULSFLyQ 8QD PXMHU GH DxRV TXH HVWDED HQ HO VHJXQGR PHV GH SRVSDUWR IXH UHIHULGD DO +RVSLWDO SRU KDEHU SUHVHQWDGR GRV HSLVRGLRV GH GRORU WRUiFLFR UHWURHVWHUQDO HQ UHSRVR LUUDGLDGRV D DPERV PLHPEURV VXSHULRUHV (O SULPHUR GH pVWRV RFXUULy XQ PHV DQWHV \ HO VLJXLHQWH GRV VHPDQDV GHVSXpV (Q DPERV FDVRV PHMRUy FRQ HO XVR GH QLWUDWRV VXEOLJXDOHV 1HJy DQWHFHGHQWHV GH ULHVJR FOiVLFRV SDUD HQIHUPHGDG FRURQDULD WUDXPDWLVPR WRUiFLFR UHFLHQWH R FRQVXPR GH FRFDtQD /RV DQWHFHGHQWHV IDPLOLDUHV HUDQ QHJDWLYRV SDUD HQIHUPHGDG FDUGLRYDVFXODU SUHPDWXUD (Q HO H[DPHQ ItVLFR VH HQFRQWUy HQ EXHQDV FRQGL FLRQHV 3UHVLyQ DUWHULDO PP +J SXOVR OSP UtWPLFR IUHFXHQFLD UHVSLUDWRULD USP 1R VH REVHUYy LQJXUJLWDFLyQ \XJXODU QL VH DXVFXOWDURQ VRSORV FDURWt GHRV ORV UXLGRV FDUGLDFRV HUDQ UtWPLFRV \ VLQ VRSORV \ ORV SXOPRQHV VLQ UXLGRV DJUHJDGRV 1R KDEtD KDOOD]JRV UHOHYDQWHV DGLFLRQDOHV

Upload: nilson

Post on 01-Feb-2017

218 views

Category:

Documents


3 download

TRANSCRIPT

Page 1: Angina inestable secundaria a disección coronaria espontánea
Page 2: Angina inestable secundaria a disección coronaria espontánea
Page 3: Angina inestable secundaria a disección coronaria espontánea
Page 4: Angina inestable secundaria a disección coronaria espontánea
Page 5: Angina inestable secundaria a disección coronaria espontánea
Page 6: Angina inestable secundaria a disección coronaria espontánea
Page 7: Angina inestable secundaria a disección coronaria espontánea