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0000000000 65535 f trailer <]>> startxref 116 %%EOF Registro Argentino de Enfermedad Tromboembólica Venosa - Archivo PPCT

Registro Argentino de Enfermedad Tromboembólica Venosa;
Argentine Registry of Venous Thromboembolism

Creators:Castillo Costa, yanina Beatriz; Clinica Santa Isabel, Santa María, Hector Raul; Sanatorio ITOIZ, Mauro, Víctor Miguel; Clínica Bazterrica- Clínica Santa Isabel, Blanco Cerdeira, Patricia; Hospital Naval, Thierer, Jorge; CEMIC, Higa, Claudio; Hospital Aleman
2013-07-25

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Descripción

La trombosis venosa profunda (TVP) y la embolia de pulmón (TEP) son las dos formas de presentación de la enfermedad tromboembólica venosa (ETEV) que constituye la tercera causa de morbi-mortalidad cardiovascular. Con el objetivo de obtener datos nacionales sobre esta patología, el Consejo de Emergencias y  el Área de Investigación de la Sociedad Argentina de Cardiología realizaron este registro prospectivo de pacientes (p) con ETEV confirmada, en 54 centros durante un año. Resultados: Se incluyeron 181 p. Mediana de edad 66 años (53-79), 59% mujeres. Hubo 34%  TEP, 33%  TVP y 33% TEP+TVP. Los factores de riesgo (FR) más prevalentes fueron: reposo prolongado en 42%, cáncer  20%, antecedentes de ETEV 10% y ninguno en 9%.  Las TVP fueron todas diagnosticadas por doppler venoso. El diagnóstico de TEP fue por tomografía helicoidal (86%), centellograma ventilación/perfusión (16%) y arteriografía (0,8%).  El 70% recibió heparina de bajo peso molecular (HBPM), el 40% heparina no fraccionada, 11%  trombolíticos (TL) y 10% sin tratamiento. Se empleó Filtro de Vena Cava (FVC) en 12% de casos y ARM en 9%. Se observó TEP recurrente en 4 %, shock en  14% y la mortalidad hospitalaria fue de 7%. Conclusiones: El reposo prolongado es el FR más prevalente. Sólo 9% no evidenció FR conocidos. La TAC helicoidal fue el método más utilizado para diagnóstico de TEP. El tratamiento de elección de ETEV fue HBPM. TL fueron empleados en 11% de TEP y FVC en el 12% de ETEV.  La mortalidad hospitalaria de la ETEV fue del 7%.

BackgroundVenous thromboembolism (VTE) with its two presentations: deep vein thrombosis(DVT) and pulmonary embolism (PE) is the third leading cause of cardiovascularmorbidity and mortality. To obtain national data on this pathology, the Council ofCardiovascular Emergencies and the Research Area of the Argentine Society of Cardiologyconducted a prospective registry of patients with confirmed VTE in 54 centersduring one year.MethodsPatients with confirmed VTE were included in a prospective, consecutive and continuousregistry during 2009-2010 in 54 participating centers of the Autonomous Cityof Buenos Aires and the rest of the country (n = 26 and 28, respectively). Individualpatient data were registered in an electronic form.ResultsOne hundred and eighty one patients with median age of 66 years (53-79), 59% ofwhich were women, were included in the study. Pulmonary embolism was diagnosedin 34%, DVT in 33% and PE + DVT in 33%. The most prevalent risk factors wereprolonged rest in 42% of cases, cancer in 20%, history of VTE in 10% and none in9%. All DVT were diagnosed by venous Doppler. Pulmonary embolism was diagnosedby spiral CT scan (86%), ventilation/perfusion scintigraphy (16%) and arteriography(0.8%). Seventy percent of patients received low molecular weight heparin, 40%unfractionated heparin, 11% thrombolytic agents and 10% had no treatment. Venacava filter was used in 12% of cases and mechanical ventilation in 9%. Recurrent PEwas observed in 4% of patients, shock in 14% and in-hospital mortality was 7%.ConclusionsProlonged rest was the most prevalent risk factor. Only 9% of patients showed noknown risk factors. Helical CT scan was the preferred method for PE diagnosis.Low molecular weight heparin was the treatment of choice for VTE. Thrombolyticswere used in 11% of PE patients and vena cava filter in 12% of VTE patients. VTEin-hospital mortality was 7%.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 81, No 3 (2013); 251-257, Argentine Journal of Cardiology; Vol 81, No 3 (2013); 251-257

Citación

Castillo Costa, yanina Beatriz; Clinica Santa Isabel et al., “Registro Argentino de Enfermedad Tromboembólica Venosa,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8140.

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Materia

Autor

Castillo Costa, yanina Beatriz; Clinica Santa Isabel
Santa María, Hector Raul; Sanatorio ITOIZ
Mauro, Víctor Miguel; Clínica Bazterrica- Clínica Santa Isabel
Blanco Cerdeira, Patricia; Hospital Naval
Thierer, Jorge; CEMIC
Higa, Claudio; Hospital Aleman

Fuente

Revista Argentina de Cardiología; Vol 81, No 3 (2013); 251-257
Argentine Journal of Cardiology; Vol 81, No 3 (2013); 251-257

Editor

Sociedad Argentina de Cardiología

Fecha

2013-07-25

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion