{"id":3677,"date":"2020-05-01T00:00:00","date_gmt":"2020-05-01T00:00:00","guid":{"rendered":"http:\/\/localhost:8080\/invap\/?p=3677"},"modified":"2020-05-08T16:14:27","modified_gmt":"2020-05-08T19:14:27","slug":"diseccion-de-aorta","status":"publish","type":"post","link":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?p=3677","title":{"rendered":"Disecci\u00f3n de aorta"},"content":{"rendered":"<h2>\u00bfQu\u00e9 es y c\u00f3mo se produce?<\/h2>\n<p>Se trata de un hematoma, donde la sangre penetra en la pared de la aorta separ\u00e1ndola en dos capas. Para que esta lesi\u00f3n ocurra debe existir previamente un alteraci\u00f3n de la pared arterial.<\/p>\n<h2>Factores de riesgo<\/h2>\n<ul>\n<li>Hipertensi\u00f3n arterial<\/li>\n<li>Enfermedades del col\u00e1geno (Sindome de Marf\u00e1n, Sindrome de Ehlers-Danlos)<\/li>\n<li>Aneurisma de aorta<\/li>\n<li>Valvulopat\u00eda a\u00f3rtica<\/li>\n<li>Embarazo y parto<\/li>\n<li>Vaculitis con afectaci\u00f3n de la aorta<\/li>\n<li>Coartaci\u00f3n a\u00f3rtica<\/li>\n<\/ul>\n<h2>\u00bfCu\u00e1les son las manifestaciones cl\u00ednicas?<\/h2>\n<p>Los signos y s\u00edntomas del aneurisma disecante, dependen de la localizaci\u00f3n y la extensi\u00f3n de la disecci\u00f3n. El dolor tor\u00e1cico<strong>\u00a0<\/strong>en la mayoria de los pacientes es intenso e irradiado al dorso. Es m\u00e1ximo al comienzo del cuadro y se acompa\u00f1a de taquicardia, sudoraci\u00f3n, palidez y alteraci\u00f3n del pulso. Puede acompa\u00f1arse de alteraciones neurol\u00f3gicas. Hipertensi\u00f3n o hipotensi\u00f3n arterial dependiendo la localizaci\u00f3n de la disecci\u00f3n.<\/p>\n<h2>\u00bfC\u00f3mo se diagnostica?<\/h2>\n<p>Se deben tener en cuenta los signos y s\u00edntomas, junto con estudios por im\u00e1genes (Tomograf\u00eda axial computada, Resonancia magn\u00e9tica nuclear) que demuestren la separaci\u00f3n de las capas de la pared arterial.<\/p>\n<h2>\u00bfCu\u00e1l es su tratamiento?<\/h2>\n<p>El tratamiento depende de la localizaci\u00f3n de la disecci\u00f3n y de la evoluci\u00f3n del cuadro.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se trata de un hematoma, donde la sangre penetra en la pared de la aorta separ\u00e1ndola en dos capas. Para que esta lesi\u00f3n ocurra debe existir previamente un alteraci\u00f3n de la pared arterial.<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[49],"author_data":{"name":"","url":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?author=6"},"featured_media_data":{"thumbnail":{"url":null,"width":null,"height":null,"is_intermediate":null},"medium":{"url":null,"width":null,"height":null,"is_intermediate":null},"medium_large":{"url":null,"width":null,"height":null,"is_intermediate":null},"large":{"url":null,"width":null,"height":null,"is_intermediate":null},"1536x1536":{"url":null,"width":null,"height":null,"is_intermediate":null},"2048x2048":{"url":null,"width":null,"height":null,"is_intermediate":null},"rpwe-thumbnail":{"url":null,"width":null,"height":null,"is_intermediate":null},"full":{"url":null,"width":null,"height":null,"is_intermediate":null}},"audio_data":[],"comments_number":"0 comentarios","categories_data":[{"id":40,"name":"Enfermedades A-Z","slug":"enfermedades-a-z","url":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?cat=40","description":"","parent":0}],"_links":{"self":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts\/3677"}],"collection":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3677"}],"version-history":[{"count":2,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts\/3677\/revisions"}],"predecessor-version":[{"id":9886,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts\/3677\/revisions\/9886"}],"wp:attachment":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3677"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}