Jump to content
The World News Media

Fibrilación auricular, la nueva epidemia del siglo XXI que ataca el corazón


Raquel Segovia

Recommended Posts

  • Member

Es la arritmia más invalidante que existe, un padecimiento que afecta a más hombres que a mujeres a partir de los 55 años de edad y perjudica hasta el 10% de la población de más de 75 años

image.png

a arritmia por FA daña el corazón y el cerebro (iStock)

La Fibrilación Auricular (FA) es la arritmia más invalidante que existe, un padecimiento que afecta a más hombres que a mujeres a partir de los 55 años de edad y perjudica hasta el 10% de la población de más de 75 años.

Se trata de un tipo de arritmia relativamente frecuente que se caracteriza por latidos descoordinados y desorganizados lo que produce un ritmo cardíaco rápido e irregular. Su prevalencia es del 1% en personas menores de 60 años y de hasta el 8% en mayores de 80 años.

Esta enfermedad considerada epidemia por la OMS y cuya principal complicación al no ser tratada a tiempo es la embolia cerebral y su consecuencia el ACV y la hemiplejía, la padecen unos 400 mil argentinos.
"Hoy, gracias a los avances de la medicina, existen diferentes opciones terapéuticas que van desde pastillas hasta una técnica de última generación que a través de radiofrecuencia cauteriza la zona afectada y permite su curación en un 80% de los casos", explicó a Infobae el doctor Fernando Scazzuso, jefe del Servicio de Arritmias y Electrofisiología del Instituto Cardiovascular de Buenos Aires (ICBA).

 agregó: "Se la considera la epidemia del S. XXI. Se esta viendo en los últimos años que hay mas casos de FA que los que había hace 10 años atrás, esto se debe a varias razones; una es que la longevidad de la población aumentó, por otro lado los tratamientos han mejorado: los pacientes ya no mueren de un infarto, pueden tratarse y viven hasta los 75 – 80 años sin problemas, por esto el crecimiento en la incidencia de la arritmia es geométrico, y no aritmético, y los casos son cada vez más".

Según describe el especialista, el síntoma general es la palpitación. "La persona percibe su latido cardíaco alto y se asusta. Además, puede haber otros síntomas como la falta de aire, el malestar en el pecho, los mareos e incluso desmayos. También existe una porción de pacientes con FA que no presentan síntomas, personas que tienen sus corazones aparentemente sanos, que no han sentido nunca un malestar, ni palpitaciones extrañas. Esto, junto a otros factores, promueve la consulta médica tardía. En nuestro país en promedio un paciente puede demorar alrededor de 6 años en ir al médico para su tratamiento definitivo", precisó Scazzuso.

"Es fundamental la consulta con el médico. En el caso de las arritmias, la primera señal es sentir el latido, darnos cuenta que estamos teniendo palpitaciones. Si la arritmia además se acompaña de otros síntomas como palpitaciones, falta de aire y mareos, definitivamente es una alarma que no podemos dejar de atender. Esto significa que algo no está bien", comentó el especialista del ICBA.

Control rutinario y tratamiento

La consulta con el profesional de salud es fundamental para diagnosticar tempranamente cualquier anomalía a través de los estudios de control. "La consulta debemos realizarla con un cardiólogo clínico, quien realizará al paciente un cuestionario para determinar el entorno del paciente, y conocer cuándo sucede la arritmia y bajo qué situaciones. Además del cuestionario, el médico le realizará al paciente un estudio físico, un electrocardiograma y una placa de torax. Por último el especialista realizará una ecografía y una argometría para medir el corazón en situaciones de esfuerzo físico", describió Scazzuso, que recordó que "la prevención es la mejor medicina hoy en el Siglo XXI".

La fibrilación auricular, derivada de una gripe, puede repercutir en un ACV (Istock)

a fibrilación auricular, derivada de una gripe, puede repercutir en un ACV (Istock)

Afortunadamente, la FA puede tratarse, y el índice de curación es alto. Las opciones terapéuticas varían según las características de cada paciente.

"Para pacientes con FA de reciente comienzo que no presentan mayores patologías cardiovasculares el tratamiento ambulatorio a base de comprimidos de ingesta oral puede ser una alternativa, aunque puede presentar riesgos vinculados con el olvido de la toma de los comprimidos y la baja eficacia en prevenir la recurrencia de la arritmia", destacó Scazzuso, quien además señaló: "En el caso de los pacientes con FA recurrente, la mejor opción es la ablación por radiofrecuencia transcatéter, un tratamiento muy específico sencillo que permite, mantener una vida normal con frecuencia cardiaca aceptable sin necesidad de administrar fármacos diariamente. La ablación, además de ser mínimamente invasiva para el paciente permite la cura de la enfermedad en el 80% de los casos".

¿Qué es la técnica de ablación por radiofrecuencia transcatéter?

La ablación por radiofrecuencia transcatéter es un procedimiento por el cual se cauteriza la zona que provoca la arritmia. Surge en argentina en el año 1992, dando comienzo a la etapa de curación de las arritmias a través de catéteres. "Sólo en el ICBA realizamos más de 1500 procedimientos en los últimos años. Desde el año 2009 que creamos el Programa de tratamiento de la fibrilación auricular pasamos de 153 ablaciones a más de 258 en el 2016", comenta el especialista.

El tratamiento, que consiste en realizar el mapeo del circuito eléctrico que origina la arritmia del corazón y en eliminarla y se hace en dos pasos. Primero, se lleva a cabo un estudio electrofisiológico que permite conocer con precisión dónde se ubica la causa de la arritmia. Ese estudio consiste específicamente en un mapeo electroanatómico tridimensional, que reconstruye, a través de catéteres, las cavidades cardíacas en tres dimensiones. Los catéteres son guiados por fluoroscopia (Rayos X) y ecografía intracardíaca (EIC) facilitando la localización de puntos específicos dentro del corazón

Hay que hacer ejercicio en forma moderada y controlado por un especialista (Istock)

En el segundo paso se ubica el catéter (que es un cable eléctrico delgado) en el lugar donde se origina la arritmia. Allí, desde el catéter se emite la radiofrecuencia por la cual se cauteriza el tejido alterado que causaba la arritmia. A través de ese procedimiento se aíslan eléctricamente las venas pulmonares desde donde provienen los estímulos y que ingresan a la aurícula izquierda y desencadenan la fibrilación auricular. Al hacer la intervención, se interrumpe físicamente la conducción entre las venas pulmonares y la aurícula izquierda y así se previene la recurrencia del trastorno.

Además de la ablación por radiofrecuencia transcatéter existe una nueva técnica denominada crioablación. La crioablación consiste en ubicar un balón en la desembocadura de cada vena pulmonar (4 en general) y aplicar una temperatura bajo cero (de allí la denominación de crio = frío) alcanzando temperaturas de hasta -55ºC. "Desde el 2013 incorporamos esta nueva técnica de crioablación por balón que aporta más beneficios al paciente gracias a la reducción del tiempo que implica el procedimiento lo que aporta mayor confort y seguridad al paciente, durante 2016 realizamos en el Instituto Cardiovascular de Buenos Aires 126 procedimientos con esta técnica", finaliza el especialista.

Si bien la fibrilación auricular no puede prevenirse, ciertos hábitos de vida pueden ayudar a demorar su aparición. En tal sentido, la alimentación saludable junto con el ejercicio es recomendable para cuidar la salud del corazón. Asimismo, la consulta periódica con el médico especialista puede ayudar a detectar tempranamente cualquier tipo de anomalía y proporcionan al paciente la oportunidad de evitar complicaciones

image.png

Link to comment
Share on other sites


  • Views 427
  • Replies 0
  • Created
  • Last Reply

Top Posters In This Topic

Popular Days

Top Posters In This Topic

Popular Days

Posted Images





  • Recently Browsing

    • No registered users viewing this page.
  • Popular Contributors

  • Topics

  • Posts

    • try the: Bánh bèo Bánh ít ram
    • Definitely should try the Bond roll here when you get a chance: this is a mom and pop place that does a great job  
    • An interesting concept, bible discipline. I am struck by the prevalence of ignorance about spiritual discipline on "Reddit." While physical and mental disciplines receive attention, the profound impact of spiritual discipline on a person's physical and mental well-being is often overlooked. Is it possible to argue against the words of the Apostle Paul? When he penned those words in Hebrews 12, he was recognizing that there are moments when an individual must be "rebuked" in order to be corrected. Even Jesus himself established a precedent when he rebuked Peter and referred to him as Satan for failing to comprehend what Jesus had already revealed to the apostles. Did that imply that Jesus had an evil heart? Not at all, it was quite the opposite; Jesus had a loving heart. His need to correct Peter actually showcased his genuine love for him. If he hadn't cared, he would have let Peter persist in his mistaken ways, leading to a fate similar to Judas'. There is a clear emphasis on avoiding the apostate translation and its meaning, yet many seem to overlook the biblical foundation for the reasons NOT to follow the path of the fallen brethren or those with an apostate mentality. Those individuals have embraced the path of darkness, where the illuminating power of light cannot penetrate, to avoid receiving the righteous discipline based on God's Bible teachings. They are undoubtedly aware that this undeniable truth of life must be disregarded in order to uphold their baseless justifications for the unjust act of shunning. Can anyone truly "force" someone or stop them from rejecting a friend or family member? Such a notion would be absurd, considering the fact that we all have the power of free will. If a Witness decides to distance themselves from a family member or friend simply because they have come out as gay, who is anyone within the organization to question or challenge that personal sentiment? It is unfortunate that there are individuals, both within and outside the organization, who not only lack a proper understanding of the Bible but also dare to suggest that God's discipline is barbaric. We must remember that personal choices should be respected, and it is not for others to judge or condemn someone based on their sexual orientation but should be avoided under biblical grounds. No one should have the power to compel an individual to change their sexual orientation, nor should anyone be forced to accept someone for who they are. When it comes to a family's desire to shield their children from external influences, who has the right to challenge the parents' decision? And if a family's rejection of others is based on cultural factors rather than religious beliefs, who can impose religious judgment on them? Who should true followers of Christ follow? The words of God or those who believe they can change God's laws to fit their lives? How can we apply the inspired words of Paul from God to embrace the reality of God's discipline? On the contrary, how can nonconformists expect to persuade those with a "worldview" that their religious beliefs are unacceptable by ostracizing individuals, when God condemns homosexuality? This is precisely why the arguments put forth by ex-witnesses are lacking in their pursuit of justice. When they employ misguided tactics, justice remains elusive as their arguments are either weak or inconsistent with biblical standards. Therefore, it is crucial to also comprehend Paul's words in 1 Corinthians 9:27. The use of the word "shun" is being exaggerated and excessively condemned by those who reject biblical shunning as a form of punishment. Eph 5:3-14 NIV 3 But among you there must not be even a hint of sexual immorality, or of any kind of impurity, or of greed, because these are improper for God's holy people. 4 Nor should there be obscenity, foolish talk or coarse joking, which are out of place, but rather thanksgiving. 5 For of this you can be sure: No immoral, impure or greedy person — such a man is an idolater — has any inheritance in the kingdom of Christ and of God.  6 Let no one deceive you with empty words, for because of such things God's wrath comes on those who are disobedient. 7 Therefore do not be partners with them.  8 For you were once darkness, but now you are light in the Lord. Live as children of light 9 (for the fruit of the light consists in all goodness, righteousness and truth) 10 and find out what pleases the Lord. 11 Have nothing to do with the fruitless deeds of darkness, but rather expose them. 12 For it is shameful even to mention what the disobedient do in secret. 13 But everything exposed by the light becomes visible. The impact of the message becomes significantly stronger when we emphasize the importance of avoiding any association with unrighteousness and those who remain unrepentant. In fact, it becomes even more compelling when we witness how some individuals, who dismiss biblical shunning as a method of discipline, excessively criticize and condemn the use of the word "shun". Therefore, Jehovah's Witnesses do not shun people; instead, they choose to focus on the negative actions being committed, which is in accordance with biblical teachings. This should be construed as ex-Witness rhetoric. Now, let's consider why ex-Witnesses specifically target one particular religion. What justifications do they provide when other Christian denominations also adhere to the same principle grounded in the Bible? Chapter 1 - Preface Both must therefore test themselves: the one, if he is qualified to speak and leave behind him written records; the other, if he is in a right state to hear and read: as also some in the dispensation of the Eucharist, according to  custom enjoin that each one of the people individually should take his part. One's own conscience is best for choosing accurately or shunning. And its firm foundation is a right life, with suitable instruction. But the imitation of those who have already been proved, and who have led correct lives, is most excellent for the understanding and practice of the commandments. "So that whosoever shall eat the bread and drink the cup of the Lord unworthily, shall be guilty of the body and blood of the Lord. But let a man examine himself, and so let him eat of the bread and drink of the cup."  It therefore follows, that every one of those who undertake to promote the good of their neighbours, ought to consider whether he has betaken himself to teaching rashly and out of rivalry to any; if his communication of the word is out of vainglory; if the the only reward he reaps is the salvation of those who hear, and if he speaks not in order to win favour: if so, he who speaks by writings escapes the reproach of mercenary motives. "For neither at any time used we flattering words, as ye know," says the apostle, "nor a cloak of covetousness. God is witness. Nor of men sought we glory, neither of you, nor yet of others, when we might have been burdensome as the apostles of Christ. But we were gentle among you, even as a nurse cherisheth her children."   (from Ante-Nicene Fathers, Volume 2) Divine promises 2. The manner of shunning, in the word escaping. There is a flying away required, and that quickly, as in the plague, or from a fire which hath almost burned us, or a flood that breaketh in upon us. We cannot soon enough escape from sin (Matt 3:7; Heb 6:18). No motion but flight becomes us in this case. Doctrine: That the great end and effect of the promises of the gospel is to make us partakers of the Divine nature. (from The Biblical Illustrator)  
    • Clearly, they are already demanding your exile. Yes! It's unfortunate that Pudgy spoiled a great discussion about science. I hope the discussion can continue without any more nonsensical interruptions. Just a suggestion since they are on your heels. Wow! You speak! It seems you have a lot to say! Now they are going to treat like, who do you think you are, mister big stuff! Are those aliens now going to imply that anyone who speaks out against the five or six key contributors to this site will be treated as though it is George just because those in opposition speak the language they hate to hear, the TRUTH? They are seeking individuals who will embrace their nonconformist values and appreciate what they can offer in shaping public opinion contrary to the established agenda of God and Christ. Their goal is to enhance their writing abilities and avoid squandering time on frivolous pursuits, mainly arguing about the truth they don't care for. They see it all as a mere game, even when leading people astray. They believe they have every right to and will face no biblical repercussions, or so they believe. They just want to have fun just like that Cyndi Lauper song. Be prepared to be belittled and ridiculed, all the while they claim to be angels. Haha! By the way, please refrain from using the same language as George. They appear to believe that when others use the same words, it means they are the same person, and they emphasize this as if no one else is allowed to use similar grammar. It seems they think only they have the right to use the same or similar writing styles. Quite amusing, isn't it? See, what I just placed in bold, now I'm George, lol! Now, let's leave this nice science thread for people that want to know more about science. I believe George left it at "Zero Distance."  
  • Members

    • Sysmedit2

      Sysmedit2 0

      Member
      Joined:
      Last active:
  • Recent Status Updates

    • lauleb  »  misette

      merci pour ton travail très utile. tu es une aide qui fortifie
      · 0 replies
    • Pamela Dunston  »  T.B. (Twyla)

      Hi, TB
      I would like to get the weekly meeting and watchtower materials  and the 2024 convention 
      Attend the 2024 Convention—“Declare the Good News!”
      notebook, I just recently got a new computer, If don't mind my brother to add me on and allow me access to our study again.
       
      Thank you, so much
      Sister Dunston
      · 2 replies
    • SpiritualSister 24  »  DARLENE2022

      Hello, Darlene, I just love your name, I had a cousin named Darline, and had a classmate also named Darlene! It's a pleasure to know another Darlene! Especially a Spiritual Sister! There's some websites, Ministry Ideaz , JW Stuff.com, and Etsy that I use to order my yearly buttons for the Conventions! They always send me what I order, and their also Jehovah's Witnesses, that send us the merchandise we order!  You can check out these websites, and they might have what your looking for! I hope I have been helpful in assisting you, Darlene! Agape love, Shirley!😀
      · 1 reply
    • SpiritualSister 24

      2024"Enter Into God's Rest" Circuit Assembly! 
      · 0 replies
    • Janice Lewis  »  T.B. (Twyla)

      Hello Twyla, when will the weekly study material be available. I am a member.
      Janice Lewis     lewisjanice84@gmail.com
      Thank you
      · 1 reply
  • Forum Statistics

    • Total Topics
      65.4k
    • Total Posts
      160k
  • Member Statistics

    • Total Members
      17,695
    • Most Online
      1,797

    Newest Member
    santijwtj
    Joined
×
×
  • Create New...

Important Information

Terms of Service Confirmation Terms of Use Privacy Policy Guidelines We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.