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LOS NÚMEROS DE LA INSUFICIENCIA CARDIACA
30%
Mortalidad a 1 año
44%
Reingreso urgencias
30 días
12%
Mortalidad
hospitalaria
20%
Se hospitalizarán de nuevo a 30 días
45%
Se hospitaizarán
1 vez a 12 meses
15%
hospitalización 2 veces a 12 meses
Intensive Care Med 2011;37:619e26.
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MORTALIDAD: ICCA VS ICCCTavazzi L, et al Circ Heart Fail. 2013;6:473-481.
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MORTALIDAD DESPUÉS DE LA HOSPITALIZACIÓN
Todas las causas demuerte después del altapor insuficienciacardíaca estánelevadas durante el 1er
mes1
1. Marti NC et al.Timing and duration of interventions in clinical trials for patients with hospitalized heart failure. Circ Heart Fail. 2013;6:1095-1101. - Changes in riskprofile after hospitalization. Hazard ratio of all-cause mortality after dischargefrom hospital for first hospitalization.
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LA INSUFICIENCIA CARDÍACA PRODUCE HOSPITALIZACIONES
RECURRENTES CON DETERIORO PROGRESIVO HASTA LA MUERTE…
Gheorghiade M et al. Am J Cardiol. 2005;96:11-17.
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¿CUÁL ES EL MEJOR SEGUIMIENTO POST EGRESO DEL PACIENTE CON INSUFICIENCIA CARDÍACA?
15.5
10.49.5
7.2
0
2
4
6
8
10
12
14
16
18
sincita Atencion1ria Cardiólogo ClinicaFC
Circulation. 2010;122:1782-1785.
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¿DE QUÉ FALLECEN LOS PACIENTES CON INSUFICIENCIA CARDIACA?
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
NYHA II NYHA III NYHA IV
M. SÚBITA
IC
OTRA
18,6%
6,3%
10,5%
Merrit HF: Lancet. 1999 Jun 12;353(9169):2001-7
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¿COMO USAR LOS BIOMARCADORES EN EL DIAGNOSTICO Y TRATAMIENTO EN ICC?
DR. ISMAEL GUZMAN MELGAR FESC FACC FAHA
MEDICO INTERNISTA – CARDIOLOGO
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EN EL DIAGNÓSTICO…….
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BNP EN EL DIAGNÓSTICO DE ICC:Braunwald’s heart disease : a textbook of cardiovascular medicine, 10th edition.
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Rev Esp Cardiol. 2006;59(5):465-72
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Rev Esp Cardiol. 2006;59(5):465-72
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Rev Esp Cardiol. 2006;59(5):465-72
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¿OTROS BIOMARCADORES? EN EL PRONOSTICO DE ICC……..
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European Journal of Heart Failure (2012) 14, 1139–1146
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European Journal of Heart Failure (2012) 14, 1139–1146
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European Journal of Heart Failure (2012) 14, 1139–1146
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FUNCIÓN RENAL Y MORTALIDAD EN ICC:Braunwald’s heart disease : a textbook of cardiovascular medicine, 10th edition.
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ANEMIA Y MORTALIDAD EN ICC:Braunwald’s heart disease : a textbook of cardiovascular medicine, 10th edition.
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NOREPINEFRINA Y MORTALIDAD EN ICC:Braunwald’s heart disease : a textbook of cardiovascular medicine, 10th edition.
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BNP Y MORTALIDAD EN ICC:Braunwald’s heart disease : a textbook of cardiovascular medicine, 10th edition.
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(Circulation . 2003;108:833-838.)
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(Circulation . 2003;108:833-838.)
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(Circulation . 2003;108:833-838.)
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(Circulation . 2003;108:833-838.)
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Gracias por su atención
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