Abordaje del diagnóstico y tratamiento oportuno del síncope durante el embarazo. Revisión de tres casos

dc.contributor.authorRomero, Ximena
dc.contributor.authorUriel, Monserrat
dc.contributor.authorSoto, Susana
dc.contributor.orcidRomero, Ximena[0000-0002-7040-2705]
dc.contributor.orcidUriel, Monserrat[0000-0001-5987-8633]
dc.contributor.orcidSoto, Susana[0000-0002-1073-1056]
dc.date.accessioned2021-06-03T14:11:30Z
dc.date.available2021-06-03T14:11:30Z
dc.date.issued2020-03-30
dc.description.abstractIntroducción: El síncope es un síntoma que consiste en la pérdida transitoria de la conciencia como consecuencia del suministro inadecuado en la irrigación cerebral. Este es autolimitado, relativamente breve, espontáneo. Las causas son numerosas y tanto el síncope como el presíncope son prevalentes en el embarazo. Sin embargo, en muchas ocasiones la etiología durante el mismo no está del todo bien definida. El objetivo de esta revisión es determinar la importancia de la identificación oportuna de las causas de síncope en el embarazo y su manejo adecuado para evitar resultados materno-perinatales adversos. Serie de casos clínicos: En este trabajo, realizado por medio de la revisión retrospectiva de historias clínicas, incluye tres pacientes con síncope. La primera paciente presentó un síncope cardiogénico durante el embarazo; la segunda presentó síncope neurogénico previo a la gestación con aumento en la frecuencia de episodios durante la misma y la tercera paciente presentó un síncope cardiogénico en las primeras semanas de embarazo. Conclusión: Es de vital importancia establecer un protocolo de diagnóstico y seguimiento para definir la causa del síncope durante el embarazo y determinar si hay alteración cardiaca de base que pudiera complicar a la madre o al feto durante este, en el parto o en el puerperio. También se debe considerar como un evento no aislado, relacionado con cambios hemodinámicos o efectos fisiológicos del embarazo y precisar la causa en esta etapa para un mejor seguimiento en el control prenatal y una programación del momento del desembarazo oportuno para prevenir complicaciones a la madre e hijospa
dc.description.abstractenglishIntroduction: A syncope is a symptom that consists of the transitory loss of consciousness as consequence of a li-mited, relatively short and spontaneous inadequate supply of cerebral irrigation. The possible causes are numerous. Syncope and pre-syncope are prevalent in pregnancy; however, on many occasions the etiology it is not entirely well defined. The objective of this review is to determine the importance of the timely identification of the causes during pregnancy and its proper management to avoid adverse perinatal outcomes. Case series: The present study is a retrospective review of medical records of three patients with syncope. The first patient had cardiogenic syncope during pregnancy; the second presented a neurogenic syncope prior to gestation with an increase of episodes and the third patient had cardiogenic syncope during the first weeks of pregnancy. Conclusion: It is vital to establish a diagnosis and monitoring protocol to define the cause of syncope during preg-nancy and determine if there is a cardiac alteration that could complicate the mother or fetus during gestation, delivery or puerperium. Also, it must not be considered an isolated event related to hemodynamic changes or phy-siological effects during pregnancy. This will allow a better follow-up during prenatal controls and programming of the delivery according to established protocols, preventing complications to the mother and childeng
dc.format.mimetypeapplication/pdf
dc.identifier.doidoi.org/10.18270/rsb.v11i1.2824
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2322-9462
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5895
dc.language.isospa
dc.publisher.journalRevista Salud Bosquespa
dc.relation.ispartofseriesRev. salud. bosque /ISSN 2322-9462/ Vol 11 Nº 01/2021spa
dc.relation.referencesSoteriades ES, Evans JC, Larson MG, Chen MH, Chen L, Benjamin EJ, Levy D. Incidence and prognosis of syncope. N Engl J Med. 2002;347(12):878-85.spa
dc.relation.referencesSaklani P, Khran A, Klein G. Syncope. Circulation. 2013; 127(12): 1330-9. DOI: 10.1161/CIRCULATIONAHA.112.138396spa
dc.relation.referencesYarlagadda S, Poma PA, Green LS, Katz V. Syncope during pregnancy. Obstet Gynecol. 2010;115(2 Pt 1):377-380. DOI: 10.1097/AOG.0b013e3181c4f550spa
dc.relation.referencesi Mitjans AM, Alonso C. Syncope during pregnancy. In. García‐Civera R, Barón‐Esquivias G, Blanc J‐J, Brignole M, i Mitjans AM, Ruiz‐Granell R, Wieling W (eds). Syncope Cases. NJ: Wiley Online Books; 2006. p. 55-7spa
dc.relation.referencesBrignole M, Benditt DG. Syncope. An evidence- based approach. 1st ed. London: Springer-Verlag London; 2011. https://doi.org/10.1007/978-0-85729-201-8spa
dc.relation.referencesJoglar JA, Page RL. Management of arrhythmia syndromes during pregnancy. Curr Opin Cardiol. ; 29(1): 36-44. DOI: 10.1097/HCO.0000000000000020spa
dc.relation.referencesHuang MH, Roeske WR, Hu H, Indik JH, Marcus FI. Postural position and neurocardiogenic syncope in late pregnancy. Am J Cardiol. 2003;92(10):1252-3.spa
dc.relation.referencesElkayam U, Goland S, Pieper PG, Silverside CK. High-risk cardiac disease in pregnancy: Part I. J Am Coll Cardiol. 2016; 68(4):396-410. DOI: 10.1016/j.jacc.2016.05.048spa
dc.relation.referencesCordina R, McGuire MA. Maternal cardiac arrhythmias during pregnancy and lactation. Obstet Med. 2010; 3(1):8-16. DOI: 10.1258/om.2009.090021spa
dc.relation.referencesRosano GM, Leonardo F, Sarrel PM, Beale CM, De Luca F, Collins P. Cyclical variation in paroxysmal supraventricular tachycardia in women. Lancet. 1996; 347(9004):786-8. DOI: 10.1016/s0140-6736(96)90867-3spa
dc.relation.referencesNakagawa M, Katou S, Ichinose M, Nobe S, Yonemochi H, Miyakawa I, Saikawa T. Characteristics of new-onset ventricular arrhythmias in pregnancy. J Electrocardiol. 2004; 37(1):47-53. DOI: 10.1016/j.jelectrocard.2003.10.007spa
dc.relation.referencesDrenthen W, Pieper PG, Roos-Hesselink JW, van Lottum WA, Voors AA, Mulder BJ, van Dijk AP, Vliegen HW, Yap SC, Moons P, Ebels T, van Veldhuisen DJ; ZAHARA Investigators. Outcome of pregnancy in women with congenital heart disease: a literature review. J Am Coll Cardiol. 2007;49(24):2303-11. DOI: 10.1016/j.jacc.2007.03.027spa
dc.relation.referencesGreenwood JP, Scott EM, Stoker JB, Walker JJ, Mary DA. Sympathetic neural mechanisms in normal and hypertensive pregnancy in humans. Circulation. 2001; 104(18):2200-4. DOI: 10.1161/hc4301.098253spa
dc.relation.referencesShukla GJ, Zimetbaum PJ. Cardiology patient page. Syncope. Circulation. 2006; 113(16):e715-7. DOI: 10.1161/CIRCULATIONAHA.105.602250spa
dc.relation.referencesMoya A, Sutton R, Ammirati F, Blanc JJ, Brignole M, Dahm JB, Deharo JC, Gajek J, Gjesdal K, Krahn A, Massin M, Pepi M, Pezawas T, Ruiz Granell R, Sarasin F, Ungar A, van Dijk JG, Walma EP, Wieling W. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J. 2009; 30(21):2631-71 DOI: 10.1093/eurheartj/ehp298spa
dc.relation.referencesShen WK, Sheldon RS, Benditt DG, Cohen MI, Forman DE, Goldberger ZD, Grubb BP, Hamdan MH, Krahn AD, Link MS, Olshansky B, Raj SR, Sandhu RK, Sorajja D, Sun BC, Yancy CW. 2017spa
dc.relation.referencesACC/AHA/HRS Guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2017; 136(5):e60-e122. DOI: 10.1161/CIR.0000000000000499spa
dc.relation.referencesMetz TD, Khanna A. Evaluation and management of maternal cardiac arrhythmias. Obstet Gynecol Clin N Am. 2016; 43(4): 729-45. DOI: 10.1016/j.ogc.2016.07.014spa
dc.relation.referencesGowda RM, Khan IA, Mehta NJ, Vasavada BC, Sacchi TJ. Cardiac arrhythmias in pregnancy: clinical and therapeutic considerations. Int J Cardiol. 2003; 88(2-3):129-33. DOI: 10.1016/s0167-5273(02)00601-0spa
dc.relation.referencesHenry D, Gonzalez JM, Harris IS, Sparks TN, Killion M, Thiet MP, Bianco K. Maternal arrhythmia and perinatal outcomes. J Perinatol. 2016; 36(10):823-7.DOI: 1038/jp.2016.90spa
dc.relation.referencesGrubb BP. Clinical practice. Neurocardiogenic syncope. N Engl J Med. 2005; 352(10):1004-10. DOI: 10.1056/NEJMcp042601spa
dc.relation.referencesGlatter KA, Tuteja D, Chiamvimonvat N, Hamdan M, Park JK. Pregnancy in postural orthostatic tachycardia syndrome. Pacing Clin Electrophysiol. 2005;28(6):591-3. DOI: 10.1111/j.1540-8159.2005.50026.xspa
dc.relation.referencesLide B, Haeri S. A case report and review of postural orthostatic tachycardia syndrome in pregnancy. AJP Rep. 2015 Apr;5(1): e33-6. DOI: 10.1055/s-0034-1544106spa
dc.relation.referencesElkayam U, Goland S, Pieper PG, Silversides CK. High-Risk Cardiac Disease in Pregnancy: Part II. J Am Coll Cardiol. 2016 Aug 2;68(5):502-16. DOI: 10.1016/j.jacc.2016.05.050spa
dc.relation.referencesSimpson LL. Maternal cardiac disease: update for the clinician. Obstet Gynecol. 2012; 119(2 Pt 1):345-59. DOI: 10.1097/AOG.0b013e318242e260spa
dc.relation.urihttps://revistasaludbosque.unbosque.edu.co/index.php/RSB/article/view/2824
dc.rightsAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectSincopespa
dc.subjectEmbarazospa
dc.subjectPrevenciónspa
dc.subjectSincope Vasovagalspa
dc.subject.keywordsPreventionspa
dc.subject.keywordsVasovagal syncopespa
dc.subject.keywordsSyncopespa
dc.subject.keywordsPregnancyspa
dc.titleAbordaje del diagnóstico y tratamiento oportuno del síncope durante el embarazo. Revisión de tres casosspa
dc.title.translatedTimely approach to the diagnosis and treatment of syncope during pregnancy. Review of three casesspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.coarversionhttps://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revistaspa

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