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Isquemia miocardica

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Mind Map on Isquemia miocardica, created by Javiera Cisternas on 17/03/2018.
Javiera Cisternas
Mind Map by Javiera Cisternas, updated more than 1 year ago
Javiera Cisternas
Created by Javiera Cisternas about 6 years ago
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Resource summary

Isquemia miocardica
  1. falta de balance entre aporte y demanda de oxigeno
    1. reducción
      1. flujo sanguineo coronario
        1. lechos coronarios
          1. demanda de oxigeno
            1. autorregulación coronaria
      2. cardiopatia isquemica
        1. isquemia silente
          1. angina estable
            1. sindromes coronarios agudos
              1. isquemia irreversible
                1. daño miocardico permanente
                2. aterotrombosis
                  1. angina inestable
                    1. infarto del miocardio
                      1. muerte subita cardiaca
                      2. hipoxia
                        1. produccion de adenosina
                          1. vasodilatacion
                            1. produccion de AMPc
                      3. oclusion coronaria
                        1. disminucion de presion de oxigeno miocardico
                          1. disfunción ventricular
                            1. alteracion del metabolismo de calcio sarcomerico
                              1. disfuncion sistolica
                                1. inestabilidad hemodinamuca
                                  1. asinergia regional
                                2. asinergia regional
                            2. flujo sanguineo coronario
                              1. se consumen reservas de oxigeno
                                1. oxihemoglobina
                                  1. oximioglobina
                                  2. cambio metabolico
                                    1. aerobico o mitocondrial
                                      1. glicolisis anaerobica
                                        1. 80% fosfatos de alta energía
                                          1. insuficiente para demandas del miocito
                                            1. disminucion de ATP
                                              1. muerte del miocito
                                              2. acumulacion de ADP
                                                1. asinergia del miocito
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