Isquemia arterial aguda

  1. Conejero, A. Martín
  2. García, A. Galindo
  3. Ducajú, G. Moñux
  4. López, I. Martínez
  5. Hervás, L. Sánchez
  6. Hernando, F.J. Serrano
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2017

Issue Title: Enfermedades cardiológicas (VII) Enfermedades vasculares

Series: 12

Issue: 41

Pages: 2433-2439

Type: Article

DOI: 10.1016/J.MED.2017.09.011 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Abstract Acute arterial ischaemia is defined as a syndromic condition due to a more or less sudden lack of arterial flow in a specific territory. The aetiology of acute ischemia can be summarised in 2 pathophysiological processes: embolic and thrombotic. An embolism is the result of the migration of a material, commonly from the heart to an artery in a different territory. Thrombosis is usually secondary to obstruction in an artery by an underlying baseline disorder in this artery, commonly an atheromatous plaque. The clinical condition of acute ischaemia is summarised in the classic 5 “Ps”: pain, pallor, paraesthesia, paralysis and pulselessness. Angiography is still considered the gold standard for the diagnosis of acute ischaemia. Computed tomography angiography is gaining special interest due to increased availability. Immediate treatment consists of appropriate hydration and systemic anticoagulation, which should be started as soon as the condition has been diagnosed. The type of surgery will depend on the cause of the ischaemia.

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