Estudio aterométrico de la aterosclerosis coronaria y su consecuente lesión miocárdica

Rafael Castillo García, Ada Aparicio Rodríguez, Ileana Puig Reyes, Eliecer Anoceto Armiñana, Alfredo Herrera Artiles

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Resumen

Para conocer las características patomorfológicas, y morfométricas de las lesiones ateroscleróticas, se estudiaron 81 necropsias procedentes del Hospital Universitario “Celestino Hernández” de Santa Clara.  Se definieron dos grupos de pacientes considerados como de alto o bajo nivel aterosclerótico según la enfermedad básica, antecedentes patológicos personales y la distribución de las lesiones ateroscleróticas en las tres ramas epicárdicas de las arterias coronarias.  Se disecaron arterias y el corazón según el método establecido por el sistema aterométrico.  Las placas fibrosas predominaron en el grupo de alto nivel aterosclerótico, y la coronaria derecha fue el sector vascular más afectado.  Asimismo, los índices de fibrosis y necrosis resultaron altamente significativos para identificar los grupos de alto o bajo nivel aterosclerótico.

Palabras clave

arteriosclerosis coronaria


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