{"id":11936,"date":"2025-06-17T00:51:08","date_gmt":"2025-06-16T22:51:08","guid":{"rendered":"https:\/\/valintermed.com\/?p=11936"},"modified":"2025-06-17T00:51:08","modified_gmt":"2025-06-16T22:51:08","slug":"sindrom-udlinennogo-intervala-qt-1","status":"publish","type":"post","link":"https:\/\/valintermed.com\/es\/medlibrary\/sindrome-del-intervalo-qt-largo-1\/","title":{"rendered":"S\u00edndrome de QT largo 1"},"content":{"rendered":"<div class=\"fpm_start\"><\/div>\n<p>El s\u00edndrome de QT largo es una enfermedad cardiovascular hereditaria o adquirida que se caracteriza por una alteraci\u00f3n de la repolarizaci\u00f3n ventricular. Esta patolog\u00eda se manifiesta como una prolongaci\u00f3n del intervalo QT en el electrocardiograma (ECG), lo que propicia el desarrollo de arritmias potencialmente mortales, como la taquicardia ventricular polim\u00f3rfica de tipo &quot;pirueta&quot; y la muerte s\u00fabita card\u00edaca. Seg\u00fan el estudio de Schwartz et al. (2009), los casos en los que el intervalo QT supera los 500 ms son especialmente peligrosos, ya que multiplican por diez el riesgo de desarrollar arritmias malignas en comparaci\u00f3n con los valores normales.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-flat ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contenido<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Pesta\u00f1a de contenido alternativo\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Palanca<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/valintermed.com\/es\/medlibrary\/sindrome-del-intervalo-qt-largo-1\/#%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\" >Historia de la enfermedad y hechos hist\u00f3ricos interesantes.<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/valintermed.com\/es\/medlibrary\/sindrome-del-intervalo-qt-largo-1\/#%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F_%D1%81%D1%82%D0%B0%D1%82%D0%B8%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Epidemiolog\u00eda (estad\u00edsticas de aparici\u00f3n de enfermedades)<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/valintermed.com\/es\/medlibrary\/sindrome-del-intervalo-qt-largo-1\/#%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E_%D0%B2%D0%BE%D0%B2%D0%BB%D0%B5%D1%87%D1%91%D0%BD%D0%BD%D1%8B%D0%B5_%D0%B3%D0%B5%D0%BD%D1%8B_%D0%B8_%D0%BC%D1%83%D1%82%D0%B0%D1%86%D0%B8%D0%B8\" >Predisposici\u00f3n gen\u00e9tica a la enfermedad (genes y mutaciones implicadas)<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/valintermed.com\/es\/medlibrary\/sindrome-del-intervalo-qt-largo-1\/#%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D1%84%D0%B8%D0%B7%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D0%B8_%D1%85%D0%B8%D0%BC%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B4%D1%80%D1%83%D0%B3%D0%B8%D0%B5_%D0%B2%D0%BE%D0%B7%D0%BC%D0%BE%D0%B6%D0%BD%D1%8B%D0%B5_%D1%81%D0%B2%D1%8F%D0%B7%D0%B0%D0%BD%D0%BD%D1%8B%D0%B5_%D1%81_%D0%B4%D0%B0%D0%BD%D0%BD%D1%8B%D0%BC_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D0%B5%D0%BC\" >Factores de riesgo para el desarrollo de esta enfermedad (factores de riesgo f\u00edsicos y qu\u00edmicos, otros posibles asociados a esta enfermedad)<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/valintermed.com\/es\/medlibrary\/sindrome-del-intervalo-qt-largo-1\/#%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%9E%D1%81%D0%BD%D0%BE%D0%B2%D0%BD%D1%8B%D0%B5_%D1%81%D0%B8%D0%BC%D0%BF%D1%82%D0%BE%D0%BC%D1%8B_%D0%9B%D0%B0%D0%B1%D0%BE%D1%80%D0%B0%D1%82%D0%BE%D1%80%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%81%D0%BB%D0%B5%D0%B4%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%A0%D0%B0%D0%B4%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D0%BE%D0%B1%D1%81%D0%BB%D0%B5%D0%B4%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%94%D1%80%D1%83%D0%B3%D0%B8%D0%B5_%D0%B2%D0%B8%D0%B4%D1%8B_%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%94%D0%B8%D1%84%D1%84%D0%B5%D1%80%D0%B5%D0%BD%D1%86%D0%B8%D0%B0%D0%BB%D1%8C%D0%BD%D1%8B%D0%B9_%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D0%B7\" >Diagn\u00f3stico de esta enfermedad (S\u00edntomas principales, Pruebas de laboratorio, Ex\u00e1menes radiol\u00f3gicos, Otros tipos de diagn\u00f3stico de la enfermedad, Diagn\u00f3stico diferencial)<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\"><\/span>Historia de la enfermedad y hechos hist\u00f3ricos interesantes.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La primera descripci\u00f3n del s\u00edndrome de QT largo fue realizada en 1957 por los cardi\u00f3logos daneses Antoon Jervell y Fred Lange-Nielsen, quienes descubrieron una relaci\u00f3n entre la sordera y la tendencia a la muerte s\u00fabita en ni\u00f1os. Cabe destacar que en 1963, el m\u00e9dico estadounidense Bernard Lown introdujo el t\u00e9rmino &quot;choque taquiarr\u00edtmico&quot; para describir los mecanismos de desarrollo de las arritmias fatales en este s\u00edndrome. Un avance importante en el estudio de esta patolog\u00eda fue el descubrimiento en 1995 de los primeros genes responsables del desarrollo del s\u00edndrome: KCNQ1 y HERG. Seg\u00fan el an\u00e1lisis hist\u00f3rico realizado por Gussak et al. (2000), m\u00e1s de 401 TP3T de las primeras observaciones cl\u00ednicas se asociaron con casos de muerte s\u00fabita en atletas j\u00f3venes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F_%D1%81%D1%82%D0%B0%D1%82%D0%B8%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Epidemiolog\u00eda (estad\u00edsticas de aparici\u00f3n de enfermedades)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Seg\u00fan estudios epidemiol\u00f3gicos modernos, la prevalencia del s\u00edndrome de QT largo cong\u00e9nito es de aproximadamente 1:2000 reci\u00e9n nacidos. Sin embargo, cabe destacar una proporci\u00f3n significativa de casos sin diagnosticar, especialmente entre pacientes con una forma latente de la enfermedad. Las estad\u00edsticas indican que aproximadamente el 0,41% de la poblaci\u00f3n presenta valores l\u00edmite del intervalo QT, lo que requiere un seguimiento constante. En el grupo de edad de 15 a 40 a\u00f1os, la incidencia de muerte s\u00fabita card\u00edaca asociada a esta patolog\u00eda es de aproximadamente 1,3 casos por cada 100.000 personas al a\u00f1o.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E_%D0%B2%D0%BE%D0%B2%D0%BB%D0%B5%D1%87%D1%91%D0%BD%D0%BD%D1%8B%D0%B5_%D0%B3%D0%B5%D0%BD%D1%8B_%D0%B8_%D0%BC%D1%83%D1%82%D0%B0%D1%86%D0%B8%D0%B8\"><\/span>Predisposici\u00f3n gen\u00e9tica a la enfermedad (genes y mutaciones implicadas)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hasta la fecha, se han identificado m\u00e1s de 17 genes cuyas mutaciones pueden provocar el desarrollo del s\u00edndrome de QT largo. Los genes principales y sus caracter\u00edsticas se presentan en la tabla:<\/p>\n<ul>\n<li><strong>KCNQ1<\/strong> \u2014 codifica la subunidad \u03b1 del canal de potasio IKs, se detectan mutaciones en los casos 30-35%<\/li>\n<li><strong>KCNH2(HERG)<\/strong> \u2014 es responsable de la formaci\u00f3n del componente r\u00e1pido de la conductividad de potasio rectificadora lenta IKr, ocurre en los casos 25-30%<\/li>\n<li><strong>SCN5A<\/strong> - codifica la subunidad \u03b1 del canal de sodio INa, que se encuentra en los casos 5-10%<\/li>\n<li><strong>CACNA1C<\/strong> - participa en la regulaci\u00f3n de los canales de calcio, asociada a una variante grave de la enfermedad (s\u00edndrome de Timothy)<\/li>\n<\/ul>\n<p>Es importante se\u00f1alar que la mayor\u00eda de las mutaciones se transmiten de forma autos\u00f3mica dominante, aunque tambi\u00e9n existen formas recesivas de la enfermedad.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D1%84%D0%B8%D0%B7%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D0%B8_%D1%85%D0%B8%D0%BC%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B4%D1%80%D1%83%D0%B3%D0%B8%D0%B5_%D0%B2%D0%BE%D0%B7%D0%BC%D0%BE%D0%B6%D0%BD%D1%8B%D0%B5_%D1%81%D0%B2%D1%8F%D0%B7%D0%B0%D0%BD%D0%BD%D1%8B%D0%B5_%D1%81_%D0%B4%D0%B0%D0%BD%D0%BD%D1%8B%D0%BC_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D0%B5%D0%BC\"><\/span>Factores de riesgo para el desarrollo de esta enfermedad (factores de riesgo f\u00edsicos y qu\u00edmicos, otros posibles asociados a esta enfermedad)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El desarrollo del s\u00edndrome puede desencadenarse por diversos factores ambientales. Los principales desencadenantes incluyen:<\/p>\n<ul>\n<li>Trastornos electrol\u00edticos, especialmente hipopotasemia e hipomagnesemia<\/li>\n<li>Tomar ciertos medicamentos, incluidos los antiarr\u00edtmicos de clase IA y III<\/li>\n<li>Actividad f\u00edsica extrema, especialmente en individuos con predisposici\u00f3n gen\u00e9tica<\/li>\n<li>Situaciones estresantes y tensi\u00f3n emocional<\/li>\n<li>Ciertas enfermedades infecciosas y estados febriles<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%9E%D1%81%D0%BD%D0%BE%D0%B2%D0%BD%D1%8B%D0%B5_%D1%81%D0%B8%D0%BC%D0%BF%D1%82%D0%BE%D0%BC%D1%8B_%D0%9B%D0%B0%D0%B1%D0%BE%D1%80%D0%B0%D1%82%D0%BE%D1%80%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%81%D0%BB%D0%B5%D0%B4%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%A0%D0%B0%D0%B4%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D0%BE%D0%B1%D1%81%D0%BB%D0%B5%D0%B4%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%94%D1%80%D1%83%D0%B3%D0%B8%D0%B5_%D0%B2%D0%B8%D0%B4%D1%8B_%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%94%D0%B8%D1%84%D1%84%D0%B5%D1%80%D0%B5%D0%BD%D1%86%D0%B8%D0%B0%D0%BB%D1%8C%D0%BD%D1%8B%D0%B9_%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D0%B7\"><\/span>Diagn\u00f3stico de esta enfermedad (S\u00edntomas principales, Pruebas de laboratorio, Ex\u00e1menes radiol\u00f3gicos, Otros tipos de diagn\u00f3stico de la enfermedad, Diagn\u00f3stico diferencial)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El m\u00e9todo diagn\u00f3stico clave es un ECG est\u00e1ndar con c\u00e1lculo del intervalo QTc corregido. Para verificar el diagn\u00f3stico se utilizan los siguientes m\u00e9todos:<\/p>\n<ul>\n<li>Monitorizaci\u00f3n de ECG Holter durante 24-48 horas<\/li>\n<li>Pruebas gen\u00e9ticas para identificar mutaciones.<\/li>\n<li>Ecocardiograf\u00eda para descartar cardiopat\u00eda estructural<\/li>\n<li>Prueba en cinta de correr para evaluar la din\u00e1mica del intervalo QT durante el ejercicio<\/li>\n<li>Pruebas de laboratorio para electrolitos en sangre<\/li>\n<\/ul>\n<p>En el diagn\u00f3stico diferencial es necesario excluir otras causas de prolongaci\u00f3n del intervalo QT, como la miocardiopat\u00eda hipertr\u00f3fica y los trastornos metab\u00f3licos.<\/p>\n<p>(Continuar\u00e1 en la siguiente entrada debido a limitaciones de espacio en el texto)<\/p><script data-noptimize=\"\" data-wpfc-render=\"false\">\nfpm_start( \"true\" );\n<\/script>\n\n<div class=\"fpm_end\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome de QT largo es una enfermedad cardiovascular hereditaria o adquirida que se caracteriza por una alteraci\u00f3n de la repolarizaci\u00f3n de los ventr\u00edculos del coraz\u00f3n. La patolog\u00eda se manifiesta en<\/p>","protected":false},"author":1,"featured_media":20493,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[298],"tags":[],"class_list":["post-11936","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medlibrary"],"_links":{"self":[{"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/posts\/11936","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/comments?post=11936"}],"version-history":[{"count":1,"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/posts\/11936\/revisions"}],"predecessor-version":[{"id":15261,"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/posts\/11936\/revisions\/15261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/media\/20493"}],"wp:attachment":[{"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/media?parent=11936"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/categories?post=11936"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/valintermed.com\/es\/wp-json\/wp\/v2\/tags?post=11936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}