{"id":3326,"date":"2019-10-31T11:55:00","date_gmt":"2019-10-31T11:55:00","guid":{"rendered":"https:\/\/turipano360.eu\/medicinainternadexeus.com\/es\/?p=3326"},"modified":"2021-07-13T10:50:07","modified_gmt":"2021-07-13T10:50:07","slug":"ictus-que-es","status":"publish","type":"post","link":"https:\/\/www.medicinainternadexeus.com\/es\/ictus-que-es\/","title":{"rendered":"Ictus \u00bfQu\u00e9 es?"},"content":{"rendered":"\t\t
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El ictus se define como un trastorno brusco del flujo sangu\u00edneo cerebral que altera de manera transitoria o permanente la funci\u00f3n de una determinada parte del cerebro. Es un t\u00e9rmino que procede del lat\u00edn y quiere decir \u201cgolpe\u201d, su utilizaci\u00f3n fue propuesta por el Grupo de Estudio de Enfermedades Cerebrovasculares (GEECV) de la Sociedad Espa\u00f1ola de Neurolog\u00eda (SEN) para referirse al infarto cerebral, hemorragia intracerebral y subaracnoidea.\u00a0<\/span><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/section><\/div> Leer m\u00e1s<\/span><\/a>","protected":false},"excerpt":{"rendered":"

El ictus se define como un trastorno brusco del flujo sangu\u00edneo cerebral que altera de manera transitoria o permanente la funci\u00f3n de una determinada parte del cerebro. 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subaracnoidea.\u00a0<\/p>\n","protected":false},"author":1,"featured_media":3329,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"categories":[35],"tags":[],"class_list":["post-3326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-prevencion-y-promocion"],"_wp_attachment_metadata":null,"_wp_attached_file":null,"wpml_media_processed":null,"wp-smush-lossy":null,"wp-smpro-smush-data":null,"original-file":null,"smush-complete":null,"smush-info":null,"smush-stats":null,"_wp_attachment_context":null,"_oembed_45ea98eede8af760384ad934d06e12f8":null,"text_unsubscribed":null,"text_not_subscribed":null,"text_no_lists_selected":null,"text_updated":null,"text_required_field_missing":null,"text_already_subscribed":null,"text_error":null,"text_invalid_email":null,"text_subscribed":null,"_mc4wp_settings":null,"_menu_item_type":null,"_menu_item_menu_item_parent":null,"_menu_item_object_id":null,"_menu_item_object":null,"_menu_item_target":null,"_menu_item_classes":null,"_menu_item_xfn":null,"_menu_item_url":null,"_field_1":null,"_field_5":null,"_field_8":null,"_field_7":null,"_field_6":null,"_field_10":null,"_field_9":null,"_field_12":null,"_field_14":null,"_field_15":null,"_field_3":null,"_field_13":null,"_form_id":null,"_seq_num":null,"_field_16":null,"_field_17":null,"_field_18":null,"_field_19":null,"_field_20":null,"_field_21":null,"_field_22":null,"_field_23":null,"_field_24":null,"_field_25":null,"_field_26":null,"_field_27":null,"_field_28":null,"_field_29":null,"_field_30":null,"_field_31":null,"_field_32":null,"_field_33":null,"_field_34":null,"_field_35":null,"_field_36":null,"_field_144":null,"_field_37":null,"_field_40":null,"_field_43":null,"_field_42":null,"_field_41":null,"_field_45":null,"_field_44":null,"_field_46":null,"_field_48":null,"_field_49":null,"_field_50":null,"_field_51":null,"_field_52":null,"_field_53":null,"_field_54":null,"_field_55":null,"_field_56":null,"_field_57":null,"_field_58":null,"_field_59":null,"_field_60":null,"_field_61":null,"_field_62":null,"_field_63":null,"_field_64":null,"_field_65":null,"_field_66":null,"_field_67":null,"_field_68":null,"_field_69":null,"_field_70":null,"_field_145":null,"_field_38":null,"_field_47":null,"_field_105":null,"_field_108":null,"_field_111":null,"_field_110":null,"_field_109":null,"_field_113":null,"_field_112":null,"_field_114":null,"_field_116":null,"_field_117":null,"_field_118":null,"_field_119":null,"_field_120":null,"_field_121":null,"_field_122":null,"_field_123":null,"_field_124":null,"_field_125":null,"_field_126":null,"_field_127":null,"_field_128":null,"_field_129":null,"_field_130":null,"_field_131":null,"_field_132":null,"_field_133":null,"_field_134":null,"_field_135":null,"_field_136":null,"_field_137":null,"_field_138":null,"_field_147":null,"_field_106":null,"_field_115":null,"_field_71":null,"_field_74":null,"_field_77":null,"_field_76":null,"_field_75":null,"_field_79":null,"_field_78":null,"_field_80":null,"_field_82":null,"_field_83":null,"_field_84":null,"_field_85":null,"_field_86":null,"_field_87":null,"_field_88":null,"_field_89":null,"_field_90":null,"_field_91":null,"_field_92":null,"_field_93":null,"_field_94":null,"_field_95":null,"_field_96":null,"_field_97":null,"_field_98":null,"_field_99":null,"_field_100":null,"_field_101":null,"_field_102":null,"_field_103":null,"_field_104":null,"_field_146":null,"_field_72":null,"_field_81":null,"_wxr_import_has_attachment_refs":null,"_yoast_wpseo_title":null,"_yoast_wpseo_metadesc":null,"_wpml_word_count":"759","_last_translation_edit_mode":null,"_wpml_location_migration_done":null,"_yoast_wpseo_wordproof_timestamp":null,"dsvy-revolution-slider":null,"_dsvy-revolution-slider":null,"dsvy-slider-curved-style":null,"_dsvy-slider-curved-style":null,"_oembed_ffc8f13b07b72008d0ef6559135a53aa":null,"_oembed_time_ffc8f13b07b72008d0ef6559135a53aa":null,"_oembed_5f9dfc85e333156e9e728b8c25b36a7e":null,"_oembed_time_5f9dfc85e333156e9e728b8c25b36a7e":null,"_oembed_585e8667f9817748c536573fa3d7fdef":null,"_oembed_time_585e8667f9817748c536573fa3d7fdef":null,"_oembed_bff0156e500775b980efe9aa04062306":null,"_oembed_time_bff0156e500775b980efe9aa04062306":null,"_yoast_wpseo_meta-robots-noindex":null,"_yoast_wpseo_meta-robots-nofollow":null,"_wp_old_slug":"hard-contented-we-decide-ourselves-a-intently","_yoast_wpseo_primary_category":"35","_thumbnail_id":"3329","_elementor_template_type":"wp-post","_elementor_edit_mode":"builder","_elementor_version":"3.1.4","_wxr_import_user_slug":null,"_elementor_page_settings":null,"_wp_page_template":"default","_elementor_data":"[{\"id\":\"6db8bd3d\",\"elType\":\"section\",\"settings\":[],\"elements\":[{\"id\":\"573983f3\",\"elType\":\"column\",\"settings\":{\"_column_size\":100},\"elements\":[{\"id\":\"71381b1\",\"elType\":\"widget\",\"settings\":{\"editor\":\"

El ictus se define como un trastorno brusco del flujo sangu\\u00edneo cerebral que altera de manera transitoria o permanente la funci\\u00f3n de una determinada parte del cerebro. Es un t\\u00e9rmino que procede del lat\\u00edn y quiere decir \\u201cgolpe\\u201d, su utilizaci\\u00f3n fue propuesta por el Grupo de Estudio de Enfermedades Cerebrovasculares (GEECV) de la Sociedad Espa\\u00f1ola de Neurolog\\u00eda (SEN) para referirse al infarto cerebral, hemorragia intracerebral y subaracnoidea.\\u00a0<\\\/span><\\\/strong><\\\/p>\"},\"elements\":[],\"widgetType\":\"text-editor\"},{\"id\":\"5f62665\",\"elType\":\"widget\",\"settings\":{\"link_text\":\"Leer m\\u00e1s\"},\"elements\":[],\"widgetType\":\"read-more\"},{\"id\":\"25bba729\",\"elType\":\"widget\",\"settings\":{\"editor\":\"

El ictus es un problema de salud p\\u00fablica de primer orden. En los pa\\u00edses desarrollados es la tercera causa de muerte despu\\u00e9s de las enfermedades cardiovasculares y las neoplasias. En Espa\\u00f1a, es la primera causa de mortalidad en las mujeres y la segunda en hombres seg\\u00fan datos del Grupo de Estudio de Enfermedades Cerebrovascular de la Sociedad Espa\\u00f1ola de Neurolog\\u00eda (GEECV-SEN). Es la primera causa de discapacidad permanente en el adulto y la segunda causa de demencia. Una tercera parte de las personas que sobreviven presentan importantes secuelas que limitan sus actividades de la vida diaria. Nos enfrentamos a una epidemia donde la prevenci\\u00f3n y la promoci\\u00f3n junto con la intervenci\\u00f3n multidisciplinar son las bases de la sanidad actual y futura.\\u00a0<\\\/span><\\\/p>

Los cuidados deben proporcionarse desde los primeros s\\u00edntomas; por ello, se establecen cinco niveles en la cadena asistencial. El primer nivel es el reconocimiento de la enfermedad a nivel extra hospitalario, el segundo nivel es el traslado del paciente, un tercer nivel con atenci\\u00f3n en urgencias, un cuarto nivel para la atenci\\u00f3n en unidades de ictus y\\\/o atenci\\u00f3n aguda por equipos multidisciplinares y por \\u00faltimo, un quinto nivel con atenci\\u00f3n a la persona afectada en la fase subaguda y cr\\u00f3nica. En relaci\\u00f3n al \\u00faltimo nivel, se ha demostrado la eficacia del cuidado individualizado y la rehabilitaci\\u00f3n en la reducci\\u00f3n de la mortalidad y dependencia de los pacientes con ictus.\\u00a0<\\\/span><\\\/p>

Una epidemia que se puede evitar<\\\/strong><\\\/span><\\\/h3>

La mayor parte de los casos de ictus se pueden evitar. Uno de cada seis personas en el mundo sufrir\\u00e1n un ictus, por ello es de vital importancia controlar los factores de riesgo asociados. Seg\\u00fan el estudio IMPACTO1, \\u201cmenos de un tercio de pacientes que han sufrido un ictus isqu\\u00e9mico tienen los factores de riesgo controlados\\\". La mayor\\u00eda de pacientes est\\u00e1n recibiendo tratamiento, pero el objetivo s\\u00f3lo se alcanza en uno de cada cuatro. \\u00a0<\\\/span><\\\/p>

Los factores de riesgo modificables para evitar el ictus isqu\\u00e9mico coinciden en su gran mayor\\u00eda con los factores de riesgo de la enfermedad isqu\\u00e9mica coronaria y son de dos tipos: por un lado, los factores de riesgo establecidos como la hipertensi\\u00f3n, hiperlipidemia, diabetes mellitus, tabaco, estenosis carot\\u00eddea, fibrilaci\\u00f3n auricular, anemia falciforme; y, por otro lado, est\\u00e1n los factores potenciales, como son la obesidad, la inactividad f\\u00edsica, la intolerancia a la glucosa, la nutrici\\u00f3n deficiente, el alcoholismo, la hiperhomocisteinemia, la drogadicci\\u00f3n, la hipercoaguabilidad, la terapia hormonal sustitutoria\\\/anticonceptivos, los procesos inflamatorios y la apnea del sue\\u00f1o\\u201d.<\\\/span><\\\/p>

  • Hipertensi\\u00f3n:\\u00a0<\\\/strong>Existe una relaci\\u00f3n directa entre la hipertensi\\u00f3n arterial (HTA) y el riesgo de sufrir un evento isqu\\u00e9mico, incluyendo el ictus. De hecho, se estima que el 67% de los pacientes que ha sufrido un ictus tiene cifras elevadas de presi\\u00f3n arterial. Una tensi\\u00f3n arterial elevada multiplica por cinco el riesgo de padecer un ictus y su control podr\\u00eda evitar aproximadamente el 40% de las muertes. Se establecen cifras \\u00f3ptimas de tensi\\u00f3n arterial por debajo 140\\\/90 mmHg y a los diab\\u00e9ticos o con enfermedad renal cr\\u00f3nica (ERC) por debajo de 130\\\/80 mmHg.<\\\/span><\\\/li><\\\/ul>
    • Hiperlipidemia:<\\\/strong>\\u00a0Las cifras de colesterol elevadas en sangre aumentan el riesgo de padecer un ictus.\\u00a0<\\\/span><\\\/li><\\\/ul>
      • Fibrilaci\\u00f3n auricular:\\u00a0<\\\/strong>Es la arritmia m\\u00e1s frecuente, presente en un 1% de la poblaci\\u00f3n general y hasta en un 10% en las personas de m\\u00e1s de 75 a\\u00f1os. El riesgo de accidente cerebro vascular secundario a tromboembolismo por fibrilaci\\u00f3n auricular es aproximadamente del 3% al 5% por a\\u00f1o.<\\\/span><\\\/li><\\\/ul>
        • Tabaquismo:\\u00a0<\\\/strong>Este factor incrementa el riesgo de ictus de 2 a 4 veces y la enfermedad carot\\u00eddea en 5 veces.<\\\/span><\\\/li><\\\/ul>
          • Diabetes:<\\\/strong>\\u00a0Los diab\\u00e9ticos presentan un alto riesgo de padecer ateroesclerosis y, suelen presentar otros factores de riesgo com la hipertensi\\u00f3n, hiperlipidemia y obesidad.<\\\/span><\\\/li><\\\/ul>

            La prevenci\\u00f3n se basa en llevar un estilo de vida saludable que incluya una dieta sana y equilibrada realizando actividad f\\u00edsica de manera regular.<\\\/span><\\\/p>\"},\"elements\":[],\"widgetType\":\"text-editor\"}],\"isInner\":false}],\"isInner\":false}]","_elementor_controls_usage":{"text-editor":{"count":2,"control_percent":0,"controls":{"content":{"section_editor":{"editor":2}}}},"read-more":{"count":1,"control_percent":0,"controls":{"content":{"section_title":{"link_text":1}}}},"column":{"count":1,"control_percent":0,"controls":[]},"section":{"count":1,"control_percent":0,"controls":[]}},"_edit_lock":"1626173316:1","_elementor_css":{"time":1780987937,"fonts":[],"icons":[],"dynamic_elements_ids":[],"status":"file","0":""},"_wp_old_date":"2020-08-27","dsvy-sidebar":"global","_dsvy-sidebar":"dsvy-sidebar","dsvy-slider-type":"","_dsvy-slider-type":"dsvy-slider-type","dsvy-titlebar-hide":"0","_dsvy-titlebar-hide":"dsvy-titlebar-hide","dsvy-titlebar-title":"","_dsvy-titlebar-title":"dsvy-titlebar-title","dsvy-titlebar-subtitle":"","_dsvy-titlebar-subtitle":"dsvy-titlebar-subtitle","dsvy-titlebar-bg-img":"948","_dsvy-titlebar-bg-img":"dsvy-titlebar-bg-img","dsvy-titlebar-bg-color":"","_dsvy-titlebar-bg-color":"dsvy-titlebar-bg-color","dsvy-titlebar-bg-color-opacity":"0","_dsvy-titlebar-bg-color-opacity":"dsvy-titlebar-bg-color-opacity","_edit_last":"1","dsvy-bg-img":"","_dsvy-bg-img":"dsvy-bg-img","dsvy-bg-color":"","_dsvy-bg-color":"dsvy-bg-color","dsvy-bg-color-opacity":"0","_dsvy-bg-color-opacity":"dsvy-bg-color-opacity","_elementor_pro_version":"3.2.1","_yoast_wpseo_content_score":"30","_yoast_wpseo_estimated-reading-time-minutes":"4","_wpml_media_duplicate":"1","_wpml_media_featured":"1","_elementor_page_assets":{"scripts":["elementor-frontend"]},"rs_page_bg_color":null,"_elementor_template_widget_type":null,"_elementor_popup_display_settings":null,"yoast_head":"\nIctus \u00bfQu\u00e9 es? - Medicina Interna Dexeus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medicinainternadexeus.com\/ca\/ictus-que-es\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ictus \u00bfQu\u00e9 es? - Medicina Interna Dexeus\" \/>\n<meta property=\"og:description\" content=\"El ictus se define como un trastorno brusco del flujo sangu\u00edneo cerebral que altera de manera transitoria o permanente la funci\u00f3n de una determinada parte del cerebro. 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