NUEVOS CRITERIOS DIAGNÓSTICOS DE INFARTO MIOCÁRDICO ¿EXISTE REALMENTE CONSENSO?

Arnaldo Rodríguez León, Aída Valverde Farré, Yaifa Márquez Espino

Texto completo:

PDF

Resumen

Señor Editor:

Asistimos en el nuevo milenio a un hecho notable: recientemente, la European Society of Cardiology (ESC), en colaboración con el American College of Cardiology (ACC), han establecido nuevos criterios para el diagnóstico de infarto de miocardio1. La iniciativa ha sido polémica,  y hemos considerado necesario, por su repercusión,  hacerla pública y someterla a la consideración de todos los colegas que en su práctica diaria deben tratar esta enfermedad; mientras que la nueva definición era esperada por muchos sectores (especialmente clínicos), en otros se critica el impacto del cambio de criterio en los estudios epidemiológicos, en la indicación y eficacia de tratamientos establecidos, en la percepción social e, incluso, en las actuaciones medicolegales.



Creative Commons License
Este artículo está licenciado bajo la licencia Creative Commons Reconocimiento-NoComercial 4.0 Internacional .
ojs2 has produced an error Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php At line: 64 Stacktrace: File: (unknown) line (unknown) Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64 Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php") File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40 Function: PhpQuickProfiler->gatherFileData() File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601 Function: PKPProfiler->getData() File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91 Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869 Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php") File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197 Function: Smarty->_smarty_include(Array(2)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220 Function: PKPTemplateManager->_smarty_include(Array(2)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256 Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php") File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264 Function: Smarty->fetch("article/article.tpl", Null, Null, True) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302 Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True) File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229 Function: PKPTemplateManager->display("article/article.tpl") File: (unknown) line (unknown) Function: ArticleHandler->view(Array(1), Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370 Function: call_user_func(Array(2), Array(1), Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266 Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(1), False) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129 Function: PKPPageRouter->route(Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180 Function: Dispatcher->dispatch(Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65 Function: PKPApplication->execute() Server info: OS: Linux PHP Version: 5.6.40-0+deb8u12 Apache Version: Apache DB Driver: mysql DB server version: 10.1.48-MariaDB-0+deb9u2
ojs2 has produced an error Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php At line: 64 Stacktrace: File: (unknown) line (unknown) Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64 Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php") File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40 Function: PhpQuickProfiler->gatherFileData() File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601 Function: PKPProfiler->getData() File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91 Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869 Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php") File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197 Function: Smarty->_smarty_include(Array(2)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220 Function: PKPTemplateManager->_smarty_include(Array(2)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256 Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php") File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264 Function: Smarty->fetch("article/article.tpl", Null, Null, True) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302 Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True) File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229 Function: PKPTemplateManager->display("article/article.tpl") File: (unknown) line (unknown) Function: ArticleHandler->view(Array(1), Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370 Function: call_user_func(Array(2), Array(1), Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266 Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(1), False) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129 Function: PKPPageRouter->route(Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180 Function: Dispatcher->dispatch(Object(Request)) File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65 Function: PKPApplication->execute() Server info: OS: Linux PHP Version: 5.6.40-0+deb8u12 Apache Version: Apache DB Driver: mysql DB server version: 10.1.48-MariaDB-0+deb9u2