Disfunción circulatoria en la cirrosis hepática
Dr Gustavo A Romero. Servicio de Hepatología.
La disfunción circulatoria en la cirrosis hepática es el conjunto de cambios hemodinámicos que acompañan al curso progresivo de la enfermedad desde su estadio preascitico hasta su máxima expresión constituida por el síndrome hepatorenal.
A pesar que los conocimientos sobre la patogenia de los cambios hemodinámicos distan mucho de ser completos, en los últimos años se han producido grandes avances en la comprensión de los mecanismos fisiopatológicos implicados en la disfunción circulatoria que han llevado al desarrollo de terapéuticas que han revolucionado el tratamiento del síndrome hepatorenal, una falla hepática funcional hasta hace pocos años considerada irreversible.
Durante la exposición se intentara desarrollar en forma resumida no solo los conceptos patogénicos implicados en el desarrollo del síndrome hepatocirculatorio si no también su implicancia clínica y pronóstica y su aplicación en el desarrollo de los nuevos tratamientos.
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