COMPLICACIONES MECANICAS Y ELECXTRICAS DE IAM

COMPLICACIONES MECANICAS Y ELECTRICAS DEL IAM

1. COMPLICACIONES MECÁNICAS Y ELECTRICAS DEL IAM

2. Complicaciones mecánicas: La rotura de la pared libre del ventrículo izquierdo L a rotura del tabique interventricular L a insuficiencia mitral aguda

3. Incidencia y Mortalidad Ocurren a una tasa de aproximadamente 3 por 1000 pacientes con IAM Mayor frecuencia en pacientes con STEMI La más común es la rotura del tabique ventricular en 1 en 1000 La menos común es la rotura de la pared libre La terapia de reperfusión ha reducido la incidencia de estas complicaciones mecánicas Se encontró una tasa de mortalidad hospitalaria del 42,4% después de STEMI y del 18% después de NSTEMI

4. Los hallazgos fueron diferentes en la fase temprana (<72 horas) y tardía (>4 días). La rotura temprana se caracterizó por un desgarro abrupto en forma de hendidura ( preferencia por los sitios de infarto anteriores) La rotura tardía se caracterizó por la presencia de expansión del infarto. Rotura de la pared libre del ventrículo izquierdo

5. Factores de riesgo: Sin antecedentes de angina o IM previos Elevación del segmento ST o desarrollo de onda Q en el EKG inicial Pico de CPK-MB por encima de 150 unidades internacionales/L L ocalización anterior del IM E dad >70 años S exo femenino

6. Presentación clínica: Suele ocurrir dentro de los primeros 5 días después del IM hasta los primeros 90 días posteriores Rotura completa de la pared: hemopericardio Insuficiencia cardiaca choque progresivo taponamiento cardíaco que conduce a muerte R otura incompleta de la pared: trombo + pericardio = sellan pueden progresar a: ruptura franca con taponamiento cardíaco y compromiso hemodinámico,

7. Diagnostico: El ecocardiograma generalmente muestra derrame pericárdico con evidencia de compresión de la cámara y también puede mostrar la ruptura misma Resonancia magnética cardiaca en pacientes estables Tratamiento: Pericardocentesis con intervención quirurgica

8. Rotura de pared interventricular En pacientes el tiempo medio desde el infarto hasta la rotura suele ser de 24 horas, pero puede durar hasta 2 semanas. La rotura se desarrolla en el margen del miocardio necrótico y no necrótico La perforación suele ser única y tamaño varia El tamaño del defecto determina la magnitud de la derivación de izquierda a derecha Sin predisposición por cara del IAM

9. Factores de riesgo : D año miocárdico extenso M ala circulación colateral del tabique M ayor incidencia en primeros infartos Manifestaciones clínicas: Disnea hipotensión y taquicardia Nuevo soplo cardíaco (áspero, fuerte y holosistólico ) Choque cardiogenico

10. Diagnóstico: A uscultación de un nuevo soplo cardíaco. E cocardiografía transtorácica Angiografía del ventrículo izquierdo al mostrar la derivación del medio de contraste del ventrículo izquierdo al derecho I serción de un catéter con balón en la arteria pulmonar para documentar la derivación de izquierda a derecha Tratamiento: T écnica de cierre percutáneo con dispositivo de rotura del tabique ventricular

11. Rotura del musculo papilar Ocasionando insuficiencia mitral Ocure dentro de los primeros 7 días La rotura puede ser parcial (ocurrir en una de las cabezas musculares) o completa.

12. La rotura del músculo papilar posteromedial ocurre de 6 a 12 veces más frecuentemente. El músculo papilar posteromedial----------art. descendente posterior El músculo papilar anterolateral--------art. descendente anterior izquierda y circunfleja izquierda

13. M anifestaciones clínicas: A parición aguda de hipotensión y edema pulmonar grave P recordio puede estar hiperactivo y puede haber soplo sistólico Diagnostico: El ecocardiograma generalmente muestra el sitio de rotura del musculo papilar con alteración valvular. Resonancia magnética cardiaca en pacientes estables Tratamiento: Intervención quirúrgica

14. Treatment You can describe the topic of the section here The disease You can describe the topic of the section here TABLE OF CONTENTS Recommendation You can describe the topic of the section here Process You can describe the topic of the section here Pathology You can describe the topic of the section here Diagnosis You can describe the topic of the section here 1 2 3 4 5 6 NEXT PREV

15. The disease You can describe the topic of the section here TABLE OF CONTENTS Diagnosis You can describe the topic of the section here Pathology You can describe the topic of the section here Recommendation You can describe the topic of the section here 1 2 4 3 NEXT PREV

16. ABOUT THE DISEASE 1 You can enter a subtitle here in case you need it NEXT PREV

17. You can give a brief description of the topic you want to talk about here. For example, if you want to talk about Mercury, you can say that it’s the smallest planet in the entire Solar System INTRODUCTION NEXT PREV

18. SYMPTOMS OF THE DISEASE Mars Despite being red, Mars is actually a cold place Mercury Mercury is the smallest planet in the Solar System A B NEXT PREV

19. SYMPTOMS OF THE DISEASE Earth Earth is the third planet from the Sun Neptune It’s the farthest planet from the Sun NEXT PREV Mars Mars is actually a very cold place Jupiter Jupiter is the biggest planet of them all Mercury It’s the closest planet to the Sun Venus Venus is the second planet from the Sun

20. ABOUT THE DISEASE Jupiter It’s a gas giant and the biggest planet Saturn It’s composed mostly of hydrogen and helium Mars Despite being red, Mars is actually a cold place NEXT PREV

21. ABOUT THE DISEASE NEXT PREV Mercury Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon Venus Venus has a beautiful name and is the second planet from the Sun. It’s hot and has a poisonous atmosphere

22. CONCEPTS AND TYPOLOGY -- Concept Typology Features Type A Mars Jupiter Venus Type B Saturn Mercury Neptune NEXT PREV

23. CONCEPTS AND TYPOLOGY NEXT PREV Mercury Venus Mars It’s the closest planet to the Sun Venus is the second planet from the Sun Mars is actually a very cold place Jupiter Saturn Neptune Jupiter is the biggest planet of them all It’s composed of hydrogen and helium It’s the farthest planet from the Sun

24. A PICTURE IS WORTH A THOUSAND WORDS NEXT PREV

25. A PICTURE IS WORTH A THOUSAND WORDS NEXT PREV

26. PATHOLOGY 2 You can enter a subtitle here in case you need it NEXT PREV

27. PATHOLOGY Mars Despite being red, Mars is actually a cold place Jupiter It’s a gas giant and the biggest planet in the Solar System Saturn It’s composed mostly of hydrogen and helium Venus Venus has a beautiful name and high temperatures NEXT PREV

28. PATHOLOGY NEXT PREV Mercury It’s the closest planet to the Sun and the smallest in the Solar System Venus Venus has a beautiful name and is the second planet from the Sun Mars Despite being red, Mars is actually a cold place. It’s full of iron oxide dust

29. RISK FACTORS To modify this graph, click on it, follow the link, change the data and paste the new graph here Mercury Saturn NEXT PREV

30. RISK FACTORS Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Venus Mercury NEXT PREV 45% Venus has a beautiful name and is the second planet from the Sun 55% Mercury is the closest planet to the Sun and the smallest in the System

31. KEY NUMBERS 50,000 Mars is actually a cold place full of iron oxide dust 20,000 Jupiter is a gas giant and also the biggest planet 5,500 Saturn is composed mostly of hydrogen and helium NEXT PREV

32. 9h 55m 23s Jupiter's rotation period 333,000 The Sun’s mass compared to Earth’s NEXT PREV

33. 200,000,000 Big numbers catch your audience’s attention NEXT PREV

34. 150,000 Big numbers catch your audience’s attention NEXT PREV

35. —SOMEONE FAMOUS “This is a quote, words full of wisdom that someone important said and can make the reader get inspired.” NEXT PREV

36. —SOMEONE FAMOUS “This is a quote, words full of wisdom that someone important said and can make the reader get inspired.” NEXT PREV

37. DIAGNOSIS 3 You can enter a subtitle here in case you need it NEXT PREV

38. DIAGNOSIS Mercury Venus Mars Mercury is the closest planet to the Sun Venus is the second planet from the Sun Despite being red, Mars is actually a cold place Jupiter Saturn Neptune It’s the biggest planet in the Solar System Saturn is composed of hydrogen and helium Neptune is the farthest planet from the Sun NEXT PREV

39. DIAGNOSIS NEXT PREV Venus Venus is the second planet from the Sun Jupiter It’s the biggest planet in the Solar System Mars Despite being red, Mars is a cold place Saturn Saturn is a gas giant and has several rings

40. PREVENTION 1 Mars Despite being red, Mars is a cold place 2 Mercury Mercury is the closest planet to the Sun 3 Jupiter It’s the biggest planet in the Solar System 4 Saturn Saturn is composed of hydrogen NEXT PREV

41. PREVENTION NEXT PREV Mercury is the smallest planet Mercury Despite being red, Mars is cold Mars Neptune is far from the Sun Neptune It’s considered a dwarf planet Pluto Jupiter is the biggest planet Jupiter

42. TREATMENT Venus Venus has a beautiful name and is the second planet from the Sun Mercury Mercury is the closest planet to the Sun and the smallest one NEXT PREV

43. TREATMENT NEXT PREV Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon

44. RECOMMENDATIONS What not to do You can describe here what the patient shouldn’t do You can describe here what the patient shouldn’t do You can describe here what the patient shouldn’t do What to do You can describe here what the patient should do You can describe here what the patient should do You can describe here what the patient should do NEXT PREV

45. NEXT PREV What not to do You can describe here what the patient shouldn’t do You can describe here what the patient shouldn’t do You can describe here what the patient shouldn’t do What to do You can describe here what the patient shouldn’t do You can describe here what the patient shouldn’t do You can describe here what the patient shouldn’t do

46. PREVALENCE 1 Mars Despite being red, Mars is a cold place 1 2 2 Jupiter It’s the biggest planet of them all NEXT PREV

47. PREVALENCE Mercury It’s the closest planet to the Sun and the smallest in the Solar System Venus Venus has a beautiful name and is the second planet from the Sun NEXT PREV Mars Despite being red, Mars is actually a cold place. It’s full of iron oxide dust

48. CONCLUSIONS Despite being red, Mars is a very cold planet Saturn is gas giant and the biggest planet the Solar System Earth is the only planet known to harbor life 1 2 3 NEXT PREV

49. CONCLUSIONS NEXT PREV Conclusion 1 Conclusion 2 Conclusion 3 Mercury is the closest planet to the Sun and the smallest of them all Venus has a beautiful name and is the second planet from the Sun Despite being red, Mars is actually a cold place. It’s full of iron oxide dust

50. OUR TEAM Dr. John James You can replace the image on the screen with your own one Dr. Jenna Doe You can replace the image on the screen with your own one NEXT PREV

51. OUR TEAM NEXT PREV Dr. John James You can replace the image on the screen with your own one Dr. Peter Smith You can replace the image on the screen with your own one Dr. Jenna Doe You can replace the image on the screen with your own one

52. REFERENCES AUTHOR (YEAR). Title of the publication. Publisher AUTHOR (YEAR). Title of the publication. Publisher AUTHOR (YEAR). Title of the publication. Publisher AUTHOR (YEAR). Title of the publication. Publisher AUTHOR (YEAR). Title of the publication. Publisher AUTHOR (YEAR). Title of the publication. Publisher AUTHOR (YEAR). Title of the publication. Publisher NEXT PREV

53. REFERENCES NEXT PREV Mercury It’s the closest planet to the Sun Mars Mars is actually a very cold place Venus Venus is the second planet from the Sun Jupiter Jupiter is the biggest planet of them all Neptune It’s composed of hydrogen and helium

54. MOCKUP Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon NEXT PREV

55. TABLET APP You can replace the image on the screen with your own work. Just right-click on it and select “Replace image” NEXT PREV

56. MOBILE APP You can replace the image on the screen with your own work. Just right-click on it and select “Replace image” NEXT PREV

57. AWESOME WORDS NEXT PREV

58. AWESOME WORDS NEXT PREV

59. RECOMMENDATION 4 You can enter a subtitle here in case you need it NEXT PREV

60. RECOMMENDATIONS NEXT PREV Do you know what helps you make your point clear? Lists like this one: They’re simple You can organize your ideas clearly You’ll never forget to buy milk! And the most important thing: the audience won’t miss the point of your presentation

61. CALENDAR OF ACTIVITIES Mon Tue Wed Thu Fri Sat Sun 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Venus Venus is the second planet from the Sun Jupiter It’s the biggest planet in the Solar System Mars Despite being red, Mars is a cold place NEXT PREV

62. HOSPITAL ORGANIZATION Director Mercury is the smallest planet of them all Doctor 1 Venus is the second planet from the Sun Doctor 2 Jupiter is the biggest planet in the System Helena John NEXT PREV

63. ACTIVITIES OF THE DAY Venus is the second planet from the Sun Venus It’s the biggest planet in the Solar System Jupiter It’s the farthest planet from the Sun Neptune Saturn is a gas giant and has several rings Saturn Mars is actually a very cold place Mars NEXT PREV

64. REVISION METHODOLOGY Saturn Only Saturn has rings Jupiter Jupiter is the biggest planet Neptune Neptune is far from the Sun NEXT PREV

65. PRINCIPAL CARDIOVASCULAR DISEASE Venus Mars Jupiter Heart rhythms Aorta disease Congenital heart NEXT PREV

66. Mercury It’s the closest planet to the Sun and the smallest in the Solar System Venus Venus has a beautiful name and is the second planet from the Sun PRINCIPAL TREATMENTS Mars Despite being red, Mars is actually a cold place. It’s full of iron oxide dust NEXT PREV

67. PROCESS OF INVESTIGATION Despite being red, Mars is actually a cold place. It’s full of iron oxide dust Venus has a beautiful name and is the second planet from the Sun 2 3 1 Venus Mars It’s the closest planet to the Sun and the smallest in the Solar System Mercury NEXT PREV

68. Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon STATS OF THE WEEK Mercury 60% NEXT PREV

69. INVESTIGATION PROCESS Venus Venus is the second planet from the Sun Jupiter It’s the biggest planet in the Solar System Mars Despite being red, Mars is a cold place Saturn Saturn is a gas giant and has several rings 3 1 2 4 NEXT PREV

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71. ICON PACK: MEDICINE

72. ALTERNATIVE RESOURCES NEXT PREV

73. ALTERNATIVE RESOURCES PREMIUM NEXT PREV Here’s an assortment of alternative resources whose style fits the one of this template: Medicine elements background in flat style

74. ALTERNATIVE INFOGRAPHICS NEXT PREV Neptune Neptune is the farthest planet from the Sun Earth Earth is the third planet from the Sun Mercury is the closest planet to the Sun Mercury Mars Despite being red, Mars is actually a cold place Jupiter Jupiter is a gas giant and the biggest planet

75. ALTERNATIVE INFOGRAPHICS NEXT PREV 4 2 1 3 Mercury is the closest planet Despite being red, Mars is a cold place Earth is the third planet from the Sun Neptune is the farthest planet Mercury Mars Earth Neptune

76. RESOURCES Vectors Images Human heart Medical healthcare infography Medical infography of human body Flat design heart with stethoscope world health day Composition with health insurance icons Cardiology and pharmaceutics banners Happy international health day Medicine elements background in flat style Timeline with phonendoscope International trade concept with flat design Flat world health day concept Pharmacist objects pack Aged man having a heart attack near a young boy Beautiful doctor holding a folder with copy space Smiling young doctor with clipboard Hands holding heart Did you like the resources on this template? Get them for free at our other websites. NEXT PREV

77. RESOURCES PREMIUM PREV Vectors: Organs body Medicine elements background in flat style Lovely planet earth with hand drawn style Icons: Icon pack: Medicine Images: Happy young male doctor standing against the wall holding fresh fruits and vegetable Nurse and doctor talking to patient Woman with electrodes holding figurine of heart Doctor examining hand of patient Did you like the resources on this template? Get them for free at our other websites.

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