<HTML><BODY style="word-wrap: break-word; -khtml-nbsp-mode: space; -khtml-line-break: after-white-space; "><FONT class="Apple-style-span" face="Arial">Español - Portugués</FONT><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial">Español</FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">"Tormenta catecolaminérgica" es una reacción inespecífica del</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">organismo que se determina en diferentes niveles y depende de la</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">evolución del infarto de miocardio. Si el infarto no afecta las</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">funciones vitales principales, sobre todo la biomecánica cardíaca (p.</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">ej. una secuela bien organizada que no afecta las vías de</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">regulación), entonces esta reacción tampoco varía. En cuanto a la MS,</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">es un producto directo de la "tormenta catecolaminérgica" y se</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">comporta de la misma manera. "Tormenta catecolaminérgica" siempre</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">implica un aumento de la FC con disminución de su dispersión, en</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">consecuencia la variabilidad de la FC disminuye y su espectro se</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">redistribuye en la zona de las frecuencias más bajas.</FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">Para una mayor información propongo mi libro (en ruso):</FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">http:// <A href="http://www.medicusamicus.com/index">www.medicusamicus.com/index</A> .php?action=im1-0</FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial"> </FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">Saludo atte,</FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><SPAN style=""><FONT class="Apple-style-span" face="Arial">Dr.Nikolai Iabluchanski</FONT></SPAN><FONT class="Apple-style-span" face="Arial"> </FONT><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial">-------------</FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial">Portugués</FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">"Tempestade catecolaminérgica" é uma reação inespecífica do organismo que se determina em diferentes níveis e depende da</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">evolução do infarto do miocárdio. Se o infarto não afeta as</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">funções vitais principais, sobretudo a biomecânica cardíaca (p.</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">ej. uma sequela bem organizada que não afeta as vias de</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">regulação), então esta reação tampouco varia. Enquanto à MS,</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">é um produto direto da "tempestade catecolaminérgica" e se</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">comporta da mesma maneira. "Tempestade catecolaminérgica" sempre</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">implica num aumento da FC com diminuição de sua dispersão, em</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">consequência a variabilidade da FC diminui e seu espectro se</FONT><SPAN style="mso-spacerun: yes"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">redistribui na zona das frequências mais baixas.</FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">Para uma maior informação sugiro meu livro (em russo):</FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">http:// <A href="http://www.medicusamicus.com/index">www.medicusamicus.com/index</A> .php?action=im1-0</FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial"> </FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">Saudações,</FONT><FONT class="Apple-style-span" face="Arial"><O:P></O:P></FONT></DIV><DIV class="MsoNormal"><FONT class="Apple-style-span" face="Arial">Dr.Nikolai Iabluchanski</FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT><DIV><FONT class="Apple-style-span" face="Arial"><BR></FONT><DIV> <SPAN class="Apple-style-span" style="border-collapse: separate; -khtml-border-horizontal-spacing: 0px; -khtml-border-vertical-spacing: 0px; color: rgb(0, 0, 0); font-variant: normal; letter-spacing: normal; line-height: normal; -khtml-text-decorations-in-effect: none; text-indent: 0px; -apple-text-size-adjust: auto; text-transform: none; orphans: 2; white-space: normal; widows: 2; word-spacing: 0px; "><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">--</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">Dr.</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Sergio</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Dubner</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">President</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">of</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Scientific</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Committee</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 13px/normal Lucida Grande; min-height: 16px; "><FONT class="Apple-style-span" face="Arial" size="3"><SPAN class="Apple-style-span" style="font-size: 12px;"><BR style=""></SPAN></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">Dr.</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Edgardo</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Schapachnik</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">President</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">of</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Steering</FONT><SPAN class="Apple-converted-space"><FONT class="Apple-style-span" face="Arial"> </FONT></SPAN><FONT class="Apple-style-span" face="Arial">Committee</FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV></SPAN></DIV><DIV><BLOCKQUOTE type="cite"><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; min-height: 14px; "><FONT class="Apple-style-span" face="Arial"><BR></FONT></DIV> <FONT class="Apple-style-span" face="Arial">Español - Portugués</FONT><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial">Español</FONT></DIV><DIV><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">1. ¿Cómo evaluar el valor predictivo de los exámenes no-invasivos en nuestro trabajo clínico?</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">2. Para aquellos pacientes con “Infarto de Miocardio No-Agudo”, ¿cuál es el efecto de ‘tormenta por catecolaminas’ en muerte súbita cardíaca? ¿Cómo se evalúa?</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 13px/normal Lucida Grande; min-height: 16px; "><FONT class="Apple-style-span" face="Arial" size="3"><SPAN class="Apple-style-span" style="font-size: 12px;"><BR></SPAN></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">"liu.xin.can" <</FONT><A href="mailto:liu.xin.can@126.com"><FONT class="Apple-style-span" face="Arial">liu.xin.can@126.com</FONT></A><FONT class="Apple-style-span" face="Arial">></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">------</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">Portugués</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">1. Como avaliar o valor preditivo dos exames não invasivos na nossa clínica de trabalho?</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">2. Para aqueles pacientes com "Infarto do miocárdio não agudo", qual o efeito da "tempestade catecolaminérgica" na morte cardíaca súbita? Como avaliar isto?</FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Arial; min-height: 14px; "><BR></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial">"liu.xin.can" <</FONT><A href="mailto:liu.xin.can@126.com"><FONT class="Apple-style-span" color="#003FC3"><FONT class="Apple-style-span" face="Arial">liu.xin.can@126.com</FONT></FONT></A><FONT class="Apple-style-span" face="Arial">></FONT></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><FONT class="Apple-style-span" face="Arial"><BR class="khtml-block-placeholder"></FONT></DIV></BLOCKQUOTE></DIV><FONT class="Apple-style-span" face="Arial"><BR></FONT></DIV></DIV></BODY></HTML>