Síndrome del miocardio aturdido
[Stunned Myocardium Syndrome]Adriana Martinz1, César Guardia2
1. Obstetricia Crítica, Maternidad del Hospital Santo Tomás; 2. Obstetricia, Maternidad del Hospital Santo Tomás;
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Resumen
La miocardiopatía por estrés, también conocida como “síndrome de miocardio aturdido” es una disfunción ventricular que simula un infarto agudo del miocardio, pero sin evidencia de coronariopatía obstructiva o ruptura de placa ateromatosa. Generalmente se presenta como consecuencia de situación de estrés, por lo que las complicaciones propias de un embarazo, por ejemplo, un cuadro de shock séptico o una hemorragia post parto, podrían desencadenar esta condición. La presente revisión busca brindar una actualización del tema, así como enfocar el cuadro en la paciente obstétrica en base a la evidencia disponible a la fecha.
Abstract
Stress cardiomyopathy, also known as "stunned myocardial syndrome" is a ventricular dysfunction that simulates an acute myocardial infarction, but without evidence of obstructive coronary artery disease or atheromatous plaque rupture. It generally occurs as a result of a stressful situation, so the complications of a pregnancy, for example, a picture of septic shock or postpartum hemorrhage, could trigger this condition. This review seeks to provide an update on the subject, as well as to focus the picture on the obstetric patient based on the evidence available to date.
Citas
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