Download e-book for kindle: Ataque cardiaco y accidente cerebrovascular: prevencion by Organizacion Panamericana de la Salud

By Organizacion Panamericana de la Salud

ISBN-10: 9241562587

ISBN-13: 9789241562584

This booklet summarizes the facts for the effectiveness of interventions for secondary prevention of heart illness (CHD) and cerebrovascular ailment (CeVD). A statement at the facts for cardiovascular prevention in peripheral vascular sickness and diabetes is usually integrated. every one evaluation of facts is by way of a brief precis of medical suggestions for secondary prevention. A evaluate of alternative issues influencing policy-makers within the implementation of secondary prevention innovations together with wellbeing and fitness economics follows. ultimately, the booklet identifies parts during which learn is required to enhance secondary prevention of CVD in low- and middle-income populations. This book is meant for working towards physicians accountable for the care of sufferers with validated heart problems (CVD) - particularly CHD and CeVD - in low- and middle-income populations and nations. the purpose is to supply normal assistance in regards to the effectiveness - or loss of effectiveness - of particular interventions, either pharmacological and non-pharmacological. moreover, the data may also help a variety of health and wellbeing pros inquisitive about person and group care and should supply counsel to health and wellbeing policy-makers in regards to the broader concerns concerning implementation of interventions in low- and middle-income populations.

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Extra info for Ataque cardiaco y accidente cerebrovascular: prevencion

Example text

Aunque el tratamiento antiplaquetario combinado puede ser más eficaz que la aspirina sola, las tienopiridinas son mucho más costosas que la aspirina. No hay indicio de que el dipiridamol sea más eficaz que la aspirina cuando se usa solo ni que proporcione un beneficio complementario junto con la aspirina para la prevención secundaria de la CC (32). Por lo tanto, a partir de las pruebas existentes, la aspirina puede seguir siendo el tratamiento antiplaquetario preferido. VIGILANCIA DEL TRATAMIENTO El tratamiento antiplaquetario no exige vigilancia regular.

Los betabloqueantes y los inhibidores de la ECA son los medicamentos preferidos porque ya se aconsejan para la prevención secundaria de la CC. Cuando no se puedan administrar esos medicamentos o en casos en que la tensión arterial permanezca alta, el tratamiento con un diurético tiazídico puede reducir el riesgo de episodios vasculares recurrentes. Una tensión arterial de 130/80-85 mmHg puede ser un objetivo apropiado. 4 Tratamientos farmacológicos sin ningún beneficio comprobado y con posibilidades de daño PUNTO DE DISCUSIÓN ¿Se recomiendan otros medicamentos (incluidos los antiarrítmicos del tipo I, los antagonistas del calcio, las vitaminas antioxidantes o el tratamiento hormonal sustitutivo para la prevención secundaria de la CC?

Tratamiento hormonal sustitutivo (THS) Aunque las primeras apreciaciones generales y los metanálisis de estudios de observación que establecieron una relación entre el THS y el riesgo de CC indicaban que aquel podría ser beneficioso (144), los resultados de los ensayos aleatorizados controlados, que han incluido a mujeres con casos previos de CC (145, 146) y de accidente cerebrovascular (ACV) (147), así como a mujeres posmenopáusicas sanas (148), no han indicado que haya ningún efecto beneficioso en cuanto al riesgo de CC.

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Ataque cardiaco y accidente cerebrovascular: prevencion by Organizacion Panamericana de la Salud

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