{"id":42709,"date":"2026-04-06T17:07:34","date_gmt":"2026-04-06T20:07:34","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=42709"},"modified":"2026-04-06T17:07:37","modified_gmt":"2026-04-06T20:07:37","slug":"atualizacao-oclusao-coronariana-aguda","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/","title":{"rendered":"Atualiza\u00e7\u00e3o Oclus\u00e3o Coron\u00e1ria Aguda 2026\u00a0"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/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=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/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 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Mudanca_no_paradigma_IAMCSST\" >Mudan\u00e7a no paradigma IAMCSST<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Criterios_de_Milimetros\" >Crit\u00e9rios de Mil\u00edmetros: &nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Ondas_T_hiperagudas\" >Ondas T hiperagudas&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Infradesnivelamento_de_ST_em_V1-V3\" >Infradesnivelamento de ST em V1-V3 .<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Sinal_de_De_Winter_e_padrao_de_Wellens_instabilidade_em_DA\" >Sinal de De Winter e padr\u00e3o de Wellens (instabilidade em DA)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Disturbios_de_conducao_novos_BREBRD_associados_a_dor_precordial\" >Dist\u00farbios de condu\u00e7\u00e3o novos (BRE\/BRD) associados a dor precordial<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Atualizacoes_Terapeuticas\" >Atualiza\u00e7\u00f5es Terap\u00eauticas&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#Manejo_de_Lipides\" >Manejo de L\u00edpides&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-oclusao-coronariana-aguda\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-1024x576.jpg\" alt=\"\" class=\"wp-image-42712\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-2026-04-06T165359.101.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Certos crit\u00e9rios relacionados aos pacientes com <strong>S\u00edndrome Coron\u00e1ria Aguda (SRA)<\/strong> foram lan\u00e7ados h\u00e1 mais de 10 anos, por isso o <strong><em>American College of Cardiology<\/em> (ACC\/AHA)<\/strong> realizou pesquisas sobre o manejo dos pacientes levando em conta os anticoagulantes que devem ser usados, controle do colesterol, estratifica\u00e7\u00e3o do manejo invasivo e do manejo do choque cardiog\u00eanico. A grande discuss\u00e3o atual em 2026 \u00e9 a consolida\u00e7\u00e3o do conceito de <strong>OMI (<em>Occlusion Myocardial Infarction<\/em>)<\/strong>.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-mudanca-no-paradigma-iamcsst\"><span class=\"ez-toc-section\" id=\"Mudanca_no_paradigma_IAMCSST\"><\/span><strong>Mudan\u00e7a no paradigma IAMCSST<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O artigo de Meyers, H.P. e Smith, S.W. publicado no Journal of the American Heart Association foi um dos corpos de evid\u00eancia para a mudan\u00e7a das indica\u00e7\u00f5es de reperfus\u00e3o imediata. At\u00e9 30% dos Infartos Agudo do Mioc\u00e1rdio Sem Supradesnivelamento do Segmento ST (IAMCSST) apresentavam oclus\u00e3o total da art\u00e9ria culpada na cineangiocoronariografia, mas n\u00e3o tinham indica\u00e7\u00e3o de reperfus\u00e3o imediata pelos crit\u00e9rios de Mil\u00edmetros<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-criterios-de-milimetros\"><span class=\"ez-toc-section\" id=\"Criterios_de_Milimetros\"><\/span><strong>Crit\u00e9rios de Mil\u00edmetros: <\/strong>&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Para ser considerado um STEMI (IAM com supra), o desvio do segmento ST deve ser medido no Ponto J (jun\u00e7\u00e3o entre&nbsp; fim do QRS e o in\u00edcio do segmento ST) e deve ser persistente em pelo menos duas deriva\u00e7\u00f5es cont\u00edguas.&nbsp;<\/p>\n\n\n\n<p>Para quase todas as deriva\u00e7\u00f5es (com exce\u00e7\u00e3o de V2 e V3), o crit\u00e9rio \u00e9 padr\u00e3o<strong>:<\/strong><strong> 1 mm (0,1 mV) de eleva\u00e7\u00e3o. <\/strong>Para as deriva\u00e7\u00f5es V2 e V3 um pequeno supra pode ser fisiol\u00f3gico (pois eles est\u00e3o muito pr\u00f3ximos do ventr\u00edculo esquerdo), por isso, para evitar falsos positivos, os crit\u00e9rios s\u00e3o mais rigorosos e divididos em sexo e idade:&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Grupo do Paciente<\/strong><\/td><td><strong>Crit\u00e9rio em V2-V3<\/strong><\/td><\/tr><tr><td><strong>Homens &lt; 40 anos<\/strong><\/td><td>2,5 mm<\/td><\/tr><tr><td><strong>Homens <\/strong><strong>40 anos<\/strong><\/td><td>2,0 mm<\/td><\/tr><tr><td><strong>Mulheres (qualquer idade)<\/strong><\/td><td>1,5 mm<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Ent\u00e3o, al\u00e9m desses crit\u00e9rios, os Sinais de OMI assumiram uma import\u00e2ncia significativa para os que n\u00e3o foram indicados para reperfus\u00e3o mesmo apresentando oclus\u00e3o total da art\u00e9ria culpada. Os sinais de OMI s\u00e3o sinais eletrocardiogr\u00e1ficos sutis, como:&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-ondas-t-hiperagudas\"><span class=\"ez-toc-section\" id=\"Ondas_T_hiperagudas\"><\/span><strong>Ondas T hiperagudas&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Onda<strong> volumosa, larga na base e assim\u00e9trica,<\/strong> sendo desproporcional ao complexo QRS que a precede. Muitas vezes \u00e9 o<strong> primeiro sinal de oclus\u00e3o<\/strong>, mesmo antes do ST subir.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-infradesnivelamento-de-st-em-v1-v3\"><span class=\"ez-toc-section\" id=\"Infradesnivelamento_de_ST_em_V1-V3\"><\/span><strong>Infradesnivelamento de ST em V1-V3 .<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Isso <strong>n\u00e3o \u00e9 isquemia subendoc\u00e1rdica<\/strong>; na verdade, \u00e9 o &#8220;espelho&#8221; de um supra na parede posterior, sugerindo oclus\u00e3o de parede posterior. Se voc\u00ea vir isso, deve obrigatoriamente realizar as deriva\u00e7\u00f5es dorsais (<strong>V7, V8, V9<\/strong>).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-sinal-de-de-winter-e-padrao-de-wellens-instabilidade-em-da\"><span class=\"ez-toc-section\" id=\"Sinal_de_De_Winter_e_padrao_de_Wellens_instabilidade_em_DA\"><\/span><strong>Sinal de De Winter e padr\u00e3o de Wellens (instabilidade em DA)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O sinal de De Winter indica oclus\u00e3o proximal da art\u00e9ria Descendente Anterior (DA). Ao vermos ele, devemos buscar infradesnivelamento de ST no ponto J (&gt; 1mm) em deriva\u00e7\u00f5es precordiais (V1-V6), seguido por ondas T altas, sim\u00e9tricas e pontiagudas. J\u00e1 a S\u00edndrome de Wellens indica uma oclus\u00e3o intermitente da DA (o vaso fechou e abriu, ou est\u00e1 prestes a fechar totalmente). Ela pode apresentar <strong>Tipo A <\/strong>&nbsp;(Ondas T bif\u00e1sicas em V2-V3) ou <strong>Tipo B<\/strong> (Ondas T profundamente invertidas e sim\u00e9tricas em V2-V3). Se o paciente estiver com dor, o CAT deve ser imediato.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-disturbios-de-conducao-novos-bre-brd-associados-a-dor-precordial\"><span class=\"ez-toc-section\" id=\"Disturbios_de_conducao_novos_BREBRD_associados_a_dor_precordial\"><\/span><strong>Dist\u00farbios de condu\u00e7\u00e3o novos (BRE\/BRD) associados a dor precordial<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Como o <strong>Bloqueio de Ramo Esquerdo <\/strong>&#8220;esconde&#8221; o supra, usamos crit\u00e9rios espec\u00edficos de concord\u00e2ncia de ST para identificar oclus\u00e3o aguda.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/?clientId=&amp;utm_campaign=newsletter&amp;utm_medium=banner&amp;utm_source=blog&amp;utm_content=inscricao#https:\/\/www.grupomedcof.com.br\/blog\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png\" alt=\"\" class=\"wp-image-39227\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-696x218.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1068x334.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1.png 1343w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-atualizacoes-terapeuticas\"><span class=\"ez-toc-section\" id=\"Atualizacoes_Terapeuticas\"><\/span><strong>Atualiza\u00e7\u00f5es Terap\u00eauticas&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Uma coisa n\u00e3o mudou: \u00e9 recomendado para todos os pacientes com SCA a dupla antiagrega\u00e7\u00e3o. Mas agora, al\u00e9m do <strong>AAS<\/strong>, escolhemos o <strong>ticagrelor <\/strong>ou <strong>prasugrel <\/strong>ao inv\u00e9s do <strong>clopidogrel <\/strong>naqueles pacientes que v\u00e3o passar por cateterismo card\u00edaco, pelo risco de complica\u00e7\u00e3o p\u00f3s-cirurgia.&nbsp;<\/p>\n\n\n\n<p>Al\u00e9m disso, a tend\u00eancia atual \u00e9 reduzir o tempo de aspirina (AAS) em pacientes com alto risco de sangramento <strong>(ap\u00f3s 1 a 4 semanas p\u00f3s-PCI<\/strong>), mantendo apenas o <strong>inibidor de P2Y12 <\/strong>(preferencialmente ticagrelor ou prasugrel, usando clopidogrel apenas se alto risco hemorr\u00e1gico).&nbsp;<\/p>\n\n\n\n<p>Os pacientes com Fibrila\u00e7\u00e3o Atrial (FA) que sofrem uma Oclus\u00e3o Coron\u00e1ria Aguda com coloca\u00e7\u00e3o de stent precisam de dois tipos de prote\u00e7\u00e3o diferente: anticoagulante<strong> (DAOC) <\/strong>para prevenir trombos no \u00e1trio esquerdo e antiagregantes<strong> (DAPT &#8211; AAS + Inibidor P2Y12) <\/strong>para prevenir a trombose do stent. Todavia os estudos com ensaio cl\u00ednico (<strong>AUGUSTUS, PIONEER AF-PCI e ENTRUST-AF PCI<\/strong>) mostraram que a tripla terapia aumenta em at\u00e9 4 vezes o risco de sangramento, sem necessariamente reduzir a mortalidade isqu\u00eamica na mesma propor\u00e7\u00e3o.&nbsp;<\/p>\n\n\n\n<p>Por isso, a diretriz atual (ESC 2024\/2025 e ACC 2025) recomenda que o uso dos tr\u00eas f\u00e1rmacos seja o mais breve poss\u00edvel. Na fase aguda, o paciente recebe a tripla terapia apenas <strong>durante a interna\u00e7\u00e3o<\/strong> (que dura de 1 a 7 dias) pois \u00e9 o momento de maior risco de trombose aguda do stent. Na alta hospitalar, o AAS \u00e9 suspenso e somente o <strong>DOAC <\/strong>(apixabana ou rivaroxabana) e o <strong>inibidor de P2Y12<\/strong> (preferencialmente o clopidogrel) permanecem.&nbsp;<\/p>\n\n\n\n<p>Ap\u00f3s a suspens\u00e3o do AAS (em at\u00e9 7 dias), o paciente mant\u00e9m a <strong>Terapia Dupla<\/strong> (Anticoagulante + Clopidogrel) por um per\u00edodo vari\u00e1vel:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Padr\u00e3o:<\/strong> 12 meses.<\/li>\n\n\n\n<li><strong>Alto Risco Hemorr\u00e1gico:<\/strong> Pode ser reduzido para 6 meses.<\/li>\n\n\n\n<li><strong>Ap\u00f3s 12 meses:<\/strong> Geralmente suspende-se o antiagregante e mant\u00e9m-se <strong>apenas o Anticoagulante (DOAC)<\/strong> de forma isolada.<\/li>\n<\/ul>\n\n\n\n<p>Em rela\u00e7\u00e3o ao <strong>Ticagrelor e o Prasugrel, <\/strong>o <strong>Clopidogrel <\/strong>associado ao anticoagulante demonstrou um perfil de seguran\u00e7a muito superior, reduzindo drasticamente sangramentos digestivos e intracranianos.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-manejo-de-lipides\"><span class=\"ez-toc-section\" id=\"Manejo_de_Lipides\"><\/span><strong>Manejo de L\u00edpides&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Para pacientes de muito alto risco (aqueles p\u00f3s-SCA), a recomenda\u00e7\u00e3o \u00e9 manter o LDL &lt;55 mg\/dL como primeira meta e redu\u00e7\u00e3o de pelo menos 50% em rela\u00e7\u00e3o ao valor basal como segunda meta. Se o paciente j\u00e1 utiliza estatina potente e o LDL est\u00e1 entre 55-70 mg\/dL, a nova diretriz recomenda a associa\u00e7\u00e3o precoce de Ezetimiba ou inibidores de PCSK9 ainda na fase aguda ou logo ap\u00f3s a alta. Ou seja, a diretriz ACC 2025 mudou o timing da medica\u00e7\u00e3o, formulando que n\u00e3o esperamos mais de 4 a 6 semanas para reavaliar a estatina, a intensifica\u00e7\u00e3o ocorre na beira do leito. O protocolo de escalonamento se d\u00e1 dessa forma:&nbsp;<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Passo 1 (Imediato):<\/strong> Estatina de Alta Pot\u00eancia (Atorvastatina 80mg ou Rosuvastatina 40mg) para todos, independente do LDL inicial.<\/li>\n\n\n\n<li><strong>Passo 2 (Ainda na Interna\u00e7\u00e3o):<\/strong> Se o paciente j\u00e1 usava estatina e o LDL \u00e9 <strong>&gt; 55 mg\/dL<\/strong>, associa-se a <strong>Ezetimiba (10mg)<\/strong>. Ela inibe a absor\u00e7\u00e3o intestinal de colesterol e gera uma redu\u00e7\u00e3o adicional de ~20%.<\/li>\n\n\n\n<li><strong>Passo 3 (Inibidores da PCSK9):<\/strong> Se o risco \u00e9 extremo ou o LDL est\u00e1 muito longe da meta (&gt; 70-100 mg\/dL mesmo com estatina), inicia-se o Inibidor da PCSK9 (Evolocumabe ou Alirocumabe).<\/li>\n<\/ol>\n\n\n\n<p>\u00c9 interessante lembrar que os pacientes com eventos recorrentes (em &lt; 2 anos) recebem uma indica\u00e7\u00e3o de meta ainda mais audaciosa: LDL &lt; 40 mg\/dL. Acerca das novas armas terap\u00eauticas, o estudo IMPROVE-IT mostrou que a dupla estatina + ezetimiba reduz mais eventos cardiovasculares do que a estatina sozinha. J\u00e1 os estudos FOURIER e ODYSSEY OUTCOMES mostraram que os inibidores da PCSK9 limpa o LDL com efici\u00eancia absurda (j\u00e1 que essa prote\u00edna regrada os receptores de LDL no f\u00edgado).&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-metodo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span><strong>O m\u00e9todo que te aprova!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">MedCofer<\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">metodologia que j\u00e1 aprovou mais de 20 mil residentes no pa\u00eds!&nbsp;<\/a>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"NdNPo0x29Q0\"><iframe loading=\"lazy\" title=\"Passei na resid\u00eancia fazendo quest\u00f5es | SingularCast\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/NdNPo0x29Q0?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Clique e entenda a atualiza\u00e7\u00e3o do American College of Cardiology (ACC\/AHA) sobre o conceito de OMI (Occlusion Myocardial Infarction).<\/p>\n","protected":false},"author":21,"featured_media":42712,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[258],"tags":[3672,3673,3674],"ppma_author":[3617],"class_list":{"0":"post-42709","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-atualizacoes","8":"tag-acc","9":"tag-aha","10":"tag-sra"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.3) - 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