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NIVELES DE PERFUSION TISULAR MIOCARDICA: SU VALORACION Y SU RELACION CON LOS RESULTADOS CLINICOS

NIVELES DE PERFUSION TISULAR MIOCARDICA: SU VALORACION Y SU RELACION CON LOS RESULTADOS CLINICOS

(especial para SIIC © Derechos reservados)
Para mejorar los resultados luego de la terapia de revascularización miocárdica, no se debe sólo mejorar el flujo sino también obtener un buen nivel de perfusión tisular, el cual se relaciona inversamente con el tamaño del infarto y la mortalidad.
bigelow.jpg Autor:
Brian C. Bigelow
Columnista Experto de SIIC
Artículos publicados por Brian C. Bigelow
Coautores
Raphaelle Dumaine* Pedro Martinezclark** C. Michael Gibson*** 
M.D., Cardiovascular Division, Department of Medicine, Brigham & Women's*
M.D., Beth Israel Deaconess Medical Center, Harvard Medical School**
M.S., M.D., Cardiovascular Division, Department of Medicine, Brigham & Women's Hospital***
Recepción del artículo
3 de Septiembre, 2003
Aprobación
26 de Febrero, 2004
Primera edición
3 de Marzo, 2004
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
El objetivo del tratamiento de revascularización, tanto en los procedimientos electivos como en los de urgencia, es restablecer el flujo sanguíneo normal en las arterias epicárdicas. Con el aumento de la comprensión de la perfusión, se ha hecho cada vez más evidente que, además del flujo epicárdico, también hay que mejorar la perfusión miocárdica para lograr resultados clínicos superiores. Las nuevas técnicas han hecho posible evaluar la perfusión miocárdica a través del arteriograma coronario. En este artículo se revisan las técnicas angiográficas actuales para evaluar la perfusión miocárdica y la asociación de estos hallazgos con los resultados clínicos.

Palabras clave
Infarto miocárdico


Artículo completo

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Extensión:  +/-7.32 páginas impresas en papel A4
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Abstract
The goal of revascularization therapy in both elective and urgent procedures has been to restore normal blood flow in the epicardial arteries. As the understanding of perfusion has improved, however, it has become increasingly apparent that in addition to epicardial flow, myocardial perfusion must also be restored to improve clinical outcomes. Newer techniques have now made it possible to assess myocardial perfusion on the coronary arteriogram. This article reviews current angiographic techniques to assess myocardial perfusion and the association of these findings with clinical outcomes.

Key words
Infarto miocárdico


Full text
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Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Cardiología, Diagnóstico por Imágenes
Relacionadas: Medicina Interna



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Bibliografía del artículo
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Título español
Resumen
 Palabras clave
 Bibliografía
 Artículo completo
(exclusivo a suscriptores)
 Autoevaluación
  Tema principal en SIIC Data Bases
 Especialidades

 English title
 Abstract
 Key words
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