Castaño-Guerra RJ, Franco-Vergara BC, Martínez BLF, Avilés-Valverde J, González-Aceves EN, González-Hermosillo JA, Gómez-Flores R, Márquez-Murillo MF, Nava-Townsend SR, Iturralde-Torres P, Deloya-Maldonado AM, Lara-Vaca S, Rodríguez-Diez G

Idioma: Español
Referencias bibliográficas: 33
Paginas: 213-231
Archivo PDF: 495.99 Kb.

RESUMEN

La fibrilación auricular está asociada con un incremento a largo plazo en la incidencia de enfermedad vascular cerebral, insuficiencia cardiaca y mortalidad general. Ante fibrilación auricular no valvular, la incidencia de infarto cerebral isquémico promedia 5 % por año, dos a siete veces mayor al de los pacientes sin ella; además, uno de cada seis infartos cerebrales isquémicos ocurre en pacientes que la padecen. La detección y el diagnóstico correctos y oportunos, así como la intervención terapéutica, han demostrado la disminución de la morbimortalidad relacionada con esta arritmia. El objetivo de esta guía es poner a disposición de los profesionales de la salud las recomendaciones basadas en la mejor evidencia disponible, con la intención de estandarizar las acciones sobre diagnóstico e identificación del paciente con fibrilación auricular, estratificación de riesgo y tratamiento, identificación del riesgo de tromboembolismo y prevención del mismo, así como lineamientos para determinar qué paciente requerirá ser referido oportunamente a otro nivel de atención.

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