Article

Insuficiencia cardíaca aguda descompensada

01/2006; 1(2).

ABSTRACT Introducción La insuficiencia cardíaca aguda descompensada (ICAD) es un síndrome que ha llamado la atención sólo en la última década, y en la actualidad constituye un verdadero desafío para los car-diólogos, clínicos, terapistas, investigadores, entidades que manejan la economía relacionada a la práctica médica, e inclu-so para la industria farmacéutica. Como consecuencia de ello, surgieron algunos grupos de in-vestigación con el objetivo de estudiar las características de esta patología. Hay un grupo internacional de trabajo sobre el síndrome de in-suficiencia cardíaca (IC) aguda, integrado por investigadores de Europa y de EEUU, que han realizado talleres sobre este tema y han emitido proyectos para futuras investigaciones 1 . El ADHERE (Acute Decompensated Heart Failure National Registry) 2 , un registro multicéntrico diseñado para coleccionar datos sobre cada episodio de hospitalización por ICAD y sus resultados clínicos en todo el territorio de EEUU, se ha forma-do recientemente y ya posee varios informes publicados. Este creciente número de evidencias obedece especialmente al incremento del interés en mejorar los resultados y la calidad del cuidado para los pacientes con IC, en gran medida aquellos que requieren urgente internación. Definición Se ha definido el síndrome de insuficiencia cardíaca como un cambio gradual o rápido en los síntomas y signos de la IC que provocan la necesidad de una terapia urgente 3 . Este síndrome puede presentarse como una entidad nueva o como una exacer-bación de una enfermedad preexistente. Los términos de IC aguda, IC descompensada y, exacerbación de la IC crónica son utilizados frecuentemente para describir este síndrome, y en realidad no hay aún acuerdo sobre cual sería la nomenclatura preferida.

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