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ESTENOSIS MITRAL

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by

adriana pacheco

on 25 October 2012

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Transcript of ESTENOSIS MITRAL

ESTENOSIS MITRAL - Adultos mayoría cardiopatía reumática
- Afecta el doble a mujeres
Asociado a insuf mitral o insuf aortica - PRECARGA AUMENTADA
- F.C. BAJA
- CONTRACTILIDAD MANTENIDA
RVS MANTENIDA
RVP DISMINUIDA - GRADIENTE MEDIO: MENOR 5 5-10 MAYOR A 10
-PSP: MENOR 30 30-50 MAYOR A 50
-AREA VALVULAR: MAYOR 1.5 1.5-1.0 MENOR 1.0 -PACIENTE SINTOMATICO
- AREA VALVULAR MENOR 1.5
-GRADO DE REGURGITACION MAYOR LEVE
-SEVERA CALCIFICACION
AUSENCIA DE FUSION COMISURAL
- VALVULOPATIA ADICIONAL
- ENFERMEDAD CORONARIA ETIOLOGIA FISIOPATOLOGIA CONSIDERACIONES ANESTESICAS CLASIFICACION MANEJO INDICACION QX CONCLUSION -Episodios edema pulmonar, DPN, dolor toracico, palpitaciones, disfonia VTDVI YPTDVI DISMINUIDOS
- DISMINUCION VOLUMEN LATIDO
RENDIMIENTO RELATIVAMENTE NORMAL COMISUROTOMIA PERCUTANEA
CAMBIO VALVULAR MITRAL CONTRAINDICACION PARA COMISUROTOMIA PERCUTANEA? AREA MENOR 1.5 CON SINTOMAS ALTO RIESGO DE EMBOLISMO O DESCOMPENSACION HEMODINAMICA? ECOCARDIOGRAMA TE
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