9/11/2023 0 Comments Intervalo pr electrocardiograma![]() El resultado es la prolongación del intervalo QT, ondas T anormales y la aparición de taquicardia ventricular polimórfica por reentrada que muestra características de TdP. Las drogas y los trastornos que reducen la corriente de repolarización neta producen una prolongación preferencial del potencial de acción de la célula M y de esta forma amplifican la dispersión espacial intrínseca de la repolarización, lo que crea el sustrato para la reentrada. Estas existen debido a las diferencias en el tiempo de repolarización de los tres tipos celulares predominantes que conforman el miocardio ventricular, las que dan origen a gradientes de voltaje transmural y a una dispersión de la repolarización responsable del registro de la onda T en el electrocardiograma (ECG). La prolongación del intervalo QT en ocasiones se asocia con torsade de pointes (TdP), arritmias que ponen en riesgo la vida, que se desarrollan como consecuencia de la amplificación de heterogeneidades eléctricas propias del miocardio ventricular. The long-term goal of this project is to raise both public awareness and medical training in toxicology, create community outreach programs, and implement more formal training in toxicology in DR.Los datos actuales sugieren que el problema principal en los síndromes congénitos y adquiridos de QT prolongado no es el alargamiento del intervalo QT sino la dispersión de la repolarización que habitualmente acompaña esta prolongación. From the survey, approximately 40% of respondents have potentially high risk practices including substance abuse, as well as the use of traditional remedies or household products that are either illegal in the United States, improperly labeled, or improperly handled or ingested. The mean pretest score was 61% and posttest score was 83%.Ĭonclusions: Our survey demonstrated that the burden of disease from overdose, substance abuse, and chronic ingestions in this area is exceedingly high and underappreciated. Nineteen emergency medicine residents at Cabral Hospital and fifteen family medicine residents at Juan XXIII Hospital completed the toxicology course. For the category of questions regarding basic toxicological awareness, community members answered 44%, medical students answered 61%, and medical residents answered 73% of the questions correctly. 6 (3%) use prescription pain medication daily. 32 (18%) practice home remedies that are potentially dangerous. 16 survey responders (9%) were exposed to toxic substances in the past and sought medical treatment. Results: 175 surveys were distributed: 134 community individuals, 22 medical residents, and 19 medical students. The curriculum was made available online through the Global Educational Toxicology Uniting Project (GETUP), supported by the American College of Medical Toxicology. A 72-page curriculum and a 12-item pretest and posttest was given to the medical residents enrolled in the course. Survey respondents were either 1) patients in the waiting room areas of the emergency departments and family medicine clinics at the Juan XXIII or Cabral Hospitals, which are both public hospitals 2) community members participating in a basic responder training course held at Juan XIII 3) medical students enrolled in Pontificia Universidad Católica Madre y Maestra (PUCMMM) medical school in Santiago 4) family medicine residents at Juan XXIII hospital 5) emergency medicine residents at Cabral Hospital. Methods: An 89-item survey was distributed and consisted of the following sections: demographics, previous toxicological exposures and medical encounters, storage and disposal practices of potential household toxins, traditional remedy practices, alcohol use, prescription pain medication use, and illicit substance abuse. To design and implement a curriculum written in Spanish to teach core principles about the management of overdose patients for medical students, family medicine residents, and emergency medicine residents. Objectives: To assess the fund of knowledge of patients, medical students, and medical residents in Santiago regarding the impact of alcohol ingestion, substance abuse, and chronic ingestions on the burden of disease. Although the burden of disease from acute and chronic ingestions is high in the DR, there is no formal training in toxicology, no Poison Control Centers, and relatively little access to appropriate laboratory testing, antidote administration, and specialty referral centers. Sobredosis Comunes en la República Dominicanaīackground: Substance abuse is a leading cause of death from non-communicable diseases, which are now the main contributor to mortality in the Dominican Republic (DR). VI.ěeta bloqueadores y Bloqueadores de Canales de Calcio II.Ğvaluación y Tratamiento General al Paciente EnvenenadoĮ.Ěbstinencia al Alcohol o Benzodiacepinas ![]() 1.ğármacos que producen ensanchamiento de QRS
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