NPunto

20

Authors: Cruz Morales, R., Serna del Álamo, J.A

Coronary heart disease is the most important cause of death worldwide. Acute myocardial infarction is an acute coronary syndrome that is characterized by ischemia to a part of the heart muscle produced by the acute and total obstruction of one of the coronary arteries that do not feed Various studies consider that the lack of fiber consumption, diabetes, obesity, tobacco use, sedentary lifestyle, lack of exercise may be predisposing factors for the patient to suffer a heart attack. People who have suffered from this disease can be treated with drugs or catheterization, a technique that consists of breaking up the thrombus and preventing it from re-forming in that area. Thrombosis cases have increased during the COVID-19 pandemic.

23

Authors: Cubero Charco, B

When we talk about cardiogenic shock, we must know that it is a serious pathology, with multiple and varied etiology, with a difficult approach due to the extended tissue hypoperfusion state that can have fatal consequences since it quickly reaches the state of multiorgan failure if adequate treatment is not administered. Over the years, there have been quite a few advances in the knowledge of the physiopathology and development of CS, with the development of CS secondary to acute myocardial infarction being studied in greater detail, advancing with the incorporation of mechanical circulatory support devices to provide an alternative for people suffering from this condition. But it cannot be forgotten that it remains a pathology with a high mortality rate, which exceeds 50% in most cases, and requires an extraordinarily complex, specialized, and economically expensive treatment, which makes it impossible to access in all hospital centers. Like other cardiovascular pathologies, the diagnosis, prognosis, and treatment depend on the underlying cause that leads to this critical state that is CS, but it also has another key factor in determining the above, which is the healthcare center where this pathology is treated. As it is such a specific and complex disease, the effectiveness of centralizing patients who suffer from it in hospitals with specialized equipment, trained healthcare personnel, and evidence-based action protocols has been demonstrated.

32

Authors: Bailo Lalaguna, A

Cardiovascular malaises are the leading cause of mortality in the world, and cardiac emergencies and arrhythmias constitute one of the most common causes of consultation and emergemcy intervention in emergency services in our country. In this article we will discuss them, their diagnosis, clinical manifestations and treatment. The objective of this article is to identify those pathologies who write a deadly ending if its treatment is delayed. Remembering the heart’s physiology will set the first stone to talk about these pathologies. From tachyarrhythmias to cardiogenic shock through lethal arrhythmias, and valvular and aortic pathologies.