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Froggy Jumps
Froggy Jumps

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Guía 2026 para el manejo temprano de ACV agudo

Created by

Douglas Alvarez
Douglas Alvarez
Ecuador

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Guía 2026 para el manejo temprano de ACV agudo

by Douglas Alvarez
1

¿En la ventana de 4.5 horas, el trombolítico de elección es?

2

¿En pacientes con déficit discapacitante dentro de 4.5 horas?

3

¿En déficits NO discapacitantes el tratamiento de elección es?

4

¿Cuál es la ventana típica donde la trombectomia endovascular muestra beneficio en la oclusión de grandes vasos anterior con NIHSS >6, ASPECTS 4?

5

En pacientes con AIS, con oclusión de la arteria basilar, una puntuación basal de mRS de 0 a 1, puntuación NIHSS ≥ 10 en la presentación, y PC-ASPECTS ≥6 (daño isquémico leve), se recomienda?

6

¿En pacientes con IAS no cardioembólico menor, NIHSS ≤5) dentro de las 24 a 72 horas posteriores al inicio del accidente cerebrovascular,que no recibieron IVT, se recomienda?

7

¿En pacientes con ictus isquémico no embólico agudo, con NIHSS<3, que no recibieron Terapia intravenosa se recomienda? 4.8

8

Un paramédico evalúa a un paciente con sospecha de ACV usando la escala de Cincinnati. Detecta desviación facial y debilidad del brazo derecho, pero el habla es normal. ¿Cómo debe interpretarse este resultado?

9

Mujer de 72 años, último momento bien conocida hace 10 horas. NIHSS 16. Imagen de perfusión demuestra tejido salvable y oclusión de gran vaso. ¿Qué tratamiento está indicado?

10

Paciente de 59 años consulta por debilidad leve del brazo izquierdo iniciada hace 90 minutos. NIHSS 3. No hay oclusión de gran vaso en angioTAC.

 
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