18.-hipertermia Flashcards

1
Q

tipo de herencia de htm?

A

autosomica dominante

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2
Q

RYR1 asociado a ..

A

musculo esqueletico

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3
Q

RYR2 asociado a

A

musculo cardiaco

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4
Q

RYR3 asociado a

A

SNC y musc esqueletico y liso

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5
Q

gen CACNA1S cdifica…

A

sububidad alfa del receptor de dihidropiridina dependientes de voltaje (DHPR)

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6
Q

incidencia

A

1:10.000 a 1:250.000

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7
Q

mas en hombres o en mujeres?

A

75% hombres

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8
Q

promedio de edad?

A

22 años

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9
Q

% que involucra a poblacion pediatrica?

A

mas de 50%

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10
Q

% que tiene historia familiar

A

6.5%

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11
Q

cuantas veces se requiere anestesia

A

mas del 50% son despues de 2 AG

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12
Q

prevalencia estimada de anomalias geneticas

A

1 en 400

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13
Q

mortalidad en USA?

A

menor al 5%

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14
Q

incidencia en chile?

A

desconocida

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15
Q

gold standar dg? sens especif?

A

rueba de contractura in vitro ( halotano/cafeina)

s . 99% e: 94%

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16
Q

a quiens e indica test de contraccion in vitro?

A

historia sospechosa de HTM
parientes de primer grado
portador de alguna miopatia

17
Q

miopatias relacionadas con HTM

A

enf del nucleo central
MUltiminicore
Sd King Denboroug acreaditado

18
Q

que es el dantroleno?

A

derivado de hidantoina

19
Q

dosis dantrolene

A

2.5 mg /k EV

maximo 10 mg/kg cada 5 .-10 min hasta remision de sintomas