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Shock cardiogénico Posinfarto: ¿Tiene Importancia Clínica Discriminar Patrones Hemodinámicos?;
Post Infarction Cardiogenic Shock: Is It Clinically Important to Differentiate Hemodynamic Patterns?

Creators:Castillo Costa, Yanina, Mauro, Víctor, Charask, Adrián, Fairman, Enrique, Leguizamón, Jorge, Barrero, Carlos

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Descripción

Resumen: El Shock Cardiogénico continúa siendo la principal causa de mortalidad en los pacientes hospitalizados por un infarto agudo de miocardio, a pesar de los avances en su tratamiento que se han desarrollado en los últimos años. Si bien clásicamente se describe al shock Cardiogénico como un cuadro hemodinámico caracterizado por bajo volumen minuto cardíaco, aumento de presiones de llenado y elevación de las resistencias vasculares sistémicas, en algunos pacientes se observa una medición diferente, expresión de una respuesta inflamatoria sistémica importante, caracterizada por resistencias sistémicas bajas, fiebre y leucocitosis. Se desconoce hasta el momento la importancia clínica de tener un patrón hemodinámico u otro a pesar de que, quizá, la existencia de dos patrones hemodinámicos diferentes deba hacer replantear el tratamiento médico de sostén en este grupo grave de pacientes.

Despite recent advances in the treatment of cardiogenic shock, it still remains themain cause of death in patients hospitalized for acute myocardial infarction. Althoughcardiogenic shock is classically described as a hemodynamic condition characterizedby low cardiac output, increased filling pressure and elevated systemic vascular resistance,some patients present different patterns, as low systemic resistance, feverand leucocytosis, indicative of an important systemic inflammatory response. Theclinical importance of having one hemodynamic pattern or the other is currently unknown,though the existence of two different hemodynamic patterns should lead toreconsider the support medical treatment in this severely ill group of patients. Theaim of this work was to analyze the incidence of each type of cardiogenic shock (classicand distributive), its clinical characteristics and its in-hospital outcome.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 81, No 5 (2013); 435-438, Argentine Journal of Cardiology; Vol 81, No 5 (2013); 435-438

Citación

Castillo Costa, Yanina et al., “Shock cardiogénico Posinfarto: ¿Tiene Importancia Clínica Discriminar Patrones Hemodinámicos?,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8207.

Dublin Core

Autor

Castillo Costa, Yanina
Mauro, Víctor
Charask, Adrián
Fairman, Enrique
Leguizamón, Jorge
Barrero, Carlos

Fuente

Revista Argentina de Cardiología; Vol 81, No 5 (2013); 435-438
Argentine Journal of Cardiology; Vol 81, No 5 (2013); 435-438

Editor

Sociedad Argentina de Cardiología

Fecha

2013-10-10

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.

Idioma

eng
spa

Tipo

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