PARTE II: Guías De Manejo Y De Tratamiento De Los Sindromes Coronarios Agudos Sin Elevación Del Segmento ST (SCASEST) En Terapia Intensiva Y Unidades De Emergencia

Luis Alberto Flores, Gerardo Fernandez Cid, Mario Roberto Kenar, Julio Bono, Salvador De Francesca, Viviana Romero, Juan Francisco Loayza, Norma Estela Molina, Karina Lozano

Resumen


El Infarto de miocardio Agudo con elevación del segmento ST (IAMCEST), es un importante problema de salud pública en los países desarrollados y comienza a ser un problema cada vez mayor en los países en vía de desarrollo. El reconocimiento precoz del IAMCEST evita muerte por arritmias y permite adoptar estrategias de reperfusión miocárdica que mejoran la sobrevida tanto intra como extrahospitalaria. Muchos pacientes con IAMCEST, son vistos y tratados inicialmente por médicos generalistas, Emergentologos o  terapistas, además hay que considerar que en nuestro país  un importante número de estos pacientes son internados en terapias intensivas polivalentes, en donde son manejados y tratados por intensivistas.  Por lo tanto esta guías persigue un carácter práctico para todos los profesionales médicos, en especial a los médicos intensivista, teniendo en cuenta los distintos niveles de complejidad de las instituciones donde les tocan actuar, asistiendo a estos pacientes.


Palabras clave


Síndromes coronarios agudos sin elevación ST - Angina inestable - Infarto de miocardio sin elevación del ST - Cuidados coronarios agudos – Aterotrombosis - Angioplastia - Cirugía de revascularización coronaria – Antiplaquetarios - Anticoagulación

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Referencias


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