Publication: Valor pronóstico de la valoración ecográfica de la vena cava inferior en pacientes con insuficiencia cardiaca aguda
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2018-04-13
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Universidad Complutense de Madrid
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Abstract
La insuficiencia cardiaca (IC) es una enfermedad muy prevalente, responsable de un elevado número de ingresos hospitalarios y una elevada mortalidad. Es importante conocer que pacientes tienen peor pronóstico a corto plazo, para plantear una optimización del tratamiento y una adecuada planificación de los cuidados. La congestión sistémica y la hipertensión pulmonar son predictores de mal pronóstico en la insuficiencia cardiaca aguda (ICA). La determinación del diámetro de la vena cava inferior (VCI) y su grado de colapsabilidad, permite estimar la presión venosa central y la presión de la aurícula derecha. Por este motivo el diámetro de la VCI y su colapsabilidad podrían ser predictores de reingreso y mortalidad en los pacientes con ICA. Métodos. Se realizó un estudio observacional prospectivo desde enero de 2011 hasta enero de 2012, en el que se incluyeron 95 pacientes consecutivos, que ingresaron con el diagnóstico de ICA en el servicio de Medicina Interna del Hospital Universitario Infanta Cristina (Parla, Madrid. Fueron excluidos los enfermos que precisaban ingreso en UCI, que estaban en programa de hemodiálisis o que al ingreso estaban en fase agónica. Para el diagnóstico de IC se utilizaron los criterios diagnósticos de IC de la Sociedad Europea de Cardiología del año 2008...
Heart failure is a major source of hospitalizations and high mortality rate. It is important to know what patients have the worst short-term outcome in order to optimize treatment and an adequate planning of medical care. Systemic congestion and pulmonary hypertension are poor outcomes in acute heart failure (AHF). The inferior vena cava (IVC) diameter and collapsibility is an accurate predictor of central venous pressure and right atrial pressure. Therefore, the IVC diameter and its collapsibility could be predictors of hospital readmission and mortality in AHF patients. Methods. A prospective observational study, of 95 consecutive patients admitted to the Service of Internal Medicine of the “Hospital Universitario Infanta Cristina (Parla, Madrid)” with AHF between January 2011 and January 2012, was performed. Patients were excluded if: they were admitted to an intensive care unit, required renal replacement therapy or were in agony. Diagnosis of AHF was performed according the guidelines of the 2008 European Society of Cardiology...
Heart failure is a major source of hospitalizations and high mortality rate. It is important to know what patients have the worst short-term outcome in order to optimize treatment and an adequate planning of medical care. Systemic congestion and pulmonary hypertension are poor outcomes in acute heart failure (AHF). The inferior vena cava (IVC) diameter and collapsibility is an accurate predictor of central venous pressure and right atrial pressure. Therefore, the IVC diameter and its collapsibility could be predictors of hospital readmission and mortality in AHF patients. Methods. A prospective observational study, of 95 consecutive patients admitted to the Service of Internal Medicine of the “Hospital Universitario Infanta Cristina (Parla, Madrid)” with AHF between January 2011 and January 2012, was performed. Patients were excluded if: they were admitted to an intensive care unit, required renal replacement therapy or were in agony. Diagnosis of AHF was performed according the guidelines of the 2008 European Society of Cardiology...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina, leída el 19/04/2017