{"id":2417,"date":"2011-08-25T13:01:51","date_gmt":"2011-08-25T13:01:51","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasch\/"},"modified":"2025-05-13T20:28:49","modified_gmt":"2025-05-13T20:28:49","slug":"gasch","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gasch\/","title":{"rendered":"Criterios Diagn\u00f3stico para Hepatopat\u00eda Card\u00edaca"},"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><span class=\"hps\">La hepatopat\u00eda<\/span>\u00a0<span class=\"hps\">cardiaca<\/span>,\u00a0<span class=\"hps\">da\u00f1o hep\u00e1tico<\/span>\u00a0<span class=\"hps\">causado por<\/span>\u00a0<span class=\"hps\">una disfunci\u00f3n cardiaca<\/span>,\u00a0<span class=\"hps\">es una entidad<\/span>\u00a0<span class=\"hps\">com\u00fan, pero<\/span>\u00a0<span class=\"hps\">se ha caracterizado<\/span>\u00a0<span class=\"hps\">de manera incompleta,<\/span>\u00a0<span class=\"hps\">en particular la relaci\u00f3n<\/span>\u00a0<span class=\"hps\">entre la hemodin\u00e1mica<\/span>\u00a0<span class=\"hps\">y la histolog\u00eda<\/span>.<br \/>\n<!--more--><br \/>\n<strong>Criterios Diagn\u00f3stico para Hepatopat\u00eda Card\u00edaca<\/strong><br \/>\n<span class=\"hps\">1 &#8211;<\/span>\u00a0<span class=\"hps\">B<\/span><span class=\"hps\">iopsia hep\u00e1tica<\/span>\u00a0<span class=\"hps\">compatible con<\/span>\u00a0<span class=\"hps\">hepatopat\u00eda<\/span>\u00a0<span class=\"hps\">cardiaca<\/span><br \/>\n<span class=\"hps\">2 &#8211; Al menos<\/span>\u00a0<span class=\"hps\">una de las siguientes<\/span>\u00a0<span class=\"hps\">mediciones hemodin\u00e1micas<\/span>\u00a0<span class=\"hps\">anormales<\/span>:<\/p>\n<ul>\n<li><span class=\"hps\">presi\u00f3n<\/span>\u00a0en<span class=\"hps\">\u00a0la aur\u00edcula derecha<\/span>\u00a0<span class=\"hps\">superior a 10<\/span>\u00a0<span class=\"hps\">mm<\/span>\u00a0<span class=\"hps\">Hg<\/span><\/li>\n<li><span class=\"hps\">presi\u00f3n arterial pulmonar media<\/span>\u00a0<span class=\"hps\">mayor de 25<\/span>\u00a0<span class=\"hps\">mm<\/span>\u00a0<span class=\"hps\">Hg<\/span><\/li>\n<li><span class=\"hps\">presi\u00f3n capilar pulmonar<\/span>\u00a0<span class=\"hps\">en cu\u00f1a superior a 15<\/span>\u00a0<span class=\"hps\">mm<\/span>\u00a0<span class=\"hps\">Hg<\/span><\/li>\n<li><span class=\"hps\">\u00edndice card\u00edaco<\/span>\u00a0<span class=\"hps\">inferior a 2,2<\/span>\u00a0<span class=\"hps\">L<\/span><span class=\"hps\">\/<\/span><span class=\"hps\">min<\/span>\u00a0<span class=\"hps\">m2<\/span><\/li>\n<\/ul>\n<p><span class=\"hps\">3 &#8211;<\/span>\u00a0<span class=\"hps\">Shock circulatorio<\/span>\u00a0<span class=\"hps\">cl\u00ednicamente<\/span>\u00a0<span class=\"hps\">evidente o<\/span>\u00a0<span class=\"hps\">insuficiencia card\u00edaca congestiva.<\/span><br \/>\n<span class=\"hps\">Otras causas<\/span>\u00a0<span class=\"hps\">de enfermedad hep\u00e1tica<\/span>\u00a0<span class=\"hps\">como<\/span>\u00a0<span class=\"hps\">hepatitis<\/span>\u00a0<span class=\"hps\">B<\/span>, hepatitis autoinmune,\u00a0<span class=\"hps\">cirrosis biliar primaria,<\/span>\u00a0<span class=\"hps\">colangitis esclerosante primaria<\/span>, hemocromatosis, enfermedad de Wilson,\u00a0<span class=\"hps\">y deficiencia de<\/span>\u00a0<span class=\"hps\">1-antitripsina<\/span>\u00a0deben ser\u00a0<span class=\"hps\">excluidos.<\/span><br \/>\n<span class=\"hps\">Los pacientes con<\/span>\u00a0<span class=\"hps\">consumo excesivo de alcohol<\/span>\u00a0<span class=\"hps\">(30 g\/<\/span><span class=\"hps\">d<\/span>\u00a0<span class=\"hps\">en las mujeres<\/span>\u00a0<span class=\"hps\">y 50<\/span>\u00a0<span class=\"hps\">g\/<\/span><span class=\"hps\">d<\/span>\u00a0<span class=\"hps\">en los hombres)<\/span>\u00a0<span class=\"hps\">tambi\u00e9n<\/span>\u00a0<span class=\"hps\">deben ser excluidos.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Myers RP, Cerini R, Sayegh R, Moreau R, Degott C, Lebrec D, Lee SS. Cardiac hepatopathy: clinical, hemodynamic, and histologic characteristics and correlations. Hepatology. 2003 Feb;37(2):393-400.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12540790\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Aug 25, 2011<\/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>La hepatopat\u00eda\u00a0cardiaca,\u00a0da\u00f1o hep\u00e1tico\u00a0causado por\u00a0una disfunci\u00f3n cardiaca,\u00a0es una entidad\u00a0com\u00fan, pero\u00a0se ha caracterizado\u00a0de manera incompleta,\u00a0en particular la relaci\u00f3n\u00a0entre la hemodin\u00e1mica\u00a0y la histolog\u00eda.<\/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":[53],"tags":[1179,675,16,15,14,13,1180,1181],"class_list":["post-2417","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-cardiac","tag-cardiaca","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-hepatopathy","tag-hepatopatia"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2417","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=2417"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2417\/revisions"}],"predecessor-version":[{"id":9323,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2417\/revisions\/9323"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2417"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2417"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}