{"id":71368,"date":"2023-04-26T10:28:00","date_gmt":"2023-04-26T08:28:00","guid":{"rendered":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=71368"},"modified":"2024-02-28T10:14:13","modified_gmt":"2024-02-28T09:14:13","slug":"ictus-isquemico-por-fop-en-paciente-joven","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/","title":{"rendered":"Ictus isqu\u00e9mico por FOP en paciente joven"},"content":{"rendered":"

Ictus isqu\u00e9mico por FOP en paciente joven<\/strong><\/p>\n

Autora principal: Alba Mart\u00ednez de la Horra<\/p>\n

Vol. XVIII; n\u00ba 8; 378<\/p>\n

Ischemic stroke due to PFO in young patient<\/strong><\/p>\n

Fecha de recepci\u00f3n: 27\/03\/2023<\/p>\n

Fecha de aceptaci\u00f3n: 20\/04\/2023<\/p>\n

Incluido en Revista Electr\u00f3nica de PortalesMedicos.com Volumen XVIII. N\u00famero 8 Segunda quincena de Abril de 2023 \u2013 P\u00e1gina inicial: Vol. XVIII; n\u00ba 8; 378<\/p>\n

AUTORES:<\/strong> Alba Mart\u00ednez de la Horra. Enfermera en 061 Cantabria y servicios de urgencia. Espa\u00f1a.<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mar\u00eda Casuso Ruiz, enfermera en HUMV unidad de consultas hospitalarias. Espa\u00f1a.<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Marta Arenal Osorno, enfermer\u00eda 061 Cantabria y servicios de urgencia. Espa\u00f1a.<\/p>\n

CASO CL\u00cdNICO<\/strong><\/p>\n

Mujer de 28 a\u00f1os sin antecedentes de inter\u00e9s que acude\u00a0 a urgencias porque de forma s\u00fabita nota zumbido en o\u00eddo izquierdo con posterior hipoacusia total en este o\u00eddo, acto seguido evidencia que no puede ver el hemicampo visual derecho del ojo derecho (insiste en que el defecto campim\u00e9trico era monoocular), asociado a imposibilidad para articular lenguaje. Esto dura unos minutos y cede, comenzando justo despu\u00e9s cefalea occipito-cervical y sensaci\u00f3n de inestabilidad sin giro de objetos, que dificulta la marcha, cl\u00ednica que persiste a nuestra valoraci\u00f3n.<\/p>\n

En la entrevista dirigida, la paciente niega movimientos cervicales bruscos ni sensaci\u00f3n de dolor brusco cervical asociado a movimientos cef\u00e1licos. Tampoco cl\u00ednica deficitaria en d\u00edas previos.<\/p>\n

Exploraci\u00f3n F\u00edsica:<\/p>\n

Afebril, TA 129\/77 FC 66 SatO2 99% basal.<\/p>\n

NRL: consciente y alerta, orientada en las 3 esferas, no disartria ni elementos disf\u00e1sicos del lenguaje. Mirada\u00a0centrada, con MOEs conservados. No defectos campim\u00e9tricos. No asimetr\u00edas faciales. No d\u00e9ficit en sensibilidad\u00a0t\u00e1ctil. Las extremidades no claudican en maniobras antigravitatorias, conservando BM 5\/5. Descomposici\u00f3n leve de EID en test tal\u00f3n-rodilla, no asimetr\u00edas en dedo-nariz. No disdiadacocinesia. En Romberg balanceo discreto sin lateropulsi\u00f3n. Marcha cautelosa, con leve aumento de la base de sustentaci\u00f3n, sin objetivarse lateropulsi\u00f3n.<\/p>\n

Pruebas Laboratorio:<\/p>\n

BIOQU\u00cdMICA GENERAL: NORMAL<\/p>\n

HEMOSTASIA: NORMAL<\/p>\n

HEMATIMETR\u00cdA: NORMAL<\/p>\n

MIC-SANGRE-SUERO: NORMAL<\/p>\n

ESTUDIO DE DISLIPEMIA – RCV: NORMAL<\/p>\n

Pruebas Rayos:\u00a0 TAC CEREBRO Y ANGIO RM.<\/p>\n

\u00c1rea de hiperse\u00f1al en secuencia T2 y Flair de aproximadamente 23 mm de di\u00e1metro en hemisferio\u00a0cerebeloso derecho con restricci\u00f3n en la secuencia difusi\u00f3n en relaci\u00f3n a infarto agudo en territorio vertebrobasilar.<\/p>\n

Otros focos peor delimitados y de menor tama\u00f1o de iguales caracter\u00edsticas se observan en hemisferio cerebeloso izquierdo y peque\u00f1as lesiones puntiformes en v\u00e9rmix cerebeloso.<\/p>\n

A nivel supratentorial \u00fanicamente se objetiva un peque\u00f1o foco de hiperse\u00f1al yuxtacortical en el l\u00f3bulo occipital.<\/p>\n

Asimetr\u00eda de los senos venosos siendo de menor tama\u00f1o el transverso y sigmoide izquierdo, permeables.<\/p>\n

Impresi\u00f3n: Infarto agudo en hemisferio cerebeloso derecho. Varios focos de infarto en hemisferio cerebeloso izquierdo, v\u00e9rmix y occipital izquierdo. Probable origen emb\u00f3lico.<\/p>\n

ETT: FOP con paso muy ligero basal y grado 2 con Valsalva.<\/p>\n

Aneurisma de la fosa oval, con FOP amplio.<\/p>\n

Hay flujo espont\u00e1neo continuo por Doppler color Izda-dcha.<\/p>\n

Con maniobra de Valsalva se invierte el movimiento del aneurisma hacia la izda y se expande el t\u00fanel, que llega a medir casi 1cm con abundante paso de contraste hacia la aur\u00edcula izquierda.<\/p>\n

RESUMEN<\/strong><\/p>\n

El foramen oval es una abertura natural entre las dos cavidades superiores del coraz\u00f3n (la aur\u00edcula derecha y la aur\u00edcula izquierda) que presenta el coraz\u00f3n de los beb\u00e9s antes de nacer. Este se suele cerrar entre 6 meses y 1 a\u00f1o despu\u00e9s del nacimiento del beb\u00e9. En un 25% de la poblacion se queda abierto.<\/p>\n

Antes del nacimiento, el foramen oval permite que la mayor\u00eda de la sangre oxigenada que llega a la aur\u00edcula derecha desde la vena cava inferior entre en la aur\u00edcula izquierda y evita su paso en sentido opuesto ya que el septum primum <\/em>se cierra contra el septum secundum<\/em>, relativamente r\u00edgido. Despu\u00e9s del nacimiento, normalmente el agujero oval se cierra y su v\u00e1lvula se fusiona con el septum primum, como consecuencia de ello el tabique interauricular se convierte en una divisi\u00f3n completa entre las aur\u00edculas. En el momento del nacimiento el incremento del flujo de sangre pulmonar causa que la presi\u00f3n de la aur\u00edcula izquierda supere la presi\u00f3n de la aur\u00edcula derecha, facilitando el cierre del foramen oval.<\/p>\n

El FOP no produce s\u00edntomas a la mayor\u00eda de las personas. No obstante, puede originar varias complicaciones cl\u00ednicas graves, principalmente por medio de embolias sist\u00e9micas. Tambi\u00e9n ha sido asociado con la fisiopatolog\u00eda de diferentes enfermedades incluyendo migra\u00f1a, enfermedad de descompresi\u00f3n, embolismo perif\u00e9rico causando infarto de miocardio y renal.<\/p>\n

TRATAMIENTO<\/strong><\/p>\n

El cierre percut\u00e1neo del FOP se basa en una intervenci\u00f3n introducida en 1975, 2 a\u00f1os antes de la primera angioplastia coronaria que tuvo lugar en 1977. Por primera vez se implant\u00f3 por v\u00eda percut\u00e1nea una pr\u00f3tesis de doble paraguas para cerrar un defecto del tabique auricular. El cierre no quir\u00fargico del FOP se introdujo en 1992 mediante una t\u00e9cnica parecida. Este procedimiento se ha convertido en uno de los m\u00e1s frecuentes en la cardiolog\u00eda intervencionista en adultos. Es la intervenci\u00f3n basada en cat\u00e9teres m\u00e1s segura y f\u00e1cil del \u00e1mbito de la cardiolog\u00eda y puede proporcionar el mayor beneficio neto de todos en cuanto al balance riesgo-beneficio.<\/p>\n

CLINIC CASE<\/strong><\/p>\n

A 28-year-old woman with no history of interest who went to the emergency room because she suddenly noticed ringing in the left ear with subsequent total hearing loss in this ear, immediately afterward evidence that she cannot see the right hemifield of the right eye (she insists that the perimetric defect was monocular), associated with inability to articulate language. This lasts for a few minutes and subsides, starting right after occipito-cervical headache and a feeling of instability without turning objects, which makes walking difficult, a clinical condition that persists in our assessment. In the directed interview, the patient denies sudden cervical movements or the sensation of sudden cervical pain associated with head movements. She also did not show a deficit in previous days.<\/p>\n

Physical exploration:<\/p>\n

Afebrile, BP 129\/77 HR 66 SatO2 99% basal. NRL: conscious and alert, oriented in all 3 spheres, no dysarthria or dysphasic elements of language. Look centered, with MOEs conserved. No campimetric defects. No facial asymmetries. No sensitivity deficit tactile. The extremities do not give up in antigravity maneuvers, keeping BM 5\/5. Slight decomposition of EID in heel-knee test, no toe-nose asymmetries. Not dysdiadachokinesia. In Romberg discreet rocking without lateropulsion. Cautious gait, with a slight increase in the base of support, without objectifying lateropulsion.<\/p>\n

Laboratory tests:<\/p>\n

GENERAL BIOCHEMISTRY: NORMAL<\/p>\n

HEMOSTASIS: NORMAL<\/p>\n

HEMATIMETRY: NORMAL<\/p>\n

MIC-BLOOD-SERUM: NORMAL<\/p>\n

DYSLIPEMIA STUDY – CVR: NORMAL<\/p>\n

Ray Tests: BRAIN CT AND MRI ANGIO.<\/p>\n

Area of hypersignal on T2 and Flair sequence of approximately 23 mm in diameter in hemisphere right cerebellar with restriction in the diffusion sequence in relation to acute infarction in vertebrobasilar territory. Other poorly defined and smaller foci with the same characteristics are observed in the left cerebellar hemisphere and small punctate lesions in the cerebellar vermix. At the supratentorial level, only a small focus of juxtacortical hypersignal was observed in the occipital lobe. Asymmetry of the venous sinuses, the transverse and left sigmoid being smaller, permeable.<\/p>\n

Impression: Acute infarction in the right cerebellar hemisphere. Several foci of infarction in the cerebellar hemisphere left, vermix and left occipital. Probable embolic origin.<\/p>\n

Other Tests: EDTC with bubbles: after an effective Valsalva maneuver, a \u00abcurtain\u00bb pattern (countless bubbles), on 1st-2nd beat.<\/p>\n

TTE: PFO with a very brisk basal step and grade 2 with Valsalva. Fossa ovale aneurysm, with wide PFO. There is continuous spontaneous flow by left-right color Doppler. With the Valsalva maneuver, the movement of the aneurysm is reversed to the left and the tunnel is expanded, which reaches measuring almost 1cm with abundant passage of contrast towards the left atrium.<\/p>\n

SUMMARY<\/strong><\/p>\n

The foramen ovale is a natural opening between the two upper chambers of the heart (the right atrium and the left atrium) that the heart of babies presents before birth. This usually closes between 6 months and 1 year after the baby is born. In 25% of the population it remains open. Before birth, the foramen ovale allows most of the oxygenated blood that reaches the right atrium from the inferior vena cava to enter the left atrium and prevents its passage in the opposite direction as the septum primum closes against the septum secundum. relatively stiff. After birth, the foramen ovale normally closes and its valve fuses with the septum primum, resulting in the interatrial septum becoming a complete division between the atria. At birth, increased pulmonary blood flow causes left atrial pressure to exceed right atrial pressure, facilitating closure of the foramen ovale.<\/p>\n

FOP does not cause symptoms in most people. However, it can cause several serious clinical complications, mainly through systemic emboli. It has also been associated with the pathophysiology of different diseases including migraine, decompression sickness, peripheral embolism causing myocardial and renal infarction.<\/p>\n

TREATMENT<\/strong><\/p>\n

Percutaneous PFO closure is based on an intervention introduced in 1975, 2 years before the first coronary angioplasty in 1977. For the first time, a double umbrella prosthesis was implanted percutaneously to close an atrial septal defect. Non-surgical PFO closure was introduced in 1992 using a similar technique. This procedure has become one of the most common in interventional cardiology in adults. It is the safest and easiest catheter-based intervention in cardiology and may provide the greatest net benefit of all in terms of risk-benefit balance.<\/p>\n

BIBLIOGRAFIA<\/strong><\/p>\n

1.Drighil A, El Mosalami H, Elbadaoui N, Chraibi S, Bennis A.. Patent foramen ovale:a new disease? Int J Cardiol, 122 (2007), pp. 1-9<\/p>\n

2.Pan M, Su\u00e1rez de Lezo J, Medina A, Romero M, Segura J, Mesa D..\u00a0Tratamiento percut\u00e1neo de los aneurismas del septo interauricular. Rev Esp Cardiol, 58 (2005), pp. 222-6<\/p>\n

3.M. Taramasso, F. Nietlispach, F. Maisano, B. Meier.\u00a0Patent foramen ovale: Indications for closure and techniques.\u00a0EuroIntervention, 17 (2016), pp. X7-X12<\/p>\n

4.F. Nietlispach, B. Meier. Percutaneous closure of patent foramen ovale: an underutilized prevention? Eur Heart J., 37 (2016), pp. 2023-2028<\/p>\n

5.T. King, N. Mills.\u00a0Nonoperative closure of atrial septal defects.\u00a0Surgery., 75 (1974), pp. 383-388<\/p>\n

6. N.D. Bridges, W. Hellenbrand, L. Latson, J. Filiano, J.W. Newburger, J.E. Lock. Transcatheter closure of patent foramen ovale after presumed paradoxical embolism. Circulation., 86 (1992), pp. 1902-1908<\/span><\/p>\n

7. Calvert PA, Rana BS, Kydd AC, Shapiro LM. Patent Foramen Ovale: anatomy, outcomes, and closure Nat Rev Cardiol. 2011;8:148\u2013160.<\/p>\n

8. Homma S, Sacco RL. Contemporary reviews in cardiovascular medicine: patent foramen ovale and stroke. Circulation. 2005;112:1063\u201372.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ictus isqu\u00e9mico por FOP en paciente joven Autora principal: Alba Mart\u00ednez de la Horra Vol. XVIII; n\u00ba 8; 378<\/p>\n","protected":false},"author":475,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[43,83,119],"tags":[692,17420,4216,2692],"class_list":["post-71368","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-enfermeria","category-medicina-de-urgencias","tag-caso-clinico","tag-cierre-percutaneo-del-fop","tag-ictus-isquemico","tag-tratamiento","no-featured-image-padding"],"acf":[],"yoast_head":"\nIctus isqu\u00e9mico por FOP en paciente joven<\/title>\n<meta name=\"description\" content=\"Ictus isqu\u00e9mico por FOP en paciente joven Autora principal: Alba Mart\u00ednez de la Horra Vol. XVIII; n\u00ba 8; 378 Ischemic stroke due to PFO in young patient\" \/>\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.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Alba Mart\u00ednez de la Horra\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"ScholarlyArticle\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/\"},\"author\":{\"name\":\"Alba Mart\u00ednez de la Horra\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/ab7fe49978920822096a7d99b7aab989\"},\"headline\":\"Ictus isqu\u00e9mico por FOP en paciente joven\",\"datePublished\":\"2023-04-26T08:28:00+00:00\",\"dateModified\":\"2024-02-28T09:14:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/\"},\"wordCount\":1753,\"publisher\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization\"},\"keywords\":[\"caso cl\u00ednico\",\"cierre percut\u00e1neo del FOP\",\"ictus isqu\u00e9mico\",\"tratamiento\"],\"articleSection\":[\"Cardiolog\u00eda\",\"Enfermer\u00eda\",\"Medicina de Urgencias\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"ItemPage\"],\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/\",\"name\":\"Ictus isqu\u00e9mico por FOP en paciente joven\",\"isPartOf\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website\"},\"datePublished\":\"2023-04-26T08:28:00+00:00\",\"dateModified\":\"2024-02-28T09:14:13+00:00\",\"description\":\"Ictus isqu\u00e9mico por FOP en paciente joven Autora principal: Alba Mart\u00ednez de la Horra Vol. XVIII; n\u00ba 8; 378 Ischemic stroke due to PFO in young patient\",\"breadcrumb\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Inicio\",\"item\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cardiolog\u00eda\",\"item\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/publicaciones\/cardiologia\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Ictus isqu\u00e9mico por FOP en paciente joven\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/\",\"name\":\"Revista Electr\u00f3nica de PortalesMedicos.com\",\"description\":\"ISSN 1886-8924 - Publicaci\u00f3n de art\u00edculos, casos cl\u00ednicos, etc. de Medicina, Enfermer\u00eda y Ciencias de la Salud\",\"publisher\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization\"},\"alternateName\":\"Revista de PortalesMedicos\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization\",\"name\":\"Revista Electr\u00f3nica de Portales Medicos.com\",\"alternateName\":\"Revista de PortalesMedicos\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg\",\"contentUrl\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg\",\"width\":199,\"height\":65,\"caption\":\"Revista Electr\u00f3nica de Portales Medicos.com\"},\"image\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/ab7fe49978920822096a7d99b7aab989\",\"name\":\"Alba Mart\u00ednez de la Horra\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/author\/10203\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ictus isqu\u00e9mico por FOP en paciente joven","description":"Ictus isqu\u00e9mico por FOP en paciente joven Autora principal: Alba Mart\u00ednez de la Horra Vol. XVIII; n\u00ba 8; 378 Ischemic stroke due to PFO in young patient","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/","twitter_misc":{"Escrito por":"Alba Mart\u00ednez de la Horra","Tiempo de lectura":"8 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"ScholarlyArticle","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/#article","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/"},"author":{"name":"Alba Mart\u00ednez de la Horra","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/ab7fe49978920822096a7d99b7aab989"},"headline":"Ictus isqu\u00e9mico por FOP en paciente joven","datePublished":"2023-04-26T08:28:00+00:00","dateModified":"2024-02-28T09:14:13+00:00","mainEntityOfPage":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/"},"wordCount":1753,"publisher":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization"},"keywords":["caso cl\u00ednico","cierre percut\u00e1neo del FOP","ictus isqu\u00e9mico","tratamiento"],"articleSection":["Cardiolog\u00eda","Enfermer\u00eda","Medicina de Urgencias"],"inLanguage":"es"},{"@type":["WebPage","ItemPage"],"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/","name":"Ictus isqu\u00e9mico por FOP en paciente joven","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website"},"datePublished":"2023-04-26T08:28:00+00:00","dateModified":"2024-02-28T09:14:13+00:00","description":"Ictus isqu\u00e9mico por FOP en paciente joven Autora principal: Alba Mart\u00ednez de la Horra Vol. XVIII; n\u00ba 8; 378 Ischemic stroke due to PFO in young patient","breadcrumb":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/ictus-isquemico-por-fop-en-paciente-joven\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Inicio","item":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/"},{"@type":"ListItem","position":2,"name":"Cardiolog\u00eda","item":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/publicaciones\/cardiologia\/"},{"@type":"ListItem","position":3,"name":"Ictus isqu\u00e9mico por FOP en paciente joven"}]},{"@type":"WebSite","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/","name":"Revista Electr\u00f3nica de PortalesMedicos.com","description":"ISSN 1886-8924 - Publicaci\u00f3n de art\u00edculos, casos cl\u00ednicos, etc. de Medicina, Enfermer\u00eda y Ciencias de la Salud","publisher":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization"},"alternateName":"Revista de PortalesMedicos","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization","name":"Revista Electr\u00f3nica de Portales Medicos.com","alternateName":"Revista de PortalesMedicos","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg","contentUrl":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg","width":199,"height":65,"caption":"Revista Electr\u00f3nica de Portales Medicos.com"},"image":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/ab7fe49978920822096a7d99b7aab989","name":"Alba Mart\u00ednez de la Horra","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/author\/10203\/"}]}},"views":958,"_links":{"self":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/71368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/users\/475"}],"replies":[{"embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/comments?post=71368"}],"version-history":[{"count":1,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/71368\/revisions"}],"predecessor-version":[{"id":75060,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/71368\/revisions\/75060"}],"wp:attachment":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/media?parent=71368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/categories?post=71368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/tags?post=71368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}