Caracterización clínico metabólica del síndrome coronario agudo en diabéticos tipo II, propuesta de prevención, Hospital Luis Vernaza
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La Diabetes mellitus tipo 2 y el síndrome coronario agudo son las principales causas de mortalidad en lo que a enfermedades no transmisibles se refiere, la presentación clínica es similar independientemente del sitio donde se estudien, los grupos de expertos en el tema, realizan guías clínicas de manejo que son revisadas y discutidas por pares internacionales, previa la aplicación por el sistema de salud mundial. se realizó un estudio de caso en pacientes diabéticos tipo 2 con síndrome coronario agudo. El propósito de este trabajo fue establecer la caracterización clínica metabólica del síndrome coronario agudo en diabéticos tipos 2, para diseñar una propuesta de prevención. El enfoque del trabajo es cualitativo, la metodología es el Estudio de Casos, determinando las Categorías, clínicas, nutricionales, socioeconómica, culturales con sus respectivas dimensiones, instrumentos y unidades de análisis, del Síndrome coronario agudo en diabéticos tipo 2. Los resultados obtenidos fueron que el dolor precordial y la disnea son los síntomas más frecuentes, asociados a hiperglicemia e hipertensión arterial, con demora en la atención inicial por la subestimación de los síntomas. Es por esta razón que se elaboró una Propuesta de prevención que contribuirá a la detección y control oportuno del síndrome Coronario Agudo, mediante una guía de fácil aplicación
Type 2 Diabetes Mellitus and acute coronary syndrome are the main causes of death in what noncommunicable diseases is concerned, having almost the same clinical presentation regardless of the graphically location where these two disease have been studied. Groups of experts in the field conduct clinical management guidelines that are revised and discussed by scientist around the world, taking in consideration, the global health system. It is for this reason that this research for metabolic clinical characterization of acute coronary syndrome in Diabetes is performed in our population in order to make a prevention proposal. This work has been done in a qualitative way with studying cases methodology, in here determining the categories, clinical, nutritional, socioeconomic, cultural with their respective dimensions, instruments and units of analysis, acute coronary syndrome in type 2 diabetics. Result being that the signs of coronary precordial pain and dyspnoea are the most common symptoms, always accompanied by hyperglycemia and High blood pressure, causing a delay in taking care of this conditions due to a underestimation of symptoms. It is for this reason that the development of the prevention proposal will assist to control and easily detect acute coronary syndrome in our population
Type 2 Diabetes Mellitus and acute coronary syndrome are the main causes of death in what noncommunicable diseases is concerned, having almost the same clinical presentation regardless of the graphically location where these two disease have been studied. Groups of experts in the field conduct clinical management guidelines that are revised and discussed by scientist around the world, taking in consideration, the global health system. It is for this reason that this research for metabolic clinical characterization of acute coronary syndrome in Diabetes is performed in our population in order to make a prevention proposal. This work has been done in a qualitative way with studying cases methodology, in here determining the categories, clinical, nutritional, socioeconomic, cultural with their respective dimensions, instruments and units of analysis, acute coronary syndrome in type 2 diabetics. Result being that the signs of coronary precordial pain and dyspnoea are the most common symptoms, always accompanied by hyperglycemia and High blood pressure, causing a delay in taking care of this conditions due to a underestimation of symptoms. It is for this reason that the development of the prevention proposal will assist to control and easily detect acute coronary syndrome in our population
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Síndrome coronario agudo, Diabetes mellitus tipo 2, Medicina preventiva, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador