{"id":159082,"date":"2023-11-06T21:38:00","date_gmt":"2023-11-06T21:38:00","guid":{"rendered":"https:\/\/tecscience.tec.mx\/es\/?p=159082"},"modified":"2024-12-09T20:36:33","modified_gmt":"2024-12-10T02:36:33","slug":"shock-cardiogenico","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/es\/salud\/shock-cardiogenico\/","title":{"rendered":"Protocolo Detroit: una herramienta que salva vidas\u00a0"},"content":{"rendered":"\n

El shock cardiog\u00e9nico es un estado previo a un paro cardiaco en el que el coraz\u00f3n deja de bombear la sangre hacia los \u00f3rganos. Cuando ocurre una situaci\u00f3n de esta naturaleza, las probabilidades del paciente de sobrevivir son del 50%.  <\/p>\n\n\n\n

\u201cLo que ocasiona es que los tejidos dejan de recibir sangre y ox\u00edgeno y comienza el da\u00f1o\u201d, dice Vicente Jim\u00e9nez Franco<\/a>, cardi\u00f3logo de TecSalud<\/a>.  <\/p>\n\n\n\n

\u00bfC\u00f3mo identificar un shock cardiog\u00e9nico?<\/strong><\/h2>\n\n\n\n

De acuerdo con el especialista, existen varios estadios del shock cardiog\u00e9nico, seg\u00fan la progresi\u00f3n. Por ejemplo, cualquier persona que haya experimentado un infarto \u2212en alg\u00fan momento de su vida\u2212 est\u00e1 en riesgo de tener un shock.  <\/p>\n\n\n\n

\u201cB (de beginning<\/em>) significa que presenta taquicardias y variaciones en la presi\u00f3n arterial. Otro es el estadio cl\u00e1sico, en el cual se presentan da\u00f1os a diferentes \u00f3rganos y \u2212si eso no se detiene\u2212 pasa al estadio D. Si para ese punto no se logran parar los s\u00edntomas, migra al E, que es la peor\u201d, explica Jim\u00e9nez.  <\/p>\n\n\n\n

El transcurso de uno a otro estadio puede durar incluso algunos d\u00edas, aunque entre m\u00e1s tiempo pase, dice el cardi\u00f3logo, m\u00e1s da\u00f1o habr\u00e1 en otros \u00f3rganos. <\/p>\n\n\n\n

Las causas principales son el infarto, la insuficiencia cardiaca, enfermedad en las v\u00e1lvulas del coraz\u00f3n, inflamaci\u00f3n o incluso por miocardio por estr\u00e9s, entre otras.  <\/p>\n\n\n\n

Protocolo Detroit<\/strong><\/h2>\n\n\n\n

Cuando un paciente est\u00e1 experimentando un shock cardiog\u00e9nico las probabilidades de sobrevivir son pocas. Si bien en las \u00faltimas tres d\u00e9cadas el riesgo de muerte se qued\u00f3 estancado a pesar de la tecnolog\u00eda, desde hace cinco a\u00f1os, investigadores estructuraron un protocolo para reducir el riesgo de muerte.<\/p>\n\n\n\n

\u201cEncontraron que si estos pacientes se manejaban de forma organizada, con equipo multidisciplinario, \u2212que le llamaron Iniciativa Detroit<\/strong>\u2212 pod\u00edan reducir la muerte en un 20 y 30%. Fue un avance muy grande\u201d, explic\u00f3 Ren\u00e9 G\u00f3mez, director del Programa de Oxigenaci\u00f3n por Membrana Extracorp\u00f3rea (ECMO) de TecSalud<\/a>.  <\/p>\n\n\n\n

El Sistema de Salud del Tecnol\u00f3gico de Monterrey ha implementado un protocolo id\u00e9ntico, desde hace un a\u00f1o, para atender pacientes con choque cardiog\u00e9nico. <\/p>\n\n\n\n

El equipo, llamado Shock Team<\/strong>, est\u00e1 conformado por varios especialistas: cardi\u00f3logos intervencionistas, cirujano cardiaco, especialista en terapia intensiva, el equipo de ECMO y de soporte cardiaco, entre otros.  <\/p>\n\n\n\n

Los datos han demostrado que el protocolo implementado ha sido positivo<\/strong>. Antes de aplicarse, del 100% de pacientes con choque cardiog\u00e9nico atendidos, el 77% fallecieron. Una vez aplicado el protocolo las cosas cambiaron:  <\/p>\n\n\n\n

\u201cEsta a\u00f1o hemos atendido a 11 pacientes con choque cardiog\u00e9nico y de estos, seis han sobrevivido a los 30 d\u00edas, una sobrevida del 55%. Esto se ha desarrollado en menos de un a\u00f1o\u201d, explica Jim\u00e9nez Franco.  <\/p>\n\n\n\n

Adem\u00e1s, el equipo de choque busca que se haga una base de datos nacional que permita evaluar el fenotipo de los pacientes en M\u00e9xico, pues la evidencia cient\u00edfica est\u00e1 hecha con personas de otros pa\u00edses.  <\/p>\n","protected":false},"excerpt":{"rendered":"

Cuando un paciente est\u00e1 experimentando un shock cardiog\u00e9nico las probabilidades de sobrevivir son pocas, pero estas herramientas pueden ayudarlo.<\/p>\n","protected":false},"author":24,"featured_media":159096,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[99],"tags":[227,151],"class_list":["post-159082","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salud","tag-salud","tag-tecsalud"],"acf":[],"yoast_head":"\nProtocolo Detroit: una herramienta para el shock cardiog\u00e9nico | TecScience<\/title>\n<meta name=\"description\" content=\"Cuando un paciente est\u00e1 experimentando un shock cardiog\u00e9nico las probabilidades de sobrevivir son pocas, pero estas herramientas pueden ayudarlo.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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