{"id":1539,"date":"2022-01-10T14:20:15","date_gmt":"2022-01-10T14:20:15","guid":{"rendered":"https:\/\/primastcar.com\/?page_id=1539"},"modified":"2022-02-28T08:25:38","modified_gmt":"2022-02-28T08:25:38","slug":"electrocaso-8","status":"publish","type":"post","link":"https:\/\/primastcar.com\/?p=1539","title":{"rendered":"Electrocaso 8"},"content":{"rendered":"\n

Mujer de 73 a\u00f1os exfumadora, hipertensa y dislip\u00e9mica, fibrilaci\u00f3n auricular parox\u00edstica tratada con apixaban 5 mg c\/12 horas.<\/p>\n\n\n\n

Acude por dolor tor\u00e1cico en reposo.<\/p>\n\n\n\n

En ECG se objetiva infradesnivelaci\u00f3n del ST en derivaciones precordiales y en anal\u00edtica se objetiva elevaci\u00f3n de troponina T ultrasensible.<\/p>\n\n\n\n

Se realiza cateterismo coronario diagn\u00f3stico, cuya imagen se adjunta :<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

<\/p>\n\n\n\n

\u00bfCu\u00e1l es el diagn\u00f3stico de esta paciente, y por tanto, la estrategia terap\u00e9utica a seguir?<\/p>\n\n\n\n

  1. Angina inestable. ICP stent farmacoactivo  <\/strong><\/li>
  2. IAMSEST . ICP stent farmacoactivo<\/strong><\/li>
  3. IAMSEST . By pass Ao-Co<\/strong><\/li>
  4. IAMSEST. Trat m\u00e9dico<\/strong><\/li><\/ol>\n\n\n\n

    Pulsa sobre alguna de las cuatro opciones para ver la respuesta correcta<\/p>\n\n\n\n

    \n\n\n\n

    Se inicia tratamiento con doble antiagregaci\u00f3n con AAS 100 mg y clopidogrel 75 mg diarios (previa administraci\u00f3n de dosis de carga).<\/p>\n\n\n\n

    Dado que previamente la paciente se encuentra anticoagulada con apixaban 5 mg c\/12 horas por antecedente de fibrilaci\u00f3n auricular parox\u00edstica; \u00bfcu\u00e1l es la mejor estrategia terap\u00e9utica antitromb\u00f3tica de nuestra paciente al alta?<\/p>\n\n\n\n

    1. AAS  + Clopidogrel<\/strong><\/li>
    2. AAS  + Clopidogrel+  Apixaban indefinido<\/strong><\/li>
    3. Clopidogrel y apixaban indefinido<\/strong><\/li>
    4. Clopidogrel y apixaban 1  a\u00f1o<\/strong><\/li><\/ol>\n\n\n\n

      Pulsa sobre alguna de las cuatro opciones para ver la respuesta correcta<\/p>\n\n\n\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

      Mujer de 73 a\u00f1os exfumadora, hipertensa y dislip\u00e9mica, fibrilaci\u00f3n auricular parox\u00edstica tratada con apixaban 5 mg c\/12 horas. Acude por dolor tor\u00e1cico en reposo. En ECG se objetiva infradesnivelaci\u00f3n del ST en derivaciones precordiales y en anal\u00edtica se objetiva elevaci\u00f3n de troponina T ultrasensible. Se realiza cateterismo coronario diagn\u00f3stico, cuya imagen se adjunta : \u00bfCu\u00e1l…<\/p>\n

      Leer m\u00e1s<\/span>+<\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[26],"yoast_head":"\nElectrocaso 8 - Primastcar<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/primastcar.com\/?p=1539\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Electrocaso 8 - Primastcar\" \/>\n<meta property=\"og:description\" content=\"Mujer de 73 a\u00f1os exfumadora, hipertensa y dislip\u00e9mica, fibrilaci\u00f3n auricular parox\u00edstica tratada con apixaban 5 mg c\/12 horas. Acude por dolor tor\u00e1cico en reposo. En ECG se objetiva infradesnivelaci\u00f3n del ST en derivaciones precordiales y en anal\u00edtica se objetiva elevaci\u00f3n de troponina T ultrasensible. 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