1. Ecografía pulmonar en cardiología: Una ventana para el edema pulmonar
- Author
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María Gabriela Cortez Montero, Elizabeth Hirschhaut Schor, and Carmen Julia Delgado Mosquera
- Subjects
business.industry ,Pleural effusion ,Diagnostico diferencial ,Interstitial pattern ,Acute respiratory distress ,030204 cardiovascular system & hematology ,medicine.disease ,Sindrome de ,03 medical and health sciences ,0302 clinical medicine ,Heart failure ,medicine ,030212 general & internal medicine ,business ,Nuclear medicine ,Ultrasound test - Abstract
espanolLa ecografia pulmonar es una tecnica que ha innovado la forma de hacer ultrasonido y cardiologia, basando su interpretacion en artefactos y modificando el abordaje diagnostico y terapeutico de pacientes con cardiopatia. El cardiologo puede hacer ecografia pulmonar con el transductor y ajustes de pantalla de la ecocardiografia y debe reconocer los 4 patrones ecograficos: patron de pulmon aireado/seco, pulmon humedo o intersticial, derrame pleural y consolidacion. El patron intersticial es la base de las aplicaciones de esta tecnica en el area cardiologica, que se resumen en 7 situaciones clinicas: diagnostico diferencial de disnea, sindrome de insuficiencia cardiaca, identificacion del distres respiratorio agudo, situaciones extremas como el edema de altura, buceo en apnea y el iron man, nefropatas en dialisis, sindrome coronario agudo y prueba de ecografia de estres alveolo-capilar. Se propone la realizacion de una ecografia cardiopulmonar como obligatoria y no opcional para el cardiologo. EnglishPulmonary Ultrasound, a technique that has innovated the way of doing ultrasound and cardiology, basing the interpretation of the image on artefacts and modifying the diagnostic and therapeutic approach of patients with heart disease. The cardiologist can perform pulmonary ultrasound with the transducer and echocardiography screen settings and must recognize the 4 ultrasound patterns: Aerated / Dry Lung Pattern, Wet or Interstitial Lung, Pleural Effusion and Consolidation. The Interstitial Pattern is the basis of the applications of this technique in the cardiological area, which are summarized in 7 clinical situations: differential diagnosis of dyspnea, heart failure syndrome, identification of acute respiratory distress, extreme situations such as high altitude edema, apnea diving and iron man, dialysis nephropaths, Acute coronary syndrome and alveolo-capillary stress ultrasound test. Cardiopulmonary ultrasound is proposed as mandatory and not optional for the cardiologist
- Published
- 2019