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INFARTO

(IAM)

Integrantes: Nancy Pea V.

URGEN

CIAS

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ANATOMIA

YFISIOLOGIADEL

CORAZON

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ELCORAZON

Es n !rgan" #sc$"s" %ec"cya &nc'!n es ("#(earsangre a$ "rgan's#". Se s't)aen $a *arte 'n&er'"r +e$

#e+'ast'n" #e+'".

Este se +','+e

*r'nc'*a$#ente encatr" *artesar-c$a y ,entr-c$"+erec%" ar-c$a y

,entr-c$" '/0'er+".

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CAPAS DEL CORAZON

Per'car+'": Es naes*ec'e +e sac" "("$sa #y

res'stente 0ere+ce $a &r'cc'!nentre e$ c"ra/!n y$"s !rgan"s 0e $"r"+ean.

E*'car+'":Es $aca*a ,'scera$0e r"+ea $a

s*er2c'e +e$

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M'"car+'": Es $a ca*a #e+'a y $a#3s gresa +e $a *are+ car+-aca.

Es e$ )n'c" #)sc$" +e$ c"ra/!n yc"nt'ene 2(ras ner,'"sas 0eay+an a ("#(ear $a sangre#e+'ante c"ntracc'!n at"#3t'ca.

En+"car+'": Es $a ca*a #3s 'nterna4est3 &"r#a+a *"r na #e#(rana $'say *er#'te 0e $a sangre 5ya

&3c'$#ente a tra,6s +e $as catr"ca,'+a+es +e$ c"ra/!n.

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CAVIDADES DELCORAZON

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V7LV8LASCARDIACAS

Se encentran en $"s c"n+ct"s +e sa$'+a+e $as catr" ca,'+a+es +e$ c"ra/!n+"n+e c#*$en $a &nc'!n +e '#*e+'r 0e$a sangre 5ya en +'recc'!n c"ntrar'a.

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CICLO CARDIACO

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F8NCIONES DELCORAZON

L$e,a sangre "9'gena+a a t"+" e$cer*".

Esta ca*ac'ta+" *ara a+a*tarse

r3*'+a#ente a $"s ca#('"s +e*res'!n +e$ +-a.

Se encarga +e rec"$ectar $a sangre0 n" esta

"9'gena+a y $a $$e,a a $"s *$#"nes*ara "9'genar$a.

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PROPIEDADES DEL M8SC8LOCARDIACO

R't#'c'+a+: Natra$e/a r-t#'ca +e $a c"ntracc'!n+e$ #)sc$" car+-ac" es na *r"*'e+a+'n%erente a este te'+" 0e se generaes*"nt3nea#ente y s'n $a 'nter,enc'!n+e$ s'ste#a ner,'"s".

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C"ntract'('$'+a+:N" es s'e#*re 's"t!n'ca en c'ertasc"n+'c'"nes *"r ra/"nes #ec3n'cas$as 2(ras n" *e+en ac"rtarse y s"$"se 'ncre#enta s tens'!n.

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Re&ractar'e+a+

: Esta*r"*'e+a+ esc"#)n a t"+as

$as c6$$ascar+'acas yc"ns'ste en0e tras na

e9c'tac'!ne9'ste n'nter,a$" +et'e#*" en e$0e $a 2(ra es

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#a +e c"n+cc'!n e$6ctr'ca +e$ c"r

E$ s'ste#a +e c"n+cc'!n e$6ctr'ca+e$ c"ra/!n *er#'te 0e e$ '#*$s"genera+" en e$ n"+" s'nsa$ ;SA< sea

*r"*aga+" y est'#$e a$ #'"car+'";e$ #)sc$" car+-ac"

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I.A.M

In&art" ag+" a$#'"car+'".

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De2n'c'!n:

Es can+" na *arte+e$ c"ra/!n n"

rec'(e e$ s2c'ente"9'gen" *ara *"+er&nc'"nar.

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Ta#('6n se *e+etener n 'n&art"

car+'ac" s' e$c"ra/!n neces'ta#3s "9-gen" +e $"

n"r#a$ ya sea*"r0e estarea$'/an+" n

eerc'c'" 'ntens"

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Ta#('6n es $a (rsca+'s#'nc'!n +e$ r'eg"sang-ne" en na

*arte +e$ c"ra/!n*r"+c'+" *"r $a"(strcc'!n +e naarter'a c"r"nar'a.

Frecente#ente esta"c$s'!n +e $a arter'a

c"r"nar'a se *r"+ce*"r na *$aca +eater"#a 0e se 2sra;agr'eta

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La /"na +e$ #)sc$"a&ecta+a +e*en+e +earter'a "(str'+a anten 'n&art" s' $a atenc'!n

#e+'ca es r3*'+a y e$trata#'ent" a+eca+" e$#)sc$" se *e+erec*erar. T"+" ,a a

+e*en+er +e$ t'e#*" +e

8('cac'!n +e $"sIAM.

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C$as'2cac'!n +e$IAM

T'*" =: IAMes*"ntane" casa+"*"r 's0e#'a

secn+ar'a a er"s'!n2sra " +'secc'!n +e*$aca en arter'a

c"r"nar'a.

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T'*" >: IAM casa+"*"r 's0e#'a +e('+"an a#ent" +e $a

+e#an+a +e"9'genac'!n "+'s#'nc'!n +e $a+e#an+a secn+ar'a a

n es*as#" +e arter'ac"r"nar'a ane#'aarr't#'a %'*ertens'!n "%'*"tens'!n.

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T'*" ?: #ertecar+'aca s)('tac"n s-nt"#as

sgest',"s +e's0e#'a#'"c3r+'caas"c'a+a c"n

s*ra +esn',e$ ST" ne," ($"0e+e ra#a'/0'er+a s'n

+'s*"n'('$'+a+ +e

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T'*" @: 'n&art" a$#'"car+'"

secn+ar'" aang'"*$ast'a'ntra$#'na$

c"r"nar'a.

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S'gn" y s-nt"#as+e IAM:

D"$"r t"r3c'c".

D'2c$tas *arares*'rar.Mare"s.V!#'t"s.

S+"rac'!n.Des&a$$ec'#'ent".

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GNSTICO INFARTO AG8DO MIOCARDI

E$ +'agn!st'c" +e n IAM +e(e&"r#$arse 'ntegran+" as*ect"sc$-n'c"s +e $a en&er#e+a+ acta$ +e$

'n+','+" y n e9a#en &-s'c" 'nc$'+"n e$ectr"car+'"gra#a y *re(as +e$a("rat"r'" 0e 'n+'0en $a *resenc'a" asenc'a +e +a" ce$$ar +e

$as 2(ras #sc$ares.

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P"r esta ra/!n $a se#'"$"g-a 0e e$

c$-n'c" +e(e a*$'car ante $a *resenc'a+e n +"$"r *rec"r+'a$ ;*"r sscaracter-st'cas y *"r s +rac'!n< +e(e"($'gar$" a *r"*"ner e$ +'agn!st'c" +e

'n&art" ag+" +e$ #'"car+'" ;IAM

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CRITERIOS DE DIAGNSTICO

L"s cr'ter'"s +e $a Organ'/ac'!n

Mn+'a$ +e $a Sa$+ ;OMS< s"n $"s0e c$3s'ca#ente se san en e$+'agn!st'c" +e n 'n&art" +e#'"car+'".8n *ac'ente rec'(e e$ +'agn!st'c"*r"(a($e +e 'n&art" s' *resenta +"s+e $"s s'g'entes cr'ter'"s y e$

+'agn!st'c" ser3 +e2n't'," s'

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=. 'st"r'a c$-n'ca+e +"$"r +e *ec%"'s06#'c" 0e +re*"r #3s +e ?#'nt"s.

>. Ca#('"se$ectr"car+'"gr32c"s en na ser'e +etra/"s.

?.Incre#ent" "ca-+a +e('"#arca+"ress6r'c"s ta$es c"#"

$a creat'na 0'nasa

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D'agn!st'c" +'&erenc'a$

D'secc'!n a!rt'caPer'car+'t'sD'gest',": es!&ag" g3str'c" ('$'arP$#"nar: ne#"t!ra9 TEP ne#"n-aPare+ T"r3c'ca:S+. T'et/e nera$g'aPs'0'3tr'c": C"n,ers'," s"#at"#"r&" &act

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E9a#en &-s'c"

La a*ar'enc'a genera$ +e $"s*ac'entes c"n 'n&art" +e #'"car+'",ar-a +e acer+" a $"s s-nt"#as.

Se *e+e ,er *ac'entes c!#"+"s "*ac'entes ag'ta+"s c"nna Frecenc'a res*'rat"r'aa#enta+a.

Es &recente ,er n c"$"r +e *'e$*3$'+a $" 0esg'ere ,as"c"nstr'cc'!n .

A$gn"s *ac'entes *e+en tener

na 2e(re $e,e ;?JK? C

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E$ectr"car+'"gra#a

S' na *ers"na s&re s-nt"#asc"#*at'($es c"n n 'n&art" se $e %ar3n ECG 'nc$s" en $a a#($anc'a 0e$e tras$a+e.

De %ec%" estar3 n'+" a n #"n't"r+e ECG +rante t"+" e$ t'e#*" 0eest6 en e$ "s*'ta$ a$ #en"s s' se

'ngresa en $a sa$a +e+'ca+a a $"sen&er#"s gra,es +e$ c"ra/!n " n'+a+c"r"nar'a.

Se +e(e rea$'/ar #3s +e n ECG en

*"cas %"ras +a+" 0e en $as

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Ang'"gra&-a

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Ang'"gra&-a

Se 'ntr"+ce n cat6ter en na arter'a

*"r $" genera$ $a arter'a &e#"ra$ y see#*a %asta $$egar a $as arter'as 0e'rr'gan a$ c"ra/!n.

Se a+#'n'stra $eg" n c"ntraste

ra+'""*ac" y se t"#a na secenc'a+e ra+'"gra&-as ;5"r"sc"*'a

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Est+'"s 's"t!*'c"s "cateter's#" car+-ac";c"r"nar'" gra&-aH. 8+s y $eg" na +"s's +e#anten'#'ent" +e =. 8+s%"raca+a >@ %"ras.

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C'+a+"s 'n#e+'at"s

Can+" a*are/can s-nt"#as +e n'n&art" +e #'"car+'" $a #ay"r-a +e$"s *ac'entes es*eran en *r"#e+'"

tres %"ras en ,e/ +e *r"ce+er +e$a #anera rec"#en+a+a: %acerna $$a#a+a +e a9'$'" +e'n#e+'at".

E$$" *re,'ene +a"s s"sten'+"s a$c"ra/!n +'c%" +e #"+" +ee9*res'!n: t'e#*" *er+'+" es

#)sc$" *er+'+"Q.

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O9-gen". Ana$g6s'c"s

Ant'agregantes *$a0etar'"s. S"n #e+'ca#ent"s 0e '#*'+en $aagregac'!n *$a0etar'a en $a&"r#ac'!n +e$ tr"#(". L"s #3s

e#*$ea+"s s"n e$ as*'r'na.

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N'trat"s. L"s +er',a+"s +e $an'tr"g$'cer'na act)an +'s#'nyen+" e$

tra(a" +e$ c"ra/!n y *"r tant" ssneces'+a+es +e "9-gen".

eta($"0eantes. Act)an ($"0ean+"#c%"s e&ect"s +e $a a+rena$'na en e$

cer*" en *art'c$ar e$ e&ect"

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D'g't3$'c"s. L"s #e+'ca#ent"s+er',a+"s +e $a +'g'ta$ c"#"$a +'g"9'na act)an est'#$an+" a$c"ra/!n *ara 0e ("#(ee #3s

sangre. L"s ca$c'" antag"n'stas "($"0ea+"res +e $"s cana$es +e$ca$c'" '#*'+en $a entra+a +e ca$c'"

en $as c6$$as +e$ #'"car+'". Est"

C S S

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CA8SAS DEIAM

Ater"sc$er"s's

Es*as#" c"r"nar'"

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E#("$'a

D'secc'!n +e naarter'a c"r"nar'a

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Tra#at's#" enc6&a$" cranean"s

O(strcc'!n ,-a a6rea

Acc'+entes *"r 'n#ers'!n

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e#"rrag'as se,eras

E$ectr"cc'!n

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CTOR DE RIESGO Y PREVENCI

Ta(a0's#"

O(es'+a+'*ertens'!n arter'a$D'a(etes

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ROL DEL TENS

g)n 'n+'cac'!n #6+'ca+e en&er#era

Pre*arac'!n +e#e+'ca#ent"s *ara$a atenc'!n +e

rgenc'a +e$

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"9'gen"tera*'a

A*"y" *s'c"$!g'c" a$ *ac'e

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#e+'+as +e c"n&"rt

seg)n $a c"n+'c'!n +eca+a *ac'ente