{"id":2650,"date":"2009-02-13T18:35:31","date_gmt":"2009-02-13T18:35:31","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pedalte\/"},"modified":"2025-05-14T21:06:15","modified_gmt":"2025-05-14T21:06:15","slug":"pedalte","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pedalte\/","title":{"rendered":"Definici\u00f3n y Causas de un Evento con Aparente Riesgo de Vida (ALTE)"},"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><\/p>\n<p style=\"font-weight: 400;\"><strong>Definici\u00f3n\u00a0de\u00a0ALTE<\/strong><\/p>\n<p style=\"font-weight: 400;\">Por\u00a0definici\u00f3n,\u00a0un\u00a0ALTE\u00a0se\u00a0refiere a un evento s\u00fabito, caracterizado por apnea u otros cambios repentinos en la conducta del ni\u00f1o. Los s\u00edntomas de ALTE incluyen a uno o m\u00e1s de los siguientes: apnea, cambios en el color o tono muscular, tos o sofocaci\u00f3n.<!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Diagn\u00f3sticos realizados en ni\u00f1os con ALTE<\/strong><\/p>\n<p style=\"font-weight: 400;\">* Idiop\u00e1tico: aproximadamente el 50%<\/p>\n<p style=\"font-weight: 400;\">* Gastrointestinal: es la causa m\u00e1s com\u00fan, m\u00e1s del 50% de los casos diagnosticados<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Reflujo gastrointestinal<\/li>\n<li>V\u00f3lvulo g\u00e1strico<\/li>\n<li>Intususcepci\u00f3n o invaginaci\u00f3n<\/li>\n<li>Trastornos en la degluci\u00f3n<\/li>\n<li>Otras anormalidades GI<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">* Neurol\u00f3gico: Aproximadamente 30%<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Trastornos convulsivos<\/li>\n<li>Convulsiones febriles<\/li>\n<li>Hemorragias del SNC<\/li>\n<li>Enfermedades neurol\u00f3gicas que afectan la respiraci\u00f3n (s\u00edndrome de Budd-Chiari, malformaciones del cerebelo, malformaciones del tronco cerebral)<\/li>\n<li>Reflejos vasovagales<\/li>\n<li>Hidrocefalia<\/li>\n<li>Infecci\u00f3n del SNC<\/li>\n<li>Malfuncionamiento de la comunicaci\u00f3n (shunt) ventr\u00edculo peritoneal<\/li>\n<li>Malignidades<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">* Respiratorio: Aproximadamente 20%<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Compromiso respiratorio por infecci\u00f3n, virus sincicial respiratorio, pertussis, micoplasma, crup, otras neumon\u00edas<\/li>\n<li>Apnea obstructiva del sue\u00f1o<\/li>\n<li>Condiciones que afectan el control respiratorio (prematurez, hipoventilaci\u00f3n central)<\/li>\n<li>Anormalidades en las cuerdas vocales<\/li>\n<li>Laringotraqueomalacia<\/li>\n<li>Obstrucci\u00f3n al flujo de aire debido a anormalidades cong\u00e9nitas<\/li>\n<li>Aspiraci\u00f3n de cuerpos extra\u00f1os<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">* Cardiaco: Por encima del 5%<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Arritmias (S\u00edndrome del QT prolongado, s\u00edndrome de Wolf-Parkinson-White)<\/li>\n<li>Cardiopat\u00eda cong\u00e9nita<\/li>\n<li>Miocarditis<\/li>\n<li>Cardiomiopat\u00eda<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">* Anormalidades metab\u00f3licas: menos del 5%<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Errores cong\u00e9nitos del metabolismo<\/li>\n<li>Enfermedades endocrinas o trastornos de los electrolitos<\/li>\n<li>Otras infecciones<\/li>\n<li>Infecciones del tracto urinario<\/li>\n<li>Sepsis<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">* Abuso infantil: menos del 5%<\/p>\n<ul style=\"font-weight: 400;\">\n<li>S\u00edndrome de Munchausen (sofocaci\u00f3n, envenenamiento intencional, sobredosis de medicaci\u00f3n, abuso f\u00edsico, traumatismo de cr\u00e1neo)<\/li>\n<li>Asfixia intencional o no<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">* Otros<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Alergias a alimentos (raro)<\/li>\n<li>Anafilaxia<\/li>\n<li>Medicaci\u00f3n (prescripci\u00f3n, sobremedicaci\u00f3n, remedios caseros)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>McGovern MC, Smith MB. Causes of apparent life threatening events in infants: a systematic review. Arch Dis Child. 2004 Nov;89(11):1043-8. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15499062\/\">[Medline]<\/a><\/li>\n<li>Hall KL, Zalman B. Evaluation and management of apparent life-threatening events in children. Am Fam Physician. 2005 Jun 15;71(12):2301-8. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15999867\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Ene 24, 2006<\/p>\n<p><\/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>Definici\u00f3n\u00a0de\u00a0ALTE Por\u00a0definici\u00f3n,\u00a0un\u00a0ALTE\u00a0se\u00a0refiere a un evento s\u00fabito, caracterizado por apnea u otros cambios repentinos en la conducta del ni\u00f1o. Los s\u00edntomas de ALTE incluyen a uno o m\u00e1s de los siguientes: apnea, cambios en el color o tono muscular, tos o sofocaci\u00f3n.<\/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":[441],"tags":[1961,1960,1184,1185,314,313,1959,896,1958,667],"class_list":["post-2650","post","type-post","status-publish","format-standard","hentry","category-pediatrics","tag-alte","tag-apparent","tag-causas","tag-causes","tag-definicion","tag-definition","tag-eventos-aparente","tag-events","tag-life-threatening","tag-pediatrics"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2650","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=2650"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2650\/revisions"}],"predecessor-version":[{"id":9049,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2650\/revisions\/9049"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2650"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2650"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2650"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}