Enfoque del tromboembolismo pulmonar agudo desde el momento inicial en el servicio de urgencias

Barra lateral del artículo

Contenido principal del artículo

Laura Restrepo Álvarez
  • Biografía

    Facultad de Medicina, Universidad CES.

Andrés Ramírez Vélez
  • Biografía

    Residencia de Anestesia, Universidad CES

Marcela Pérez Muñoz
  • Biografía

    Facultad de Medicina, Universidad CES.

Juan Pablo Zuluaga García
  • Biografía

    Facultad de Medicina, Universidad CES.

Jairo Giovanni Moncayo Viveros

Resumen


El tromboembolismo pulmonar es la manifestación más grave de la enfermedad tromboembólica venosa y la tercera causa de mortalidad cardiovascular. Su sintomatología puede ir desde un cuadro asintomático o con síntomas leves, hasta el paro cardiaco. Dentro del enfoque de esta patología es importante tener en cuenta escalas que permiten estimar la probabilidad de que determinado paciente con ciertos signos, síntomas y factores de riesgo presente un tromboembolismo pulmonar, así como escalas diseñadas para valorar el riesgo de morir, en pacientes en los que ya se estableció este diagnóstico. Los pilares del tratamiento son la anticoagulación y la trombólisis, sin embargo, esta última está indicada únicamente en algunos casos. La presente revisión tiene como objetivo presentar una actualización de la evidencia sobre el enfoque diagnóstico y terapéutico del tromboembolismo pulmonar agudo, desde el ingreso del paciente al servicio de urgencias.

Palabras clave:
venous thromboembolism, pulmonary embolism, thrombolytic therapy, emergencies, multidetector computarized tomography tromboembolia venosa, embolia pulmonar, urgencias médicas, tomografía computarizada multidetector, terapia trombolítica tromboembolismo venoso, embolia pulmonar, terapia trombolítica, emergência Médica, tomografia computadorizada com multidetectores

Detalles del artículo

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