Curva De Troponina Pdf Free


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Pero,adems,,y,de,forma,fundamental,,se,establece,que,cada,ensayo,debe,demostrar,una,precisin,analtica,que,se,constituye,como,un,coeficiente,de,variacin,abardajicomt.es.,APLICACIN,,DE,,LAS,,TROPONINAS,,PARA,,EL,,DIAGNSTICO,,DE,,INFARTO.,,En,,,general,,,,la,,,historia,,,clnica,,,,la,,,exploracin,,,fsica,,,,el,,,electrocardiograma,,,(ECG),,,y,,,diferentes,,,biomarcadores,,,son,,,suficientes,,,para,,,establecer,,,de,,,forma,,,precisa,,,esta,,,estratificacin.,,,Sin,,,embargo,,,,aproximadamente,,,la,,,mitad,,,de,,,los,,,pacientes,,,que,,,tienen,,,un,,,SCA,,,y,,,no,,,presentan,,,criterios,,,de,,,infarto,,,,tienen,,,elevaciones,,,de,,,la,,,troponina,,,que,,,indican,,,necrosis,,,miocrdica3,,,(tabla,,,2).,,,Sin,,embargo,,,la,,expresin,,de,,estas,,protenas,,en,,tejidos,,diferentes,,del,,miocardio,,condiciona,,su,,utilidad.,,e52a6f0149,,,..,,,La,,,severidad,,,de,,,la,,,oclusin,,,determina,,,,en,,,parte,,,,que,,,el,,,miocardio,,,perfundido,,,presente,,,tan,,,slo,,,un,,,proceso,,,de,,,isquemia,,,,si,,,se,,,preserva,,,o,,,se,,,recupera,,,la,,,perfusin,,,,o,,,se,,,transforme,,,en,,,necrtico,,,si,,,la,,,hipoxia,,,es,,,prolongada.,,,A,,pesar,,de,,estas,,ventajas,,sobre,,la,,CK-MB,,,las,,cinticas,,de,,liberacin,,y,,deteccin,,en,,la,,sangre,,perifrica,,son,,bastante,,similares,,y,,es,,necesario,,que,,transcurran,,entre,,6,,y,,9,,h,,tras,,el,,inicio,,de,,los,,sntomas,,para,,que,,se,,eleven,,en,,caso,,de,,necrosis,,miocrdica1.,,Your,browser,doesn't,accept,cookies.,Se,,,establece,,,que,,,el,,,lmite,,,para,,,el,,,diagnstico,,,de,,,infarto,,,es,,,el,,,que,,,supera,,,el,,,valor,,,del,,,percentil,,,99,,,que,,,se,,,instaura,,,segn,,,una,,,poblacin,,,de,,,referencia.,,,

1.,LAS,,,TROPONINAS,,,COMO,,,MTODO,,,PARA,,,DETECTAR,,,LESIN,,,MIOCRDICA.,,,En,,este,,sentido,,,la,,utilidad,,de,,las,,troponinas,,radica,,en,,su,,gran,,cardioespecificidad2.,,Este,,,hecho,,,es,,,uno,,,de,,,los,,,que,,,han,,,llevado,,,a,,,modificar,,,los,,,criterios,,,diagnsticos,,,de,,,infarto,,,de,,,miocardio,,,adoptados,,,por,,,la,,,European,,,Society,,,of,,,Cardiology,,,y,,,el,,,American,,,College,,,of,,,Cardiology,,,,que,,,recomiendan,,,reemplazar,,,la,,,CK,,,por,,,las,,,troponinas,,,como,,,mtodo,,,de,,,eleccin,,,para,,,el,,,diagnstico,,,de,,,necrosis,,,miocrdica4.,,,Some,suggestions:,Go,back,to,the,last,page,Go,to,the,home,page,..,1).,,,La,,,necrosis,,,miocrdica,,,se,,,asocia,,,con,,,la,,,disrupcin,,,de,,,la,,,membrana,,,y,,,la,,,liberacin,,,de,,,protenas,,,,que,,,pueden,,,ser,,,determinadas,,,en,,,la,,,circulacin,,,perifrica.,,,Debido,,a,,esta,,gran,,especificidad,,tisular,,,el,,lmite,,de,,referencia,,para,,determinar,,su,,elevacin,,est,,muy,,cercano,,al,,mnimo,,valor,,de,,deteccin,,de,,cada,,ensayo,,,lo,,cual,,permite,,establecer,,con,,bastante,,precisin,,pequeas,,elevaciones,,del,,mnimo,,nivel,,de,,ruido,,presente,,en,,la,,sangre,,perifrica,,en,,situaciones,,normales.,,Las,,,troponinas,,,han,,,reemplazado,,,a,,,la,,,isoenzima,,,MB,,,de,,,la,,,creatincinasa,,,(CK-MB),,,como,,,marcador,,,biolgico,,,de,,,preferencia,,,para,,,el,,,diagnstico,,,de,,,infarto,,,de,,,miocardio.,,,

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