{"id":5102,"date":"2009-04-10T18:20:13","date_gmt":"2009-04-10T18:20:13","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carm\/"},"modified":"2025-05-14T19:09:28","modified_gmt":"2025-05-14T19:09:28","slug":"carm","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/carm\/","title":{"rendered":"Criterios Diagn\u00f3stico para Miocarditis"},"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>La miocarditis puede presentarse con una amplia gama de s\u00edntomas, que van desde disnea leve o dolor en el pecho que se resuelve sin tratamiento espec\u00edfico hasta shock cardiog\u00e9nico y muerte. La miocardiopat\u00eda dilatada con insuficiencia card\u00edaca cr\u00f3nica es la principal secuela a largo plazo de la miocarditis. Muy a menudo, la miocarditis es el resultado de infecciones virales comunes; con menos frecuencia, las formas espec\u00edficas de miocarditis pueden ser el resultado de otros pat\u00f3genos, reacciones a medicamentos t\u00f3xicos o de hipersensibilidad, miocarditis de c\u00e9lulas gigantes o sarcoidosis.<!--more--><\/p>\n<p><strong>Criterios\u00a0<\/strong><strong>Dallas\u00a0<\/strong><\/p>\n<ul>\n<li>Miocarditis Activa: presencia de infiltrado inflamatorio del miocardio con necrosis y\/o degeneraci\u00f3n de los miocitos adyacentes at\u00edpicos del da\u00f1o isqu\u00e9mico asociado con enfermedad de arterias coronarias (CAD).<\/li>\n<li>Miocarditis Borderline: presencia\u00a0 de infiltrado inflamatorio del miocardio sin necrosis o degeneraci\u00f3n de miocitos adyacentes.<\/li>\n<\/ul>\n<p><strong>Clasificaci\u00f3n<\/strong><strong>\u00a0Marburg<\/strong><strong> de la Organizaci\u00f3n Mundial de la Salud (OMS)<\/strong><\/p>\n<p>Biopsia inicial:<\/p>\n<ul>\n<li>Miocarditis Aguda (activa): infiltrado bien definido (difuso, focal o confluente) de &gt;14 leucocitos\/mm<sup>2<\/sup>\u00a0(preferentemente c\u00e9lulas T activadas). La cantidad del infiltrado deber\u00eda ser cuantificada por inmunohistoqu\u00edmica. La necrosis o degeneraci\u00f3n es obligatoria; la fibrosis puede estar ausente o presente y deber\u00eda ser graduada.<\/li>\n<li>Miocarditis Cr\u00f3nica: infiltrado de &gt;14 leucocitos\/mm<sup>2<\/sup>\u00a0(difuso, focal o confluente, preferentemente c\u00e9lulas T activadas). La cuantificaci\u00f3n deber\u00eda ser realizada por inmunohistoqu\u00edmica. La necrosis o degeneraci\u00f3n es usualmente no evidente; la fibrosis puede estar ausente o presente y deber\u00eda ser graduada.<\/li>\n<li>No miocarditis: Ausencia de infiltrado celular o &lt;14 leucocitos\/mm<sup>2<\/sup>.<\/li>\n<\/ul>\n<p>Biopsias subsiguientes:<\/p>\n<ul>\n<li>Miocarditis en curso (persistente). Criterios como en miocarditis aguda o cr\u00f3nica.<\/li>\n<li>Miocarditis en resoluci\u00f3n (en cicatrizaci\u00f3n). Criterios como en miocarditis aguda o cr\u00f3nica, pero el proceso inmunol\u00f3gico es escaso con respecto a la primera biopsia.<\/li>\n<li>Miocarditis resuelta (cicatrizada). Corresponde a la clasificaci\u00f3n Dallas.<\/li>\n<\/ul>\n<p>La cantidad y distribuci\u00f3n de la fibrosis deber\u00eda ser descripta como no (grado 0), leve (grado 1), moderado (grado 2) o severo (grado 3). La localizaci\u00f3n o formaci\u00f3n de fibrosis deber\u00eda ser detallado como endoc\u00e1rdica, reemplazo o intersticial.<\/p>\n<p><strong>Criterios e<\/strong><strong>xpandidos para el diagn\u00f3stico de miocarditis<\/strong><\/p>\n<ul>\n<li>Sospecha para miocarditis = 2 categor\u00edas positivas<\/li>\n<li>Compatible con miocarditis = 3 categor\u00edas positivas<\/li>\n<li>Elevada probabilidad de presentar miocarditis = las 4 categor\u00edas positivas.<\/li>\n<\/ul>\n<p>NOTA: Cualquier caracter\u00edstica congruente en la categor\u00eda = positivo para la categor\u00eda<\/p>\n<p>Categor\u00eda I: s\u00edntomas cl\u00ednicos<\/p>\n<ul>\n<li>Fallo card\u00edaco cl\u00ednico<\/li>\n<li>Fiebre<\/li>\n<li>Prodromo viral<\/li>\n<li>Fatiga<\/li>\n<li>Disnea de esfuerzo<\/li>\n<li>Dolor de pecho<\/li>\n<li>Palpitaciones<\/li>\n<li>Pre-s\u00edncope o s\u00edncope<\/li>\n<\/ul>\n<p>Categor\u00eda II: evidencia de alteraci\u00f3n cardiaca estructural\/funcional en ausencia de isquemia regional coronaria<\/p>\n<ul>\n<li>Evidencia ecogr\u00e1fica<\/li>\n<li>Anormalidades de la motilidad parietal regional<\/li>\n<li>Dilataci\u00f3n cardiaca<\/li>\n<li>Hipertrofia cardiaca regional<\/li>\n<li>Liberaci\u00f3n de troponina<\/li>\n<li>La troponina presenta elevada sensibilidad (&gt;0.1 nanogramos\/mL)<\/li>\n<li>Centellograf\u00eda con antimiosina marcada con indio-111 positiva y angiograf\u00eda de arterias coronarias normales o ausencia de isquemia reversible por distribuci\u00f3n en el scan de perfusi\u00f3n<\/li>\n<\/ul>\n<p>Categor\u00eda III: RNM cardiaca<\/p>\n<ul>\n<li>Incremento en la se\u00f1al mioc\u00e1rdica en T2 en la secuencia de inversi\u00f3n &#8211; recuperaci\u00f3n<\/li>\n<li>Demora en el reforzamiento con contraste seguido de la infusi\u00f3n de Gadolinio &#8211; \u00e1cido dietilentriaminopentaac\u00e9tico (DTPA).<\/li>\n<\/ul>\n<p>Categor\u00eda IV: biopsia mioc\u00e1rdica, an\u00e1lisis patol\u00f3gico o molecular<\/p>\n<ul>\n<li>Hallazgos patol\u00f3gicos compatibles con criterios Dallas<\/li>\n<li>Presencia de genoma viral por PCR o hibridaci\u00f3n in situ.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Aretz HT, Billingham ME, Edwards WD, Factor SM, Fallon JT, Fenoglio JJ Jr, Olsen EG, Schoen FJ. Myocarditis. A histopathologic definition and classification. Am J Cardiovasc Pathol. 1987 Jan;1(1):3-14.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3455232\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Richardson P, McKenna W, Bristow M, Maisch B, Mautner B, O&#8217;Connell J, Olsen E, Thiene G, Goodwin J, Gyarfas I, Martin I, Nordet P. Report of the 1995 World Health Organization\/International Society and Federation of Cardiology Task Force on the Definition and Classification of cardiomyopathies. Circulation. 1996 Mar 1;93(5):841-2.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8598070\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Cooper LT Jr. Myocarditis. N Engl J Med. 2009 Apr 9;360(15):1526-38.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19357408\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Abr 10, 2009<\/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 miocarditis puede presentarse con una amplia gama de s\u00edntomas, que van desde disnea leve o dolor en el pecho que se resuelve sin tratamiento espec\u00edfico hasta shock cardiog\u00e9nico y muerte. La miocardiopat\u00eda dilatada con insuficiencia card\u00edaca cr\u00f3nica es la principal secuela a largo plazo de la miocarditis. Muy a menudo, la miocarditis es el [&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],"tags":[1348,16,15,14,13,1988,1989],"class_list":["post-5102","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-cardiology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-miocarditis","tag-myocarditis"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Criterios Diagn\u00f3stico para Miocarditis - MedicalCRITERIA.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicalcriteria.com\/web\/carm\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]Criterios Diagn\u00f3stico para Miocarditis[:en]Diagnostic Criteria for Myocarditis[:] - MedicalCRITERIA.com\" \/>\n<meta property=\"og:description\" content=\"La miocarditis puede presentarse con una amplia gama de s\u00edntomas, que van desde disnea leve o dolor en el pecho que se resuelve sin tratamiento espec\u00edfico hasta shock cardiog\u00e9nico y muerte. La miocardiopat\u00eda dilatada con insuficiencia card\u00edaca cr\u00f3nica es la principal secuela a largo plazo de la miocarditis. 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