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Acta Médica Grupo Ángeles
Article . 2017 . Peer-reviewed
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Enfoque diagnóstico de la tromboembolia pulmonar

Authors: Limberth Machado Villarroel; Diamanti Abraham Dimakis Ramírez;

Enfoque diagnóstico de la tromboembolia pulmonar

Abstract

El embolismo pulmonar es una patologia de presentacion frecuente asociada a tasas de mortalidad elevadas; se caracteriza clinicamente por signos y sintomas altamente inespecificos. Para su diagnostico se cuenta con distintas modalidades, que comprenden escalas de prediccion clinica (Wells y Ginebra modificadas), dimero-D, angiografia pulmonar por tomografia computarizada, angiografia por resonancia magnetica, rayos X, gammagrafia pulmonar de ventilacion/perfusion, tomografia computarizada helicoidal, electrocardiograma, ecocardiograma y ecografia venosa. Anteriormente, otras pruebas -tales como la pletismografia de impedancia y la flebografia- resultaban de utilidad en el protocolo diagnostico de la trombosis venosa profunda y, por ende, del embolismo pulmonar; empero, han sido desplazadas por tecnicas que poseen mayor sensibilidad y especificidad. En fechas recientes se han desarrollado multiples pruebas de laboratorio que cuantifican marcadores biologicos utiles en el diagnostico del embolismo pulmonar, asi como factores pronosticos; entre ellos estan el peptido natriuretico cerebral, proteina cardiaca de union a los acidos grasos, lipocalina asociada con la gelatinasa de los neutrofilos y cistatina C

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
bronze