<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1029-3043</journal-id>
<journal-title><![CDATA[Medicentro Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Medicentro Electrónica]]></abbrev-journal-title>
<issn>1029-3043</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Villa Clara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30432021000100038</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Empleo del ecocardiograma transtorácico en salas de emergencias]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of the transthoracic echocardiography in emergency rooms]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacio Pérez]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rey García]]></surname>
<given-names><![CDATA[Karina Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esquijarosa Águila]]></surname>
<given-names><![CDATA[Yoel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Ferrer]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Docente Clínico-Quirúrgico Joaquín Albarrán Domínguez  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>1</numero>
<fpage>38</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30432021000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30432021000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30432021000100038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la ecocardiografía ha significado una de las más espectaculares revoluciones en el campo de las ciencias médicas de los últimos cien años. Objetivo: describir algunas indicaciones del ecocardiograma transtorácico en enfermos críticos así como de los cambios terapéuticos inducidos por su resultado.  Métodos:  se realizó un estudio descriptivo y transversal, entre el 1 de noviembre de 2018 hasta el 31 de enero de 2020 en los servicios de emergencia del Hospital Docente Clínico-Quirúrgico Joaquín Albarrán, en la provincia de La Habana, Cuba. El universo de estudio estuvo constituido por los pacientes (89 en total) que arribaron al servicio de emergencia con inestabilidad hemodinámica en el período señalado; a todos se les realizó un ecocardiograma transtorácico.  Resultados:  se realizaron 106 ecocardiogramas transtorácicos, y la mayor parte de los pacientes presentaron enfermedades clínicas. En el 100 % de los pacientes fue posible adquirir imágenes útiles para el diagnóstico. En promedio, fueron utilizadas 1,9±1 ventanas acústicas por pacientes; después de la realización del ecocardiograma se realizaron 44 modificaciones terapéuticas (41,5 %). Los cambios más importantes estuvieron relacionados con el aporte de fluidos y el uso de dobutamina.  Conclusiones:  el ecocardiograma transtorácico, en el contexto de la emergencia, puede ofrecer información clave que conlleve a cambios importantes en la terapéutica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  echocardiography has meant one of the most spectacular revolutions in the field of medical sciences in the last hundred years.  Objective:  to describe some indications of the transthoracic echocardiography in critically ill patients as well as the therapeutic changes induced by its result.  Methods:  a descriptive and cross-sectional study was carried out between November 1, 2018 and January 31, 2020 in the emergency services at &#8220;Joaquín Albarrán&#8221; Clinical and Surgical Teaching Hospital, Havana province, Cuba. The study universe consisted of patients (89 in total) who arrived at the emergency service with hemodynamic instability in the indicated period; all underwent a transthoracic echocardiography.  Results:  106 transthoracic echocardiograms were performed, and most of the patients had clinical diseases. It was possible to acquire useful images for the diagnosis in 100% of the patients. On average, 1.9 ± 1 acoustic windows were used per patient; 44 therapeutic modifications were made (41.5%) after performing the echocardiogram. The most important changes were related to fluid intake and the use of dobutamine.  Conclusions:  the transthoracic echocardiography, in the emergency context, can offer key information that leads to important changes in therapy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ecocardiografía]]></kwd>
<kwd lng="es"><![CDATA[hemodinámica]]></kwd>
<kwd lng="en"><![CDATA[echocardiography]]></kwd>
<kwd lng="en"><![CDATA[hemodynamics]]></kwd>
</kwd-group>
</article-meta>
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