Publication: Fibrilación auricular en el paciente con sepsis grave: utilidad del estudio ecocardiográfico
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2018-11-28
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Universidad Complutense de Madrid
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Abstract
La fibrilación auricular (FA) es la arritmia más frecuente en el ser humano. Asimismo, en los pacientes ingresados en la Unidad de Cuidados Intensivos (UCI) tiene una frecuencia mayor que en la población general. Su aparición en este tipo de enfermos se ha asociado a mayor mortalidad y aumento de fenómenos trombóticos. Entre otros factores predisponentes para la aparición de esta arritmia, los procesos sépticos se han manifestado como uno de los desencadenantes que con mayor frecuencia la producen.La ecocardiografía transtorácica es una técnica no invasiva e inocua para el paciente que permite obtener información de enorme utilidad en el manejo y tratamiento de los pacientes ingresados en UCI. En la actualidad posibilita el registro, en tiempo real, de imágenes cardiacas a pie de cama del paciente, sin necesidad de tener que trasladarlo fuera la UCI. Estas características han hecho que esta prueba alcance una gran difusión e importancia dentro del campo de la Medicina Intensiva.En los pacientes ambulatorios se ha comprobado una asociación entre la aparición de fibrilación auricular y el tamaño aumentado de la aurícula izquierda, sin que haya estudios que hayan estudiado esta posible relación en los pacientes afectados por sepsis grave...
Atrial fibrillation (AF) is the most common arrhythmia in humans. Also, patients admitted to the Intensive Care Unit (ICU) have a higher frequency than in the general population. Its occurrence in this type of patients has been associated with higher mortality and increase of thrombotic phenomena. Among other factors predisposing to the onset of this arrhythmia, septic processes have manifested as one of the most frequent triggers.Transthoracic echocardiography is a non-invasive and harmless technique for the patient that allows obtaining information of enormous utility in the management and treatment of patients admitted to the ICU. At present, it makes it possible to register, in real time, cardiac images at the patient's bedside, without the need to have it transferred outside the ICU. These characteristics have made this test reach a great diffusion and importance in the field of Intensive Medicine.An association between the occurrence of atrial fibrillation and increased left atrial size has been found in outpatients, with no studies that have studied this possible relationship in patients with severe sepsis...
Atrial fibrillation (AF) is the most common arrhythmia in humans. Also, patients admitted to the Intensive Care Unit (ICU) have a higher frequency than in the general population. Its occurrence in this type of patients has been associated with higher mortality and increase of thrombotic phenomena. Among other factors predisposing to the onset of this arrhythmia, septic processes have manifested as one of the most frequent triggers.Transthoracic echocardiography is a non-invasive and harmless technique for the patient that allows obtaining information of enormous utility in the management and treatment of patients admitted to the ICU. At present, it makes it possible to register, in real time, cardiac images at the patient's bedside, without the need to have it transferred outside the ICU. These characteristics have made this test reach a great diffusion and importance in the field of Intensive Medicine.An association between the occurrence of atrial fibrillation and increased left atrial size has been found in outpatients, with no studies that have studied this possible relationship in patients with severe sepsis...
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Tesis de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina, leída el 18/07/2017