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Chaparro, David S. Grisales, David M. Montes, Juan P. Gutiérrez, Ana M. Valencia R" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Luis E." "apellidos" => "Chaparro" ] 1 => array:2 [ "nombre" => "David S." "apellidos" => "Grisales" ] 2 => array:2 [ "nombre" => "David M." "apellidos" => "Montes" ] 3 => array:2 [ "nombre" => "Juan P." "apellidos" => "Gutiérrez" ] 4 => array:2 [ "nombre" => "Ana M." "apellidos" => "Valencia R" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0120334710830060?idApp=UINPBA00004N" "url" => "/01203347/0000003800000003/v2_201302061628/S0120334710830060/v2_201302061628/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">INVESTIGACIÓN CIENTÍFICA Y TECNOLÓGICA</span>" "titulo" => "Paciente embarazada con enfermedad cardiaca<a class="elsevierStyleCrossRef" href="#fn0005">*</a>: Manejo periparto basado en la estratificación del riesgo. Serie de casos 2005–2009" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "348" "paginaFinal" => "360" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Germán A. Monsalve, Catalina M. Martínez, Tatiana Gallo, María Virginia González, Gonzalo Arango, Alejandro Upegui, Juan Manuel Castillo, Juan Guillermo González, Jorge Rubio, Leonardo Mojica" "autores" => array:10 [ 0 => array:4 [ "nombre" => "Germán A." "apellidos" => "Monsalve" "email" => array:1 [ 0 => "gerafomejia@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "**" "identificador" => "af0010" ] ] ] 1 => array:3 [ "nombre" => "Catalina M." "apellidos" => "Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] 2 => array:3 [ "nombre" => "Tatiana" "apellidos" => "Gallo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] 3 => array:3 [ "nombre" => "María Virginia" "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] 4 => array:3 [ "nombre" => "Gonzalo" "apellidos" => "Arango" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] 5 => array:3 [ "nombre" => "Alejandro" "apellidos" => "Upegui" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] 6 => array:3 [ "nombre" => "Juan Manuel" "apellidos" => "Castillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] 7 => array:3 [ "nombre" => "Juan Guillermo" "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] 8 => array:3 [ "nombre" => "Jorge" "apellidos" => "Rubio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "****" "identificador" => "af0020" ] ] ] 9 => array:3 [ "nombre" => "Leonardo" "apellidos" => "Mojica" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*****" "identificador" => "af0025" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Médico Anestesiólogo, Coordinador Unidad de Alta Dependencia Obstétrica Clínica del Prado. Medellín, Colombia." "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "af0010" ] 1 => array:3 [ "entidad" => "Anestesiólogos Unidad de Alta Dependencia Obstétrica Clínica del Prado. Medellín, Colombia." "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "af0015" ] 2 => array:3 [ "entidad" => "Anestesiólogo cardiovascular Unidad de Alta dependencia Obstétrica Clínica del Prado. Medellín, Colombia." "etiqueta" => "****" "identificador" => "af0020" ] 3 => array:3 [ "entidad" => "Anestesiólogo intensivista Unidad de Alta dependencia Obstétrica Clínica del Prado. Medellín, Colombia." "etiqueta" => "*****" "identificador" => "af0025" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:2 [ "titulo" => "Pregnant patient with cardiac diseases<a class="elsevierStyleCrossRef" href="#fn0005">*</a>" "subtitulo" => "Risk based peripartum management. Case series 2005–2009" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-05-29" "fechaAceptado" => "2010-07-14" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec17597" "palabras" => array:4 [ 0 => "Cardiopatía" 1 => "complicaciones del embarazo" 2 => "riesgo" 3 => "anestesia (Fuente: DeCS, BIREME)" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec17598" "palabras" => array:4 [ 0 => "Heart diseases" 1 => "pregnancy complications" 2 => "risk" 3 => "anesthesia (Source: MeSH, NLM)" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "RESUMEN" "resumen" => "<span class="elsevierStyleSectionTitle" id="st0010">Objetivo</span><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Reportamos nuestra experiencia en el manejo de una serie de pacientes obstétricas con enfermedad cardiaca de diferentes etiologías, utilizando una estrategia de estratificación del riesgo, para elaborar un plan de manejo periparto en el que está incluido el manejo anestésico.</p> <span class="elsevierStyleSectionTitle" id="st0015">Métodos</span><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Serie de casos. Revisión retrospectiva de 37 pacientes embarazadas con diagnóstico de enfermedad cardiaca de diferentes etiologías, ingresadas a la Unidad de Alta Dependencia Obstétrica de la Clínica del Prado, de Medellín, Colombia entre 2005 y 2009.</p> <span class="elsevierStyleSectionTitle" id="st0020">Resultados</span><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Del total de 37 pacientes, 15 presentaron enfermedad cardiaca congénita; 13, enfermedad cardiaca valvular; 5, cardiomiopatía periparto, y las 4 restantes, trastornos del ritmo y enfermedad isquémica. Se estratificó el riesgo según la clasificación de lesiones anatómicas y el riesgo de eventos cardiacos basados en el CARPREG. Se identificaron ocho pacientes en el grupo de alto riesgo y el resto, en riesgo intermedio y bajo. La mayor parte de las pacientes fueron manejadas con técnicas anestésicas conductivas (89,2 %). La decisión de cesárea (35 %) se dio por indicación obstétrica. Se presentaron complicaciones maternas de origen cardiovascular en el 10,8 % de los casos. No se presentaron muertes maternas.</p> <span class="elsevierStyleSectionTitle" id="st0025">Conclusión</span><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">La implementación de un protocolo de estratificación del riesgo de muerte y de la aparición de complicaciones cardiovasculares en la paciente embarazada con cardiopatía le permite al anestesiólogo hacer parte integral del grupo interdisciplinario de manejo y, así, tener impacto en la obtención de un mejor resultado materno y perinatal en este grupo de pacientes.</p>" ] "en" => array:2 [ "titulo" => "SUMMARY" "resumen" => "<span class="elsevierStyleSectionTitle" id="st0035">Objetive</span><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">We report a series of obstetric patients with a wide range of cardiac diseases, using a risk based strategy to develop peripartum plans in which the anesthetic management is included.</p> <span class="elsevierStyleSectionTitle" id="st0040">Methodos</span><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Case reports. Retrospective analysis of 37 pregnant patients with a wide range of cardiac diseases admitted to the High Dependency Unit of Clínica del Prado, in Medellín, Colombia from 2005 to 2009.</p> <span class="elsevierStyleSectionTitle" id="st0045">Results</span><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">From a total of 37 patients, 15 had congenital heart disease, 13 valvular disease, 5 postpartum cardiomyopathy, and the other 4 included rhythm abnormalities and ischemic heart disease. CARPREG study criteria were used for risk stratification. Eight patients were identified in the high risk group, and the rest as intermedíate and low risk. Most of the patients had regional anesthesia management (89.2 %). The decision for caesarean section was decided for obstetric indication was performed in 35 % of the cases. There were cardiac complications in 10.8 % of the cases and there were no maternal deaths.</p> <span class="elsevierStyleSectionTitle" id="st0050">Conclusions</span><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">The application of a morbidity and mortality cardiac risk stratification protocol in pregnant women allows the anesthesiologist to participate in a multispecialty treatment team, and so they are able to achieve the best possible maternal outcome in this group of patients.</p>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0065">REFERENCES</span>" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Khairy" 1 => "D.W. Ouyang" 2 => "S.M. Fernandes" 3 => "A. Lee-Parritz" 4 => "K.E. Economy" 5 => "M.J. Landzberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/CIRCULATIONAHA.105.589655" "Revista" => array:7 [ "tituloSerie" => "Circulation" "fecha" => "2006" "volumen" => "113" "numero" => "4" "paginaInicial" => "517" "paginaFinal" => "524" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16449731" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bb0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R.O. Bonow" 1 => "B.A. Carabello" 2 => "K. Chatterjee" 3 => "A.C. de Leon Jr." 4 => "D.P. 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año/Mes | Html | Total | |
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2024 Octubre | 1 | 0 | 1 |
2024 Septiembre | 9 | 3 | 12 |
2024 Agosto | 9 | 6 | 15 |
2024 Julio | 4 | 8 | 12 |
2024 Junio | 6 | 6 | 12 |
2024 Mayo | 9 | 4 | 13 |
2024 Abril | 4 | 4 | 8 |
2024 Marzo | 8 | 8 | 16 |
2024 Febrero | 4 | 9 | 13 |
2024 Enero | 8 | 2 | 10 |
2023 Diciembre | 8 | 8 | 16 |
2023 Noviembre | 4 | 6 | 10 |
2023 Octubre | 5 | 11 | 16 |
2023 Septiembre | 5 | 3 | 8 |
2023 Agosto | 5 | 4 | 9 |
2023 Julio | 4 | 4 | 8 |
2023 Junio | 3 | 4 | 7 |
2023 Mayo | 5 | 1 | 6 |
2023 Abril | 4 | 3 | 7 |
2023 Marzo | 1 | 3 | 4 |
2023 Febrero | 3 | 1 | 4 |
2023 Enero | 2 | 4 | 6 |
2022 Diciembre | 3 | 2 | 5 |
2022 Noviembre | 12 | 5 | 17 |
2022 Octubre | 5 | 5 | 10 |
2022 Septiembre | 6 | 8 | 14 |
2022 Agosto | 7 | 7 | 14 |
2022 Julio | 4 | 6 | 10 |
2022 Junio | 7 | 6 | 13 |
2022 Mayo | 7 | 3 | 10 |
2022 Abril | 5 | 8 | 13 |
2022 Marzo | 7 | 11 | 18 |
2022 Febrero | 7 | 4 | 11 |
2022 Enero | 5 | 4 | 9 |
2021 Diciembre | 5 | 8 | 13 |
2021 Noviembre | 5 | 8 | 13 |
2021 Octubre | 6 | 6 | 12 |
2021 Septiembre | 2 | 8 | 10 |
2021 Agosto | 4 | 7 | 11 |
2021 Julio | 3 | 6 | 9 |
2021 Junio | 3 | 6 | 9 |
2021 Mayo | 4 | 4 | 8 |
2021 Abril | 9 | 11 | 20 |
2021 Marzo | 5 | 7 | 12 |
2021 Febrero | 2 | 9 | 11 |
2021 Enero | 2 | 4 | 6 |
2020 Diciembre | 2 | 0 | 2 |
2020 Noviembre | 1 | 4 | 5 |
2020 Octubre | 0 | 2 | 2 |
2020 Septiembre | 3 | 1 | 4 |
2020 Agosto | 2 | 2 | 4 |
2020 Julio | 5 | 1 | 6 |
2020 Junio | 2 | 1 | 3 |
2020 Mayo | 0 | 0 | 0 |
2020 Abril | 2 | 1 | 3 |
2020 Marzo | 1 | 1 | 2 |
2020 Febrero | 1 | 3 | 4 |
2020 Enero | 0 | 0 | 0 |
2019 Diciembre | 2 | 5 | 7 |
2019 Noviembre | 1 | 2 | 3 |
2019 Octubre | 1 | 3 | 4 |
2019 Julio | 2 | 3 | 5 |
2019 Junio | 0 | 1 | 1 |
2019 Mayo | 0 | 17 | 17 |
2019 Abril | 1 | 0 | 1 |
2019 Enero | 1 | 0 | 1 |
2018 Noviembre | 1 | 0 | 1 |
2018 Octubre | 1 | 0 | 1 |
2018 Septiembre | 1 | 0 | 1 |
2018 Junio | 4 | 2 | 6 |
2018 Mayo | 32 | 6 | 38 |
2018 Abril | 27 | 6 | 33 |
2018 Marzo | 14 | 7 | 21 |
2018 Febrero | 13 | 5 | 18 |
2018 Enero | 15 | 4 | 19 |
2017 Diciembre | 26 | 6 | 32 |
2017 Noviembre | 19 | 4 | 23 |
2017 Octubre | 26 | 8 | 34 |
2017 Septiembre | 22 | 6 | 28 |
2017 Agosto | 15 | 4 | 19 |
2017 Julio | 21 | 6 | 27 |
2017 Junio | 24 | 1 | 25 |
2017 Mayo | 36 | 8 | 44 |
2017 Abril | 16 | 33 | 49 |
2017 Marzo | 10 | 2 | 12 |
2017 Febrero | 9 | 5 | 14 |
2017 Enero | 12 | 6 | 18 |
2016 Diciembre | 43 | 11 | 54 |
2016 Noviembre | 30 | 4 | 34 |
2016 Octubre | 46 | 8 | 54 |
2016 Septiembre | 46 | 6 | 52 |
2016 Agosto | 36 | 5 | 41 |
2016 Julio | 18 | 4 | 22 |
2015 Diciembre | 3 | 18 | 21 |
2015 Noviembre | 5 | 8 | 13 |
2015 Octubre | 10 | 11 | 21 |
2015 Septiembre | 9 | 12 | 21 |
2015 Agosto | 12 | 7 | 19 |
2015 Julio | 11 | 8 | 19 |
2015 Junio | 7 | 4 | 11 |
2015 Mayo | 13 | 8 | 21 |
2015 Abril | 8 | 9 | 17 |
2015 Marzo | 15 | 12 | 27 |
2015 Febrero | 19 | 8 | 27 |
2015 Enero | 6 | 29 | 35 |
2014 Diciembre | 16 | 14 | 30 |
2014 Noviembre | 8 | 8 | 16 |
2014 Octubre | 16 | 17 | 33 |
2014 Septiembre | 10 | 16 | 26 |
2014 Agosto | 8 | 12 | 20 |
2014 Julio | 18 | 22 | 40 |
2014 Junio | 17 | 12 | 29 |
2014 Mayo | 13 | 16 | 29 |
2014 Abril | 8 | 11 | 19 |
2014 Marzo | 20 | 15 | 35 |
2014 Febrero | 13 | 16 | 29 |
2014 Enero | 13 | 8 | 21 |
2013 Diciembre | 15 | 7 | 22 |
2013 Noviembre | 11 | 6 | 17 |
2013 Octubre | 18 | 10 | 28 |
2013 Septiembre | 22 | 15 | 37 |
2013 Agosto | 21 | 10 | 31 |
2013 Julio | 17 | 19 | 36 |
2013 Junio | 9 | 18 | 27 |
2013 Mayo | 11 | 11 | 22 |
2013 Abril | 10 | 16 | 26 |
2013 Marzo | 7 | 10 | 17 |
2013 Febrero | 8 | 13 | 21 |
2013 Enero | 4 | 18 | 22 |
2012 Diciembre | 7 | 8 | 15 |
2012 Noviembre | 5 | 12 | 17 |
2012 Octubre | 0 | 4 | 4 |
2012 Septiembre | 17 | 0 | 17 |