{"id":10358,"date":"2024-05-17T21:25:55","date_gmt":"2024-05-17T21:25:55","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=10358"},"modified":"2026-03-12T19:42:38","modified_gmt":"2026-03-12T19:42:38","slug":"peripartum-cardiomyopathy","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/peripartum-cardiomyopathy\/","title":{"rendered":"Criterios Diagn\u00f3stico de Miocardiopat\u00eda Periparto"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Por lo general, la miocardiopat\u00eda periparto ocurre en los primeros cuatro meses posparto; menos del 10% de los casos ocurren antes del parto. Los s\u00edntomas comunes incluyen disnea, tos, ortopnea, hemoptisis y disnea parox\u00edstica nocturna. La mayor\u00eda de los pacientes afectados tienen funci\u00f3n de clase III o IV de la New York Heart Association (NYHA). Los s\u00edntomas adicionales incluyen fatiga inespec\u00edfica, malestar general, palpitaciones, malestar tor\u00e1cico y abdominal e hipotensi\u00f3n postural. El diagn\u00f3stico requiere un alto grado de sospecha, porque los s\u00edntomas de la miocardiopat\u00eda periparto pueden confundirse con cambios fisiol\u00f3gicos asociados con el embarazo avanzado.<!--more--><\/p>\n<p><strong>Criterios diagn\u00f3stico de miocardiopat\u00eda periparto<\/strong><br \/>\n1. Desarrollo de insuficiencia card\u00edaca en el \u00faltimo mes de embarazo o 5 meses posparto.<br \/>\n2. Ausencia de enfermedad card\u00edaca preexistente<br \/>\n3. Causa indeterminada<br \/>\n4. Hallazgos ecocardiogr\u00e1ficos (a, junto con b o c; o todos estos)<\/p>\n<ol style=\"list-style-type: lower-alpha;\">\n<li>Dimensi\u00f3n diast\u00f3lica final del ventr\u00edculo izquierdo &gt;2,7 cm\/m2<\/li>\n<li>Acortamiento fraccional en modo M &lt;30%<\/li>\n<li>Fracci\u00f3n de eyecci\u00f3n del ventr\u00edculo izquierdo &lt;0,45<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Arany Z. Peripartum Cardiomyopathy. N Engl J Med. 2024 Jan 11;390(2):154-164. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38197818\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Sawyer JM, Moridzadeh N, Bavolek RA. Cardiovascular Complications of Pregnancy. Emerg Med Clin North Am. 2023 May;41(2):247-258. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37024161\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Bhattacharyya A, Basra SS, Sen P, Kar B. Peripartum cardiomyopathy: a review. Tex Heart Inst J. 2012;39(1):8-16. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22412221\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 17, 2024.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Por lo general, la miocardiopat\u00eda periparto ocurre en los primeros cuatro meses posparto; menos del 10% de los casos ocurren antes del parto. Los s\u00edntomas comunes incluyen disnea, tos, ortopnea, hemoptisis y disnea parox\u00edstica nocturna. La mayor\u00eda de los pacientes afectados tienen funci\u00f3n de clase III o IV de la New York Heart Association (NYHA). [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26,87],"tags":[125,16,15,14,13,119,2654,2653],"class_list":["post-10358","post","type-post","status-publish","format-standard","hentry","category-cardiology","category-obstetrics-gynecology","tag-cardiomyopathy","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-miocardiopatia","tag-periparto","tag-peripartum"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=10358"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10358\/revisions"}],"predecessor-version":[{"id":10368,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10358\/revisions\/10368"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=10358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=10358"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=10358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}