farmacoterapia insuficiencia cardiaca q.f rodrigo aracena perez
TRANSCRIPT
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FARMACOTERAPIA FARMACOTERAPIA INSUFICIENCIA INSUFICIENCIA
CARDIACACARDIACA
Q.F RODRIGO ARACENA Q.F RODRIGO ARACENA PEREZPEREZ
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- Definicion : Anormalidad en el - Definicion : Anormalidad en el miocardio,incapaz bombeo suficientemiocardio,incapaz bombeo suficienteSANGRESANGREREQUERIMIENTOS DELREQUERIMIENTOS DELORGANISMOORGANISMO- Causas probables :- Causas probables :limitacion contraccion miocardiolimitacion contraccion miocardio(+)trabajo impuesto al corazon(+)trabajo impuesto al corazonaumento anormal vol.sanguineoaumento anormal vol.sanguineoy liq.instersticialy liq.instersticial
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- Causas subyacentes Insuf. :- Causas subyacentes Insuf. :
Cardiopatia arterioescleroticaCardiopatia arterioesclerotica
Cardiopatia hipertensivaCardiopatia hipertensiva
Valvulopatia cardiacaValvulopatia cardiaca
Miocardiopatia dilatadaMiocardiopatia dilatada
Cardiopatia CongenitaCardiopatia Congenita
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-la disfuncion Sistolica secundaria-la disfuncion Sistolica secundaria
=>causa + comun I.C=>causa + comun I.C
OBJETIVO TERAPEUTICO I.COBJETIVO TERAPEUTICO I.C
Aumento G.CAumento G.CEfectividad clinicaEfectividad clinica
FarmacologicaFarmacologicaatenuar sintomasatenuar sintomas
= ALARGAR LA VIDA= ALARGAR LA VIDA
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- RX COMPENSATORIA I.C- RX COMPENSATORIA I.CDesencadenan 3 mecanismosDesencadenan 3 mecanismoscompensatorios=>(+)G.Ccompensatorios=>(+)G.C1.- (+)Actividad Simpatica:1.- (+)Actividad Simpatica:(+)TRABAJO CARDIACO(+)TRABAJO CARDIACODeterioroDeteriorofuncion cardiacafuncion cardiaca2.-(+)Retencion de liquidos (SRAA) :2.-(+)Retencion de liquidos (SRAA) : (+)TRABAJO CARDIACO(+)TRABAJO CARDIACODeterioroDeteriorofuncion cardiacafuncion cardiaca
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3.-Hipertrofia Miocardio :3.-Hipertrofia Miocardio :- (+) Tamaño corazon- (+) Tamaño corazon- Dilatacion camaras- Dilatacion camarasCONSECUENCIA : ComienzoCONSECUENCIA : ComienzoEstiramiento musculo cardiacoEstiramiento musculo cardiacoelongacion excesivaelongacion excesivacontracciones contracciones mas debilesmas debilesInsuf.Sistolica y en Insuf.Sistolica y en <grado<gradoDisfuncion DiastolicaDisfuncion Diastolica
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- INSUFICIENCIA DESCOMPENSADA- INSUFICIENCIA DESCOMPENSADA
Mecs anterioresMecs anterioresmantencion G.Cmantencion G.C
=>I.C COMPENSADA=>I.C COMPENSADA(+) Trabajo(+) Trabajo
Cardiaco y (+) deterioroCardiaco y (+) deterioroInsuf.Insuf.
Cardiaca DescompensadaCardiaca DescompensadaMecsMecs
no logran mantener G.Cno logran mantener G.C
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- Todos resuelven sintomas I.C,- Todos resuelven sintomas I.C,
pero NO REVIERTEN situacion pero NO REVIERTEN situacion Patologica subyacentePatologica subyacente
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- CONSECUENCIA Inhibicion - CONSECUENCIA Inhibicion reversible ATPasa Na+/K+ memb.reversible ATPasa Na+/K+ memb.
cel.cardiaca :MEC.ACCION =>cel.cardiaca :MEC.ACCION =>
(+) Conc.Intracelular Na+,favorece(+) Conc.Intracelular Na+,favorece
transporte Ca+hacia interior de la transporte Ca+hacia interior de la celula a traves mec.intercambio celula a traves mec.intercambio Na+- Ca2+Na+- Ca2+
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=>el (+)conc.Ca+intracelular=>el (+)conc.Ca+intracelular
(+)Fza contractil sistole(+)Fza contractil sistole
=>(+) contractibilidad musculo=>(+) contractibilidad musculo
cardiacocardiaco
ADMINISTRACION DIGITALICOSADMINISTRACION DIGITALICOS
=>(+)Fza contractil corazon,y=>(+)Fza contractil corazon,y
(+)G.C similar corazon sano(+)G.C similar corazon sano
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