Síndrome cardiorenal : factores predisponentes estudio a realizarse en pacientes hospitalizados mayores de 35 años en el Hospital Abel Gilbert Pontón período 2014-2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La presencia del síndrome cardiorenal y la repercusión del daño cardiaco que
influye en la función renal y viceversa con la presencia de las múltiples manifestaciones
clínicas, donde el deterioro de las funciones de estos órganos vitales conducirá a una
disminución en la calidad y expectativa de vida en el paciente nos debe orientar a la
detección temprana de estos casos para poder empezar un tratamiento que retrase o evite
la progresión de la enfermedad conociendo que son diversos los mecanismos que
conllevan a la disfunción en la salud del paciente, es necesario por este motivo la
intervención temprana, encasillar al paciente dentro de sus respectivo tipo de síndrome
cardiorenal ( actualmente existen cinco tipos) el adecuado manejo clínico por parte de
los profesionales de salud sobre todo en aquellos pacientes que presentan factores de
riesgo y aquellos que no han sido tratados de manera adecuada en los primeros estadios
de la enfermedad.
Actualmente, el 43% de la población ecuatoriana padece de hipertensión arterial
(por cada 100.000 personas, 1.300 son hipertensos); más del 65% de pacientes con
hipertensión y diabetes mellitus degenera en insuficiencia renal, considerando que el
Ecuador tiene 16´278.844 (fuente INEC) habitantes, se estima que para el 2.015 los
pacientes con insuficiencia renal serán 11.460 (Programa Nacional de Salud Renal 2015
– Ministerio Salud Pública del Ecuador), lo cual nos permite establecer que esta
población de pacientes es aquella que mayor propensión a presentar síndrome
cardiorenal en cualquier momento.
La finalidad de la detección temprana de un paciente que ya se encuentra dentro
de los diferentes tipos de síndrome cardiorenal o renocardiaco es proporcionar
tratamiento lo antes posible para lograr evitar la progresión y su remisión , evitar que la
complicaciones presenten manifestaciones clínicas que puedan llevar al paciente a
múltiples ingresos hospitalarios disminuyendo de esta manera la calidad de vida del
paciente y con consecuencias fatales.
The presence of the syndrome cardiorenal and the repercussion of the cardiac hurt that influences the renal function and vice versa with the presence of the multiple clinical manifestations, where the deterioration of the functions of these vital organs will drive to a decrease in the quality and life expectation in the patient must us orientate to the early detection of these cases to be able to begin a treatment that delays or avoids the progression of the disease knowing that are diverse the mechanisms that they carry to the dysfunction in the health of the patient, it´s necessary for this motive the early intervention, to classify the patient inside his respective type of syndrome cardiorenal (nowadays five types exist) the suitable clinical managing on the part of the professionals of health especially in those patients who present factors of risk and those that have not been treated as a way adapted in the first stadiums of the disease. Nowadays, 43 % of the Ecuadoran population suffers from arterial hypertension (for every 100.000 persons, 1.300 are hypertense); more than 65 % of patients with hypertension and diabetes mellitus degenerates into renal insufficiency, considering that the Ecuador has 16 ' 278.844 (source INEC) inhabitants, it thinks that for 2.015 the patients with renal insufficiency will be 11.460 (National Program of Renal Health 2015 - Department Public Health of the Ecuador), which allows us to establish that this population of patients is that one that major tendency to present syndrome cardiorenal at any time. The purpose of the early detection of a patient who already is inside the different types of syndrome cardiorenal or renocardiaco is to provide treatment as soon as possible to manage to avoid the progression and his reference, to prevent them the complicaciones from presenting clinical manifestations that could take the patient to multiple hospitable income diminishing hereby the quality of life of the patient and with fatal consequences.
The presence of the syndrome cardiorenal and the repercussion of the cardiac hurt that influences the renal function and vice versa with the presence of the multiple clinical manifestations, where the deterioration of the functions of these vital organs will drive to a decrease in the quality and life expectation in the patient must us orientate to the early detection of these cases to be able to begin a treatment that delays or avoids the progression of the disease knowing that are diverse the mechanisms that they carry to the dysfunction in the health of the patient, it´s necessary for this motive the early intervention, to classify the patient inside his respective type of syndrome cardiorenal (nowadays five types exist) the suitable clinical managing on the part of the professionals of health especially in those patients who present factors of risk and those that have not been treated as a way adapted in the first stadiums of the disease. Nowadays, 43 % of the Ecuadoran population suffers from arterial hypertension (for every 100.000 persons, 1.300 are hypertense); more than 65 % of patients with hypertension and diabetes mellitus degenerates into renal insufficiency, considering that the Ecuador has 16 ' 278.844 (source INEC) inhabitants, it thinks that for 2.015 the patients with renal insufficiency will be 11.460 (National Program of Renal Health 2015 - Department Public Health of the Ecuador), which allows us to establish that this population of patients is that one that major tendency to present syndrome cardiorenal at any time. The purpose of the early detection of a patient who already is inside the different types of syndrome cardiorenal or renocardiaco is to provide treatment as soon as possible to manage to avoid the progression and his reference, to prevent them the complicaciones from presenting clinical manifestations that could take the patient to multiple hospitable income diminishing hereby the quality of life of the patient and with fatal consequences.
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Palabras clave
Síndrome cardiorrenal, Insuficiencia renal crónica, Hipertensión, Pacientes hospitalizados, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Causalidad