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2020, Número S3

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Cardiovasc Metab Sci 2020; 31 (S3)


Tratamiento del paro cardiaco en adultos, niños y neonatos con COVID-19.
Recomendaciones de la Sociedad Interamericana de Cardiología (SIAC), Asociación Nacional de Cardiólogos de México (ANCAM) y Sociedad Mexicana de Cardiología (SMC)

Rodríguez-Reyes H, Ortiz-Galván F, Ibarrola M, Celaya-Cota M, Dubner S, Asensio-Lafuente E, Núñez AE, Mendoza-Novoa P, Muñoz-Gutiérrez M, Sarquella-Brugada G, Mendoza I, Márquez M

Idioma: Inglés [English version]
Referencias bibliográficas: 26
Paginas: 285-296
Archivo PDF: 629.26 Kb.


RESUMEN

La pandemia COVID-19 presenta un gran impacto en la población general, pero ha cobrado un número especialmente alto de víctimas entre el personal sanitario. Los esfuerzos de reanimación requieren posibles modificaciones de las actuales directrices internacionales sobre reanimación cardiopulmonar (RCP) debido a la tasa de infección del nuevo virus del SARS-CoV-2. Se ha visto que hasta el 15% de los pacientes de COVID-19 tienen una enfermedad grave, el 5% tiene una forma crítica de infección y la tasa media de mortalidad es del 3%, aunque hay diferencias significativas según el país que lo informe y las condiciones de base de los pacientes que incluyen la edad, la presencia de hipertensión arterial, la obesidad, la diabetes y las enfermedades cardiovasculares. En estos sujetos de alto riesgo, la mortalidad puede llegar al 24%. También hay informes de un reciente aumento de víctimas de paro cardiaco fuera del hospital. El paro cardiaco (PC) en estos sujetos podría estar relacionado con muchas causas, pero aparentemente, ese fenómeno se relaciona con enfermedades respiratorias más que con problemas cardiacos. En este contexto, la decisión de iniciar o continuar las maniobras de reanimación cardiopulmonar debe evaluarse cuidadosamente, debido a la baja tasa de supervivencia registrada hasta ahora y al alto riesgo de contagio entre el personal sanitario.


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