Journal of the American College of Cardiology<\/em><\/a>. L\u2019autor principal de l\u2019estudi ha estat el Dr. Andrea di Marco, especialista de la Unitat d\u2019Electrofisiologia i Arr\u00edtmies del Servei de Cardiologia de l\u2019Hospital Universitari de Bellvitge.<\/p>\nLa miocardiopatia dilatada no isqu\u00e8mica es caracteritza per la dilataci\u00f3 excessiva i p\u00e8rdua de for\u00e7a del ventricle esquerre del cor en abs\u00e8ncia d\u2019un infart previ. Aix\u00ed i tot, es tracta d\u2019una condici\u00f3 que pot provocar insufici\u00e8ncia card\u00edaca, arr\u00edtmies greus, o fins i tot mort sobtada.<\/p>\n
Fins ara no existia una forma prou fiable de determinar quins pacients amb miocardiopatia dilatada no isqu\u00e8mica tenien un risc m\u00e9s alt de patir arr\u00edtmies potencialment letals o mort sobtada. A causa d\u2019aix\u00f2, diversos assajos de l\u2019\u00fas preventiu dels desfibril\u00b7ladors implantables en aquests pacients no havien obtingut bons resultats i quedava un ample marge d\u2019incertesa sobre a quins pacients s\u2019hauria de posar un desfibril\u00b7lador profil\u00e0ctic.<\/p>\n
Els autors d\u2019aquest treball han proposat una millor estratificaci\u00f3 del risc d\u2019arr\u00edtmies greus i de mort sobtada en aquests pacients. Mitjan\u00e7ant la combinaci\u00f3 de dos senzills par\u00e0metres obtinguts per resson\u00e0ncia magn\u00e8tica card\u00edaca \u2013la fracci\u00f3 d\u2019ejecci\u00f3 del ventricle esquerre i el real\u00e7 tard\u00e0 de gadolini\u2013, han aconseguit un algoritme de f\u00e0cil aplicaci\u00f3 cl\u00ednica que permet identificar el risc de forma molt m\u00e9s precisa que l\u2019estrat\u00e8gia en \u00fas fins ara.<\/p>\n
L\u2019algoritme ha estat desenvolupat en una cohort de 1.165 pacients de l\u2019Hospital Universitari de Bellvitge i el North West Heart Center de Manchester, amb un seguiment mitj\u00e0 de 36 mesos.<\/p>\n
Gr\u00e0cies a aquesta nova eina, es podr\u00e0 guiar de forma m\u00e9s precisa la indicaci\u00f3 d\u2019un desfibril\u00b7lador implantable a aquells pacients que tinguin realment un alt risc de mort sobtada, cosa que permetr\u00e0 salvar m\u00e9s vides i augmentar la relaci\u00f3 cost-benefici d\u2019aquesta ter\u00e0pia.<\/p>\n
<\/p>\n
<\/p>\n
L\u2019Institut d’Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l’Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l’Institut Catal\u00e0 de la Salut, l’Institut Catal\u00e0 d’Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\nL\u2019IDIBELL \u00e9s membre del Campus d’Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L’any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"Gr\u00e0cies a aquesta nova eina, es podr\u00e0 guiar de forma m\u00e9s precisa la indicaci\u00f3 d\u2019un desfibril\u00b7lador implantable a aquells pacients d\u2019alt risc<\/p>\n","protected":false},"author":8,"featured_media":18199,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[359,334,466],"tags":[],"publishpress_future_action":{"enabled":false,"date":"2024-05-04 13:35:55","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/18198"}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=18198"}],"version-history":[{"count":0,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/18198\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/18199"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=18198"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=18198"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=18198"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}