{"id":79,"date":"2009-02-27T18:36:41","date_gmt":"2009-02-27T18:36:41","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carboston\/"},"modified":"2025-05-14T20:58:31","modified_gmt":"2025-05-14T20:58:31","slug":"carboston","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/carboston\/","title":{"rendered":"Criterios Boston para el Diagn\u00f3stico de Insuficiencia 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>Los criterios Boston utilizan la informaci\u00f3n de la historia, el examen f\u00edsico y la radiograf\u00eda de t\u00f3rax para categorizar el diagn\u00f3stico de insuficiencia card\u00edaca.<br \/>\n<!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Criterio<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Puntuaci\u00f3n<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>Categor\u00eda I: historia<\/em><\/td>\n<\/tr>\n<tr>\n<td>Disnea de reposo<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<\/tr>\n<tr>\n<td>Ortopnea<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<\/tr>\n<tr>\n<td>Disnea parox\u00edstica nocturna (DPN)<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td>Disnea caminando en el llano<\/td>\n<td style=\"text-align: center;\">2<\/td>\n<\/tr>\n<tr>\n<td>Disnea escalando<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>Categor\u00eda II: examen f\u00edsico<\/em><\/td>\n<\/tr>\n<tr>\n<td>Frecuencia cardiaca anormal (1 punto si presenta de 91 a 110 latidos por minuto; 2 puntos si presenta m\u00e1s de 110 latidos por minuto)<\/td>\n<td style=\"text-align: center;\">1 o 2<\/td>\n<\/tr>\n<tr>\n<td>Elevaci\u00f3n venosa yugular (2 puntos si es mayor de 6 cm H<sub>2<\/sub>O; 3 puntos si es mayor de 6 cm H<sub>2<\/sub>O m\u00e1s hepatomegalia o edema)<\/td>\n<td style=\"text-align: center;\">2 o 3<\/td>\n<\/tr>\n<tr>\n<td>Rales pulmonares (1 punto si son basales; 2 puntos si son m\u00e1s que basales)<\/td>\n<td style=\"text-align: center;\">1 o 2<\/td>\n<\/tr>\n<tr>\n<td>Sibilancias<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td>Tercer ruido card\u00edaco<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>Categoria III: radiograf\u00eda de t\u00f3rax<\/em><\/td>\n<\/tr>\n<tr>\n<td>Edema pulmonar alveolar<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<\/tr>\n<tr>\n<td>Edema pulmonar intersticial<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td>Derrame pleural bilateral<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td>\u00cdndice cardiotor\u00e1cico mayor de 0,50<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td>Redistribuci\u00f3n de flujo a las zonas superiores<\/td>\n<td style=\"text-align: center;\">2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>No m\u00e1s de 4 puntos se permiten en cada una de las tres categor\u00edas; por lo tanto el score total se compone (la suma del subtotal de cada categor\u00eda) tiene una m\u00e1xima posible 12 puntos. El diagn\u00f3stico de insuficiencia cardiaca es clasificada como \u00abdefinitiva\u00bb con un score de 8 a 12 puntos, \u00abposible\u00bb con un score de 5 a 7 puntos, e \u00abimprobable\u00bb con un score de 4 puntos o menos.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Marantz PR, Tobin JN, Wassertheil-Smoller S, Steingart RM, Wexler JP, Budner N, Lense L, Wachspress J. The relationship between left ventricular systolic function and congestive heart failure diagnosed by clinical criteria. Circulation. 1988 Mar;77(3):607-12.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3342491\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Remes J, Miettinen H, Reunanen A, Pyorala K. Validity of clinical diagnosis of heart failure in primary health care. Eur Heart J. 1991 Mar;12(3):315-21.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2040313\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Jul 17, 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>Los criterios Boston utilizan la informaci\u00f3n de la historia, el examen f\u00edsico y la radiograf\u00eda de t\u00f3rax para categorizar el diagn\u00f3stico de insuficiencia card\u00edaca.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","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":[1752,1183,1348,16,15,1136,674,901,673],"class_list":["post-79","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-boston","tag-cardiaco","tag-cardiology","tag-criteria","tag-criterios","tag-diagnosing","tag-failure","tag-fallo","tag-heart"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/79","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=79"}],"version-history":[{"count":7,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/79\/revisions"}],"predecessor-version":[{"id":9384,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/79\/revisions\/9384"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=79"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=79"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=79"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}