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    Iván commented  · 

    Criterios Diagnósticos de Boston

    Historia clínica (máximo 4 ptos.)
    Disnea al subir escaleras
    1
    Disnea al caminar en llano
    2

    Disnea paroxística nocturna
    3
    Disnea de reposo
    4
    Ortopnea
    4
    Examen físico (máximo 4 ptos.)
    Estertores crepitantes basales
    1

    Estertores crepitantes > basales
    2
    Taquicardia >90 cpm o > 100 cpm
    1,2

    Galope por R3
    3
    IY o IY más hepatomegalia o edemas
    3
    Rx Tx (máximo 4 ptos.)
    Redistribución vascular
    2
    Edema intersticial
    3

    Derrame pleural bilateral
    3
    Edema alveolar
    4
    Cardiomegalia (I.C.T. > 0,5)
    3
    Diagnóstico de ICC
    Seguro: 8-12 ptos.
    Posible; 5-7 ptos.

    Improbable: 4 o menos.

    Remes J, Miettinen H, Reunanen A, Pyorala K. Validity of clinical diagnosis of heart failure in primary health care. Eur Heart J. 1991 Mar;12(3):315-21

    Iván supported this idea  · 

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