{"id":91,"date":"2009-02-28T15:24:04","date_gmt":"2009-02-28T15:24:04","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carmia\/"},"modified":"2025-05-14T19:11:58","modified_gmt":"2025-05-14T19:11:58","slug":"carmia","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/carmia\/","title":{"rendered":"Nuevos Criterios Diagn\u00f3stico para Infarto de Miocardio (IM)"},"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<div class=\"Section1\">\n<p style=\"font-weight: 400;\"><strong>Criterios de IM agudo, en evoluci\u00f3n o reciente<\/strong><\/p>\n<p style=\"font-weight: 400;\">Cualquiera de los 2 criterios siguientes:<\/p>\n<p style=\"font-weight: 400;\">1- Aumento caracter\u00edstico y disminuci\u00f3n progresiva (troponina) o aumento y disminuci\u00f3n m\u00e1s r\u00e1pida (CK-MB masa) de marcadores biol\u00f3gicos de necrosis mioc\u00e1rdica, acompa\u00f1ados de al menos uno de los siguientes:<\/p>\n<p><!--more--><\/p>\n<ol style=\"list-style-type: lower-alpha;\">\n<li style=\"font-weight: 400;\">S\u00edntomas isqu\u00e9micos;<\/li>\n<li style=\"font-weight: 400;\">Aparici\u00f3n de ondas Q de necrosis en el electrocardiograma (ECG);<\/li>\n<li style=\"font-weight: 400;\">Cambios en el ECG sugestivos de isquemia (elevaci\u00f3n o depresi\u00f3n del segmento ST); o<\/li>\n<li style=\"font-weight: 400;\">Intervenci\u00f3n coronaria (por ej. angioplastia coronaria)<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">2- Hallazgos anatomopatol\u00f3gicos de IM agudo.<\/p>\n<p style=\"font-weight: 400;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios de IM establecido (o antiguo)<\/strong><\/p>\n<p style=\"font-weight: 400;\">Cualquiera de los 2 criterios siguientes:<\/p>\n<p style=\"font-weight: 400;\">1- Aparici\u00f3n de nuevas ondas Q patol\u00f3gicas en ECG seriados. El paciente puede o no recordar s\u00edntomas previos. Los marcadores bioqu\u00edmicos de necrosis mioc\u00e1rdica pueden haberse normalizado, dependiendo del tiempo transcurrido desde el proceso agudo.<\/p>\n<p style=\"font-weight: 400;\">2- Hallazgos anatomopatol\u00f3gicos de IM cicatrizado o en proceso de cicatrizaci\u00f3n.<\/p>\n<p class=\"MsoNormal\"><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda::<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Joint European Society of Cardiology\/American College of Cardiology Committee.. Myocardial infarction redefined. A consensus document of the Joint European Society of Cardiology\/American College of Cardiology Committee for the redefinition of myocardial infarction. Eur Heart J 2000; 21: 1502-1513\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10973764\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Ferguson JL, Beckett GJ, Stoddart M, Walker SW, Fox KA. Myocardial infarction redefined: the new ACC\/ESC definition, based on cardiac troponin, increases the apparent incidence of infarction. Heart 2002 Oct;88(4):343-7\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12231588\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Lopez-Sendon J, Lopez De Sa E. New diagnostic criteria for myocardial infarction: order in chaos. Rev Esp Cardiol 2001 Jun;54(6):669-74\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11412770\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Ene 16, 2007<\/p>\n<\/div>\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>Criterios de IM agudo, en evoluci\u00f3n o reciente Cualquiera de los 2 criterios siguientes: 1- Aumento caracter\u00edstico y disminuci\u00f3n progresiva (troponina) o aumento y disminuci\u00f3n m\u00e1s r\u00e1pida (CK-MB masa) de marcadores biol\u00f3gicos de necrosis mioc\u00e1rdica, acompa\u00f1ados de al menos uno de los siguientes:<\/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":[1348,16,15,14,351,350,349,347,346,292,291],"class_list":["post-91","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-cardiology","tag-criteria","tag-criterios","tag-diagnostic","tag-iam","tag-infarction","tag-infarto","tag-miocardio","tag-myocardial","tag-new","tag-nuevos"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/91","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=91"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/91\/revisions"}],"predecessor-version":[{"id":9106,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/91\/revisions\/9106"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=91"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=91"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=91"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}