[Myocardial depression in the burn patient].
Myocardial depression and heart failure are frequent complications in critically ill burn patients. The physiopathology is complex and involves the activation of inflammatory pathways, ischemia-reperfusion, oxidative stress and endothelial lesion. Diagnosis should be made early by means of hemodynamic monitoring. Treatment is accomplished by inotropics that act on different pathways of the contractile function and immune response associated with antioxidants and allopurinol.
Carrillo-Esper
Raúl
R
Unidad de Cuidados Intensivos, Hospital Central Sur de Alta Especialidad, PEMEX, Periférico Sur 4121, Col. Fuentes del Pedregal, Deleg. Tlalpan. seconcapcmamail@medinet.net.mx
Sánchez-Zúñiga
Martín de Jesús
Mde J
D000328:Adult; D002056:Burns / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D002303:Cardiac Output, Low / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D002316:Cardiotonic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D018384:Oxidative Stress / Q000502:physiology; D012774:Shock, Traumatic / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D016896:Treatment Outcome
D002316:Cardiotonic Agents