dra. jessica mirella mercedes fsisiac
TRANSCRIPT
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Complicaciones cardíacas por Covid-19Dra. Jessica Mirella Mercedes
FSISIAC
Cardiologa clínica y ecocardiografista
Master en Resonancia Cardiaca. Experto ECO 3D
Staff Hospital Nacional San Rafael, Hospital Nacional Rosales, ISSS MQ
Docente HMC
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Femenina de 52 años, sin antecedente de ECV, disnea hace dos días, fiebre tos una semana atrás, ECO: FEVI:40% hipocinesia difusa, derrame pericárdico sin signos de taponamiento.
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COVID-19 y shock cardiogénico: diferentes formas de presentación cardiovascular con alta mortalidad Rev Esp Cardiol. 2020. https://doi.org/10.1016/j.recesp.2020.04.018
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Caso 1 (A-B) Aortografía en paciente con ECMO,aorta y coronarias normalesCaso 2 (C-D) Ventriculografía , Takotsubo reversoCaso 3 (E-F) Coronariografía , oclusión CD segmento medio, colocación de StentCaso 4 (G-H) Angiotomografía de arterias pulmoares, TEP
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Masculino de 48 años, HTA estadio I no tratada, obesidad central, estrés, 14 días de prueba covid +No síntomas respiratorios, cefalea una semana previa al evento de dolor precordial
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Escenarios clínicos Covid
• Inestabilidad hemodinámica no justificada por COVID19 u otras comorbilidades
• Dolor toráxico sugestivo de isquémica /alteraciones de EKG/Sospecha de Miocarditis.
• Derrame pericárdico > moderado en TAC
• Clínica de IC/ cardiomegalia no conocida sin cardiopatía previa.
• Alta sospecha de EI
• Sospecha de TEP
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https://doi.org/doi:10.1016/j.medin.2020.04.016
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https://doi.org/10.1016/j.cjca.2020.05.018
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Conclusiones
• Los antecedentes cardiovasculares son frecuentes en pacientes con Covid-19 lo que supone mayor morbimortalidad.
• Los pacientes con Covid-19 pueden presentar daño en el sistema cardiovascular que puede presentarse como miocarditis, takotsubo, SCA, arritmias,shock cardiongénico, falla de VD por TEP u otros mecanismos.
• La ecocardiografía permite evaluar de manera no invasiva la función cardíaca en pacientes con Covid-19 y sospecha de disfunción miocárdica.