domingo, 12 de junio de 2016

Más de anestesia e IAM / More on perioperative myocardial infarction

Junio 7, 2016. No. 2350






Infarto/lesión miocárdica perioperatoria después de cirugía no cardiaca
Perioperative myocardial infarction/injury after noncardiac surgery.
Swiss Med Wkly. 2015 Nov 24;145:w14219. doi: 10.4414/smw.2015.14219. eCollection 2015.
Abstract
Cardiovascular complications, particularly perioperative myocardial infarction/injury, seem to be major contributors to mortality after noncardiac surgery. With surgical procedures being very frequent (900 000/year in Switzerland), perioperative myocardial injury is common in everyday clinical practice. Over 80% of patients experiencing perioperative myocardial injury do not report symptoms. Therefore perioperative myocardialinjury remains undiagnosed and untreated. Moreover, its silent presentation results in limited awareness among both clinicians and the public. Despite being largely asymptomatic, perioperative myocardial injury increases 30-day mortality nearly 10-fold. This review aims to increase the awareness of perioperative myocardial injury/infarction and give an overview of the emerging evidence, including pathophysiology, clinical presentation, prevention, and potential future treatments.

Anestesia para cirugía no cardíaca en el paciente cardiópata. Anestesia y cardiopatía isquémica
Dr. Bernardo Javier Fernández-Rivera, Dra. Felipa Acosta-Garduño
Rev Mex Anestesisología Vol. 38. Supl. 1 Abril-Junio 2015 pp S81-S89

VIII Foro Internacional de Medicina del Dolor y Paliativa 
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Junio 9-11, Ciudad de México
Dra. Argelia Lara Solares
Tel. 5513 3782  www.dolorypaliativos.org 
Cursos de Anestesiología en Chile, 2016
Facultad de Medicina. Pontificia Universidad Católica de Chile
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