{"id":409817,"date":"2025-11-19T00:30:00","date_gmt":"2025-11-18T23:30:00","guid":{"rendered":"https:\/\/medizinonline.com\/?p=409817"},"modified":"2025-10-16T18:29:45","modified_gmt":"2025-10-16T16:29:45","slug":"empeoramiento-de-la-insuficiencia-cardiaca","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/es\/empeoramiento-de-la-insuficiencia-cardiaca\/","title":{"rendered":"Empeoramiento de la insuficiencia cardiaca"},"content":{"rendered":"\n<p><strong>El deterioro de la insuficiencia cardiaca cr\u00f3nica -la llamada <em>insuficiencia cardiaca con empeoramiento<\/em> (ICM)- ya no es s\u00f3lo un acontecimiento agudo, sino la expresi\u00f3n de una din\u00e1mica fisiopatol\u00f3gica compleja y a menudo repetitiva. A pesar de la mejora de la farmacoterapia, de un diagn\u00f3stico m\u00e1s precoz y de un seguimiento m\u00e1s diferenciado, la tasa de hospitalizaci\u00f3n sigue siendo elevada y la mortalidad en el primer a\u00f1o tras el alta es motivo de preocupaci\u00f3n. Nuevos datos muestran que la FHW no es s\u00f3lo la fase final de la insuficiencia card\u00edaca avanzada, sino que a menudo se desencadena por mecanismos tratables: Cambios de volumen, bloqueo neurohormonal inadecuado, desencadenantes inflamatorios o metab\u00f3licos y adherencia inadecuada a la terapia.    <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/es\/mi-cuenta\/paquetes\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">\u00bfYa eres miembro? <a href=\"https:\/\/medizinonline.com\/es\/conectarse\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fes%2Fempeoramiento-de-la-insuficiencia-cardiaca%2F\">Accede aqu\u00ed<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>El deterioro de la insuficiencia cardiaca cr\u00f3nica -la llamada insuficiencia cardiaca con empeoramiento (ICM)- ya no es s\u00f3lo un acontecimiento agudo, sino la expresi\u00f3n de una din\u00e1mica fisiopatol\u00f3gica compleja y&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/es\/mi-cuenta\/paquetes\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">\u00bfYa eres miembro? <a href=\"https:\/\/medizinonline.com\/es\/conectarse\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fes%2Fempeoramiento-de-la-insuficiencia-cardiaca%2F\">Accede aqu\u00ed<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":409820,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Un s\u00edndrome entre descompensaci\u00f3n y cronificaci\u00f3n","footnotes":""},"category":[11324,11475,11478,11552],"tags":[85501,14588,14583,19214],"powerkit_post_featured":[],"class_list":["post-409817","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiologia","category-estudios","category-formacion-continua","category-rx-es","tag-empeoramiento-de-la-insuficiencia-cardiaca","tag-hfpef-es","tag-hfref-es","tag-sglt2-es","pmpro-level-required","pmpro-level-1","pmpro-no-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-17 20:37:43","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"es_ES","wpml_translations":[],"_links":{"self":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/409817","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/comments?post=409817"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/409817\/revisions"}],"predecessor-version":[{"id":409821,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/409817\/revisions\/409821"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media\/409820"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media?parent=409817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/category?post=409817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/tags?post=409817"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/powerkit_post_featured?post=409817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}