{"id":17774,"date":"2018-06-14T12:45:35","date_gmt":"2018-06-14T15:45:35","guid":{"rendered":"http:\/\/www.hospitalaleman.org.ar\/?p=17774"},"modified":"2018-07-16T11:00:40","modified_gmt":"2018-07-16T14:00:40","slug":"acv-como-prevenirlo","status":"publish","type":"post","link":"https:\/\/www.hospitalaleman.org.ar\/prevencion\/acv-como-prevenirlo\/","title":{"rendered":"ACV \u00bfc\u00f3mo detectarlo a tiempo?"},"content":{"rendered":"<h2><strong>\u00bfQu\u00e9 es?<\/strong><\/h2>\n<p>El accidente cerebro vascular (ACV) es una enfermedad cardiovascular que se ubica entre las\u00a0<strong>principales causas de mortalidad.\u00a0<\/strong><\/p>\n<p>Puede ser de dos tipos:<\/p>\n<ul>\n<li><strong>Isqu\u00e9mico<\/strong>: se produce principalmente por <strong>disminuci\u00f3n de la llegada de ox\u00edgeno al cerebro<\/strong>, producto de alteraciones en la circulaci\u00f3n arterial.<\/li>\n<li><strong>Hemorr\u00e1gico<\/strong>: puede producirse por <strong>hipertensi\u00f3n arterial, traumatismo, malformaciones cong\u00e9nitas o como una alteraci\u00f3n del isqu\u00e9mico<\/strong>.<\/li>\n<\/ul>\n<h2><strong>\u00bfCu\u00e1les son los factores de riesgo?<\/strong><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-17775 aligncenter\" src=\"https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio.png\" alt=\"\" width=\"704\" height=\"332\" srcset=\"https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio.png 871w, https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-300x142.png 300w, https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-768x362.png 768w\" sizes=\"(max-width: 704px) 100vw, 704px\" \/><\/p>\n<h2><strong>\u00bfCu\u00e1les son los s\u00edntomas?<\/strong><\/h2>\n\n<table id=\"tablepress-3\" class=\"tablepress tablepress-id-3 tablepress-responsive\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-1.png\" alt=\"\" width=\"153\" height=\"153\" class=\"alignleft size-full wp-image-17777\" srcset=\"https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-1.png 153w, https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-1-150x150.png 150w\" sizes=\"(max-width: 153px) 100vw, 153px\" \/><\/td><td class=\"column-2\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-2.png\" alt=\"\" width=\"153\" height=\"153\" class=\"alignleft size-full wp-image-17778\" srcset=\"https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-2.png 153w, https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-2-150x150.png 150w\" sizes=\"(max-width: 153px) 100vw, 153px\" \/><\/td><td class=\"column-3\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-3.png\" alt=\"\" width=\"153\" height=\"153\" class=\"alignleft size-full wp-image-17779\" srcset=\"https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-3.png 153w, https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-3-150x150.png 150w\" sizes=\"(max-width: 153px) 100vw, 153px\" \/><\/td><td class=\"column-4\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-4.png\" alt=\"\" width=\"153\" height=\"153\" class=\"alignleft size-full wp-image-17780\" srcset=\"https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-4.png 153w, https:\/\/www.hospitalaleman.org.ar\/wp-content\/uploads\/2018\/06\/cardio-4-150x150.png 150w\" sizes=\"(max-width: 153px) 100vw, 153px\" \/><\/td>\n<\/tr>\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Par\u00e1lisis o adormecimiento de la <strong>cara<\/strong><\/td><td class=\"column-2\">Debilidad o adormecimiento en un <strong>brazo o pierna<\/strong><\/td><td class=\"column-3\">Dificultad para <strong>hablar<\/strong> o en la pronunciaci\u00f3n<\/td><td class=\"column-4\">En caso de detectarlos, es indispensable actuar a <strong>tiempo<\/strong>.<br \/>\nLas primeras horas son cruciales para la atenci\u00f3n m\u00e9dica.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-3 from cache -->\n<h2><strong>\u00bfQu\u00e9 hacer ante estos s\u00edntomas?<\/strong><\/h2>\n<p>Lo primordial es que <strong>el paciente sea<\/strong> <strong>atendido por emergencias m\u00e9dicas<\/strong>.<\/p>\n<p>Adem\u00e1s, es de utilidad que quien lo est\u00e9 acompa\u00f1ando eval\u00fae la gravedad del cuadro seg\u00fan la escala que se presenta a continuaci\u00f3n y lo informe al comunicarse con emergencias m\u00e9dicas. El profesional m\u00e9dico reforzar\u00e1 la misma escala durante la atenci\u00f3n.<\/p>\n\n<table id=\"tablepress-5\" class=\"tablepress tablepress-id-5 tablepress-responsive\">\n<thead>\n<tr class=\"row-1 odd\">\n\t<th class=\"column-1\">ESCALA DE CINCINNATI<\/th><th class=\"column-2\">PUNTAJE<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2 even\">\n\t<td class=\"column-1\"><strong>1 -\u00a0P\u00eddale al paciente que SONR\u00cdA<\/strong><\/td><td class=\"column-2\"><\/td>\n<\/tr>\n<tr class=\"row-3 odd\">\n\t<td class=\"column-1\">Lo hace NORMALMENTE<\/td><td class=\"column-2\">0<\/td>\n<\/tr>\n<tr class=\"row-4 even\">\n\t<td class=\"column-1\">Con una LEVE DIFERENCIA<\/td><td class=\"column-2\">1<\/td>\n<\/tr>\n<tr class=\"row-5 odd\">\n\t<td class=\"column-1\">Con una EVIDENTE DIFERENCIA<\/td><td class=\"column-2\">3<\/td>\n<\/tr>\n<tr class=\"row-6 even\">\n\t<td class=\"column-1\">NO lo logra<\/td><td class=\"column-2\"><\/td>\n<\/tr>\n<tr class=\"row-7 odd\">\n\t<td class=\"column-1\"><strong>2 - P\u00eddale al paciente que levante ambos BRAZOS<\/strong><\/td><td class=\"column-2\"><\/td>\n<\/tr>\n<tr class=\"row-8 even\">\n\t<td class=\"column-1\">Ambos brazos se levantan por IGUAL<\/td><td class=\"column-2\">0<\/td>\n<\/tr>\n<tr class=\"row-9 odd\">\n\t<td class=\"column-1\">Un brazo est\u00e1 M\u00c1S ALTO que el otro<\/td><td class=\"column-2\">1<\/td>\n<\/tr>\n<tr class=\"row-10 even\">\n\t<td class=\"column-1\">S\u00f3lo puede levantar UN BRAZO<\/td><td class=\"column-2\">3<\/td>\n<\/tr>\n<tr class=\"row-11 odd\">\n\t<td class=\"column-1\">NO lo logra<\/td><td class=\"column-2\"><\/td>\n<\/tr>\n<tr class=\"row-12 even\">\n\t<td class=\"column-1\"><strong>3 - P\u00eddale al paciente que repita una FRASE<\/strong><\/td><td class=\"column-2\"><\/td>\n<\/tr>\n<tr class=\"row-13 odd\">\n\t<td class=\"column-1\">La repite CORRECTAMENTE<\/td><td class=\"column-2\">0<\/td>\n<\/tr>\n<tr class=\"row-14 even\">\n\t<td class=\"column-1\">La pronuncia RARA<\/td><td class=\"column-2\">3<\/td>\n<\/tr>\n<tr class=\"row-15 odd\">\n\t<td class=\"column-1\">No se logra COMPRENDER<\/td><td class=\"column-2\">3<\/td>\n<\/tr>\n<tr class=\"row-16 even\">\n\t<td class=\"column-1\">NO puede realizarlo<\/td><td class=\"column-2\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-5 from cache -->\n<h5><span style=\"color: gray; font-size: 18px; text-transform: uppercase;\">RESULTADOS<\/span><\/h5>\n\n<table id=\"tablepress-6\" class=\"tablepress tablepress-id-6 tablepress-responsive\">\n<thead>\n<tr class=\"row-1 odd\">\n\t<th class=\"column-1\">Resultados<\/th><th class=\"column-2\"><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2 even\">\n\t<td class=\"column-1\">\u2265 3<\/strong><\/td><td class=\"column-2\">Evidencias claras de ACV<\/td>\n<\/tr>\n<tr class=\"row-3 odd\">\n\t<td class=\"column-1\">2<strong><\/td><td class=\"column-2\">Muchas evidencias<\/td>\n<\/tr>\n<tr class=\"row-4 even\">\n\t<td class=\"column-1\">1<strong><\/td><td class=\"column-2\">Algunas evidencias<\/td>\n<\/tr>\n<tr class=\"row-5 odd\">\n\t<td class=\"column-1\">0<strong><\/td><td class=\"column-2\">Sin evidencias<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-6 from cache -->\n<h2><strong>\u00bfC\u00f3mo es el circuito al ingresar al Hospital?<\/strong><\/h2>\n<p>El ingreso del paciente ser\u00e1 por el <strong>Centro de Emergencias<\/strong>, donde ser\u00e1 evaluado por un m\u00e9dico emergent\u00f3logo y un neur\u00f3logo.<\/p>\n<p>Para el diagn\u00f3stico y evaluaci\u00f3n del cuadro<strong> se realizan im\u00e1genes <\/strong>como <strong>tomograf\u00eda computarizada (TC) de enc\u00e9falo y AngioTAC de vasos cerebrales<\/strong> y eventualmente puede requerir <strong>resonancia magn\u00e9tica (RM) de enc\u00e9falo<\/strong> para definir volumen de la isquemia y \u00e1rea de penumbra.<\/p>\n<p>Asimismo, si corresponde se realizan:<\/p>\n<ul>\n<li>Tratamiento con rtPA (fibrinol\u00edtico)<\/li>\n<li>Tratamiento de trombectom\u00eda mec\u00e1nica endovascular<\/li>\n<\/ul>\n<p>El paciente permanecer\u00e1 en la Unidad de Terapia Intensiva para su seguimiento.<\/p>\n<h2><strong>\u00bfC\u00f3mo es el tratamiento del ACV?<\/strong><\/h2>\n<p>En el accidente hemorr\u00e1gico muchas veces es necesaria una <strong>intervenci\u00f3n quir\u00fargica<\/strong> adem\u00e1s del <strong>tratamiento m\u00e9dico<\/strong>, para resolver la causa y drenar la sangre.<\/p>\n<p>En el isqu\u00e9mico todo depende del <strong>tiempo de evoluci\u00f3n, de la extensi\u00f3n del mismo y el compromiso cl\u00ednico<\/strong>. En algunas ocasiones se recetan <strong>fibrionol\u00edticos<\/strong>, para disolver el trombo, mientras que en otras el tratamiento es con antiagregantes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es? El accidente cerebro vascular (ACV) es una enfermedad cardiovascular que se ubica entre las\u00a0principales causas de mortalidad.\u00a0 Puede ser de dos tipos: Isqu\u00e9mico: se produce principalmente por disminuci\u00f3n de la llegada de ox\u00edgeno al cerebro, producto de alteraciones en la circulaci\u00f3n arterial. Hemorr\u00e1gico: puede producirse por hipertensi\u00f3n arterial, traumatismo, malformaciones cong\u00e9nitas o como […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.9.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ACV \u00bfc\u00f3mo detectarlo a tiempo? - Hospital Alem\u00e1n<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.hospitalaleman.org.ar\/prevencion\/acv-como-prevenirlo\/\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"comunicaciones\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.hospitalaleman.org.ar\/prevencion\/acv-como-prevenirlo\/\",\"url\":\"https:\/\/www.hospitalaleman.org.ar\/prevencion\/acv-como-prevenirlo\/\",\"name\":\"ACV \u00bfc\u00f3mo detectarlo a tiempo? 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