%0 Journal Article
%T Empleo de f芍rmacos antitromb車ticos Use of antithrombotic drugs
%A Alejandro R. P谷rez Vald谷s
%A Yainel赤 Cutiˋo M芍s
%A Jes迆s P谷rez Nellar
%A Claudio E. Scherle Matamoros
%J Revista Cubana de Medicina
%D 2007
%I ECIMED
%X El ictus isqu谷mico constituye el 80 % del total de las enfermedades cerebrovasculares y los f芍rmacos antitromb車ticos son una parte importante en la atenci車n de pacientes con esta enfermedad. Por ser las Unidades de Ictus estructuras relativamente nuevas en los centros hospitalarios, no se conoce la frecuencia y el modo de empleo de estos medicamentos en ellas. Se sabe que la elecci車n del tipo de f芍rmaco a emplear, antiagregantes plaquetarios o anticoagulantes, depende de la identificaci車n del mecanismo causal del ictus y de las particularidades de cada paciente. Se estudiaron 275 casos, de los cuales el 72 % ten赤a un ictus isqu谷mico, se emplearon f芍rmacos antitromb車ticos en el 83 % de ellos. Se hall車 que la etiolog赤a fue cardioemb車lica en el 23 % de los ictus isqu谷micos y recibieron tratamiento con anticoagulantes; la warfarina fue la droga m芍s empleada, y la fibrilaci車n auricular, el principal motivo de indicaci車n de estos f芍rmacos. La mayor赤a de los pacientes con ictus isqu谷mico de etiolog赤a no cardioemb車lica se trataron con antiagregantes plaquetarios, la aspirina result車 el m芍s empleado. 80 % of the total of cerebrovascular diseases are ischemic strokes, and the antithrombotic drugs play an important role in the attention to patients with this disease. As the Stroke Units are relatively new structures in the hospitals, the frequency and mode of use of these drugs are not known. It is known that the election of the type of drug to be used, platelet antiaggregants or anticoagulants, depends on the identification of the mechanism causing stroke and on the particularities of each patient. 275 cases, of whom 72 % had ischemic stroke, were studied. Antithrombotic drugs were used in 83 % of them. It was found that the aetiology was cardioembolic in 23 % of the ischemic strokes and that they received treatment with anticoagulants. Warfarin was the most used drug, whereas auricular fibrillation was the main reason to indicate these drugs. Most of the patients with ischemic stroke of noncardioembolic aetiology were treated with platelet antiaggregants. Aspirin proved to be the most used.
%K Ictus
%K anticoagulantes
%K antiagregantes plaquetarios
%K isquemia
%K Stroke
%K anticoagulants
%K platelet antiaggregants
%K ischemia
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232007000400003