{"id":12192,"date":"2017-07-13T18:18:00","date_gmt":"2017-07-13T17:18:00","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=12192"},"modified":"2017-07-13T18:18:00","modified_gmt":"2017-07-13T17:18:00","slug":"sesion-clinica-212017-sincope-cardiogenico","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2017-07-13\/sesion-clinica-212017-sincope-cardiogenico\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 21\/2017: sincope cardiog\u00e9nico."},"content":{"rendered":"<p style=\"text-align:left;\"><a href=\"https:\/\/mileon.wordpress.com\/2017\/07\/13\/sesion-clinica-212017-sincope-cardiogenico\/images-103\/#main\" rel=\"attachment wp-att-12193\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-12193\" src=\"https:\/\/mileon.files.wordpress.com\/2017\/07\/images.jpeg\" alt=\"\" width=\"151\" height=\"171\" \/><\/a>Var\u00f3n de 80 a\u00f1os que ingresa tras un s\u00edncope precedido de un mareo. Entre sus antecedentes hay hipertensi\u00f3n arterial, fibriaci\u00f3n auricular parox\u00edstica, enolismo y un probable EPOC. Adem\u00e1s presenta importante p\u00e9rdida de peso y diarrea cr\u00f3nica que esta siendo estudiado ambulatoriamente.<br \/>\nEl diagnostico diferencial lo hizo la Dra Ana Mart\u00ednez Alonso (R2 MI) sobre el s\u00edncope y la diarrea. Su presentaci\u00f3n se puede ver en el siguiente <strong><a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZaRjR5YXN4VkVDUmM\/view?usp=sharing\">enlace.<\/a><\/strong><br \/>\nLa soluci\u00f3n fue comentada por el Dr. Carlos Mart\u00ednez Ramos (adjunto MI). Un holter mostr\u00f3 variabilidad en la frecuencia cardiaca y se indico colocaci\u00f3n de marcapasos ante una disfunci\u00f3n sinusal. De forma ambulatoria se completaron los estudios digestivos mostrando atrofia vellositaria e infiltrado linfocitario en las biopsias duodenales, compatible con una enteropat\u00eda, en este caso, asociada al olmesartan que toma como hipotensor (pendiente de ver evoluci\u00f3n tras ser suspendido).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Var\u00f3n de 80 a\u00f1os que ingresa tras un s\u00edncope precedido de un mareo. Entre sus antecedentes hay hipertensi\u00f3n arterial, fibriaci\u00f3n auricular parox\u00edstica, enolismo y un probable EPOC. Adem\u00e1s presenta importante p\u00e9rdida de peso y diarrea cr\u00f3nica que esta siendo estudiado ambulatoriamente. El diagnostico diferencial lo hizo la Dra Ana Mart\u00ednez Alonso (R2 MI) sobre el [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[],"class_list":["post-12192","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/12192","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=12192"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/12192\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=12192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=12192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=12192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}