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2020, Número 3

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Neumol Cir Torax 2020; 79 (3)


Hallazgos por ecocardiografía bidimensional en individuos con sospecha de hipertensión pulmonar. Experiencia de cinco años en el sureste de México

Manjarrez-Martín DA, Vázquez-López S, Rodríguez-Morales A, Torre-Bouscoulet L, Cortes-Telles A

Idioma: Español
Referencias bibliográficas: 39
Paginas: 151-158
Archivo PDF: 306.00 Kb.


RESUMEN

Introducción: El ecocardiograma bidimensional transtorácico es una herramienta portátil, no invasiva, con mayor accesibilidad que el cateterismo cardíaco derecho. Brinda múltiples parámetros confiables sobre la hemodinámica pulmonar; sin embargo, la información disponible que respalda el uso del ecocardiograma transtorácico en sujetos con sospecha de hipertensión pulmonar es muy limitada. Material y métodos: Análisis transversal de un estudio de cohorte que incluyó de manera prospectiva y consecutiva la totalidad de individuos con sospecha de hipertensión pulmonar (diferentes del Grupo 2), que fueron evaluados en el Departamento de Neumología y Cirugía de Tórax del Hospital Regional de Alta Especialidad de la Península de Yucatán, México. Resultados: El reporte incluye 52 pacientes con mediana de edad de 52 años (RIC 31-65) y 78% mujeres. Entre los posibles casos atribuibles al Grupo 1, el principal subgrupo lo constituyó el relacionado con enfermedades cardíacas congénitas. Entre las variables ecocardiográficas que pueden permitir un mejor tamizaje de los pacientes con sospecha de hipertensión pulmonar Grupo 1 se observaron: TAPSE (OR 0.82, IC 95% 0.69-0.96) y PsAP (OR 1.08, IC 95% 1.04-1.14). Conclusión: En nuestro medio el uso de ecocardiograma transtorácico es aceptable en la evaluación de los casos con sospecha de hipertensión pulmonar, en particular cuando se evalúan mujeres con historia de enfermedad cardíaca congénita.


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