Perfil clínico y ecocardiográfico de la insuficiencia cardiaca congestiva en pacientes hospitalizados en el Area de Medicina Interna, estudio a realizarse en el Hospital Abel Gilbert Pontón desde enero del 2014 a enero del 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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INTRODUCCION La insuficiencia cardiaca congestiva es una complicación que se presenta de manera progresiva , generalmente grave e irreversible , que afecta principalmente a aquellos pacientes que presenta una patología cardiaca de base como por ejemplo, cardiopatía isquémica, valvulopatias ya sean estas congénitas o adquiridas o miocardiopatías , es importante conocer acerca de los principales signos y síntomas que aquejan al paciente ya que esta enfermedad ha ido en incremento con el paso de los años debido a que son muchos los pacientes que hoy en dia sufren de factores predisponentes como la hipertensión arterial en la mayoría de los casos.
Objetivo General: Determinar las formas de presentación clínica y el diagnostico mediante el uso de la ecocardiografía en pacientes hospitalizados en el área de medicina interna en el hospital Abel Gilbert Ponton.
Materiales y métodos:En el Hospital Abel Gilbert pontón,se realizó un estudio descriptivo y retrospectivo con 90 pacientes, diagnosticados con insuficiencia cardiaca , obtenidos mediante la revisión de datos estadísticos, desde enero del 2014 a enero del 2015, también se tomó en cuanta a pacientes que hayan sido diagnosticados mediante el uso del ecocardiograma , se excluyeron pacientes sin diagnóstico de insuficiencia cardiaca congestiva.
Resultados: Se realizó una distribución de los pacientes de acuerdo a la edad y sexo de los cuales el de sexo masculino prevalece con un 57.77% y el rango de edad esta entre pacientes de 65 a 85 años de edad con una prevalencia de 44.44%, el factor predisponente de mayor relevancia es la cardiopatía hipertensiva seguida de la valvulopatias , los pacientes se encuentran la mayoría en clase funcional grado III , con respecto a las comorbilidades se encuentra la hipertensión arterial como principal factor agravante de la enfermedad y entre los hallazgos ecocardiograficos se considera que la mayoría de los casos presentaron una disfunción ventricular sistólica
Conclusiones:la hipertensión arterial es la causa de mayor gravedad en pacientes ancianos como factor de riesgo, en ellos , la mayor prevalencia es sobre los pacientes masculinos siendo en ellos principal causa la cardiopatía isquémica , entre las formas de presentación clínica encontramos al edema agudo de pulmón y como factor predisponente encontramos a las valvulopatias
Congestive heart failure is a complication that occurs in , usually serious and irreversible progressive, which mainly affects those patients having a cardiac pathology base such as ischemic heart disease , valvular whether these congenital or acquired or cardiomyopathies , is important to know about the main signs and symptoms afflicting the patient as the disease has been increasing over the years because many patients today suffer from predisposing factors such as high blood pressure in most of the cases. OBJECIVE GENERAL: To determine the clinical presentation and diagnosis using echocardiography in patients hospitalized in the area of internal medicine at the hospital Abel Gilbert Ponton . MATERIALS AND METHODS: A descriptive and retrospective study with 80 patients diagnosed with congestive heart failure, obtained by reviewing statistical data in the hospital Abel Gilbert Ponton, from January 2014 to January 2015 , he also took into account a patients who have been diagnosed by an echocardiogram, were excluded patients without a diagnosis of congestive heart failure. Results: The distribution of patients according to age and sex of which the male prevails with 57.77% and the age range is between patients 65 to 85 years of age with a prevalence of 44.44% was performed, the predisposing factor most important is hypertensive heart disease followed by valvular disease, patients are most functional class level III, with regard to comorbid hypertension is the main aggravating factor of the disease and between echocardiographic findings It considers that most cases had a systolic ventricular dysfunction Conclusions: Hypertension is the cause of more severe in elderly patients as a risk factor in them, the highest prevalence is about male patients being in them leading cause ischemic heart disease, including clinical presentations are the acute pulmonary edema and as a predisposing factor we find valvular.
Congestive heart failure is a complication that occurs in , usually serious and irreversible progressive, which mainly affects those patients having a cardiac pathology base such as ischemic heart disease , valvular whether these congenital or acquired or cardiomyopathies , is important to know about the main signs and symptoms afflicting the patient as the disease has been increasing over the years because many patients today suffer from predisposing factors such as high blood pressure in most of the cases. OBJECIVE GENERAL: To determine the clinical presentation and diagnosis using echocardiography in patients hospitalized in the area of internal medicine at the hospital Abel Gilbert Ponton . MATERIALS AND METHODS: A descriptive and retrospective study with 80 patients diagnosed with congestive heart failure, obtained by reviewing statistical data in the hospital Abel Gilbert Ponton, from January 2014 to January 2015 , he also took into account a patients who have been diagnosed by an echocardiogram, were excluded patients without a diagnosis of congestive heart failure. Results: The distribution of patients according to age and sex of which the male prevails with 57.77% and the age range is between patients 65 to 85 years of age with a prevalence of 44.44% was performed, the predisposing factor most important is hypertensive heart disease followed by valvular disease, patients are most functional class level III, with regard to comorbid hypertension is the main aggravating factor of the disease and between echocardiographic findings It considers that most cases had a systolic ventricular dysfunction Conclusions: Hypertension is the cause of more severe in elderly patients as a risk factor in them, the highest prevalence is about male patients being in them leading cause ischemic heart disease, including clinical presentations are the acute pulmonary edema and as a predisposing factor we find valvular.
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Insuficiencia cardíaca, Complicaciones, Pacientes hospitalizados, Cantón Guayaquil, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Ecuador, Ecocardiografía, Perfil clínico