Protocolo diagnóstico y terapéutico del cor pulmonale

  1. Álvarez Vega, P.
  2. Cadenas Menéndez, S.
  3. Martín Moreiras, J.
  4. González Calle, D.
  5. Oterino Manzanas, A.
  6. Sánchez Fernández, P.L.
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Any de publicació: 2017

Sèrie: 12

Número: 45

Pàgines: 2722-2728

Tipus: Article

DOI: 10.1016/J.MED.2017.11.004 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Medicine: Programa de Formación Médica Continuada Acreditado

Resum

Resumen El cor pulmonale es el término que se utiliza para definir la insuficiencia ventricular derecha derivada de la presencia de hipertensión pulmonar y, más concretamente, a la hipertensión pulmonar que se produce como consecuencia de las enfermedades respiratorias crónicas o las enfermedades vasculares pulmonares. La diferenciación etiológica anterior resulta primordial a la hora de establecer un tratamiento adecuado, ya que en el primer caso el enfoque terapéutico se debe dirigir al tratamiento óptimo de la enfermedad pulmonar, mientras que en el segundo caso la base del tratamiento es la reducción de la poscarga del ventrículo derecho mediante fármacos vasodilatadores pulmonares y/o técnicas quirúrgicas como la septostomía atrial con balón y el trasplante pulmonar.

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