Análisis de los métodos de diagnóstico de la enfermedad arterial periférica obstructiva en pacientes con Diabetes mellitus

Autores/as

DOI:

https://doi.org/10.33448/rsd-v12i4.41293

Palabras clave:

Enfermedad Arterial Periférica; Enfermedades Cardiovasculares; Diabetes Mellitus; Técnicas y Procedimientos Diagnósticos.

Resumen

Objetivo: Sintetizar la información sobre los principales métodos de diagnóstico de la enfermedad arterial obstructiva en pacientes con diabetes mellitus. Metodología: Revisión bibliográfica integradora con el objetivo de responder a la pregunta guía originada a partir de la estrategia PICo "¿Cómo es el diagnóstico de la EAP en pacientes diabéticos?" a partir de artículos seleccionados de las plataformas MEDLINE/PubMed®, LILACS y WoS. Resultados: Para el diagnóstico de la enfermedad arterial obstructiva en diabéticos, el principal método clínico es el índice tobillo-brazo, que es una técnica muy ventajosa por su sensibilidad, fácil ejecución y bajo coste. Asimismo, entre los métodos de laboratorio, la osteoprotegerina presenta niveles plasmáticos elevados en estos pacientes; el péptido natriurético cerebral elevado está indicado como predictor; y también está la omentina, que es útil para el seguimiento y la evaluación de la gravedad. Además, como prueba de imagen, la angiografía es el patrón oro para este reconocimiento, pero es un método caro e invasivo. Por otro lado, la ecografía Doppler es una herramienta práctica y eficaz para predecir esta forma de complicación vascular. Conclusión: Fue posible sintetizar los principales hallazgos clínicos y de laboratorio que pueden ser examinados durante el cuidado de pacientes con diabetes y que pueden ser útiles para detectar la EAP en estos individuos. Sin embargo, se sugiere la realización de nuevos estudios para explorar los nuevos métodos y su eficacia, a fin de permitir un diagnóstico precoz y eficaz.

Citas

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Publicado

17/04/2023

Cómo citar

SANTANA, B. V. R. C. .; MENDES, I. P. G. .; REGO NETO, F. N. do .; SILVA, G. L. V. M. da C. e .; SOUSA , J. H. G. de .; ANDRADE, I. C. de O. .; MAGALHÃES NETO, E. de C. . Análisis de los métodos de diagnóstico de la enfermedad arterial periférica obstructiva en pacientes con Diabetes mellitus. Research, Society and Development, [S. l.], v. 12, n. 4, p. e25212441293, 2023. DOI: 10.33448/rsd-v12i4.41293. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41293. Acesso em: 22 nov. 2024.

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