Guia de pràctica clínica per a la prevenció, diagnòstic i tractament de la malaltia tromboembòlica venosa a l’esport
Clinical practice guidelines for the prevention, diagnosis and treatment of venous thromboembolism in sport
a Serveis Mèdics del FC Barcelona, Departament de Recerca del CAR GIRSANE, Unitat de Medicina de l’Esport, Hospital Sant Joan de Déu, Barcelona, Espanya
b Departament d’Hematologia, SCIAS - Hospital de Barcelona, Barcelona, Espanya
c Servei d’Angiologia, Cirurgia Vascular i Endovascular, Hospital de la Santa Creu i Sant Pau, Barcelona, Espanya
d Unitat de Genòmica de Malalties Complexes, Institut d’Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Espanya
e Unitat de Trombosi i Hemostàsia, Hospital de la Santa Creu i Sant Pau, Barcelona, Espanya
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Malaltia tromboembòlica; Heparina; Nous anticoagulants orals" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec937442" "palabras" => array:1 [ 0 => "Deep vein thrombosis; Venous thromboembolism; Heparin; Novel oral anticoagulants" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p class="elsevierStylePara"> El terme malaltia tromboembòlica venosa es refereix a diversos processos patològics, entre els quals destaquen la trombosi venosa profunda, el tromboembolisme pulmonar, la hipertensió pulmonar tromboembòlica crònica i la síndrome posttrombòtica. La importància en el nostre medi rau en el fet que és una patologia que requereix un període de recuperació llarg, de 3 a 6 mesos, i que un diagnòstic tardà o no ben fet pot ocasionar una malaltia més greu i fins i tot un desenllaç fatal. És difícil establir-ne la prevalença a l’àmbit de l’esport, però empíricament sembla que és similar a la de l’individu que no fa esport. Tanmateix, l’àmbit de l’esport i el seu entorn ofereixen unes condicions clíniques de risc que poden ser factors que en precipitin la presència, la contusió sobre el llit vascular, el repòs dels viatges, la deshidratació, la massoteràpia mal orientada, una medicació determinada o una predisposició genètica. Aquesta guia ofereix una actualització del procés, exposa una protocol·lització diagnòstica, les pautes de prevenció i de tractament estàndard i aplicat a l’esport, pensant no sols en l’esportista, sinó també en el professional i en el personal que els acompanya.</p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStylePara"> The term venous thromboembolism refers to various pathological processes that include deep vein thrombosis, pulmonary embolism, chronic thromboembolic pulmonary hypertension and the thrombotic syndrome. The importance in sports activities is that it is a pathology that requires a long recovery period varying from 3 to 6 months, and a delayed or unsuccessful diagnosis can lead to a more serious illness and even death. Its prevalence in the field of sport is difficult to establish, but empirically seems to be similar to that of the individual who does not practice sport. However, the field of sport and its environment has other clinical risk conditions to be taken into account. Bruising on the vascular bed, rest, travel, dehydration, misguided massage therapy, certain medications, or a genetic predisposition, may be factors that precipitate their presence. This guide presents an update of the process, as well as the diagnostic protocol, with prevention guidelines and standard treatments and their application in sports, and takes into account not only the sportsman, but also in the professional and accompanying personnel.</p>" ] ] ] "idiomaDefecto" => "ct" "url" => "/X8866581/0000005000000188/v0_201801081358/XX886658115462195/v0_201801081358/ct/main.assets" "Apartado" => array:4 [ "identificador" => "71870" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Document de consens" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/X8866581/0000005000000188/v0_201801081358/XX886658115462195/v0_201801081358/ct/278v50n188a90446219pdf001.pdf?idApp=UINPBA00004N&text.app=https://apunts.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/XX886658115462195?idApp=UINPBA00004N" ]
Article information
ISSN: X8866581Original language: Català
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