Penelope Canonico
12/25/2020 2:39 PM
Clarín.com
Society
Updated 12/25/2020 2:39 PM
November 25, 2020 was not another day.
In the private neighborhood of San Andrés, Tigre,
Diego Armando Maradona
had died
.
The world was paralyzed with the unwanted news.
A massive wake to see him off and a line of cars on the way to the Jardín Bella Vista cemetery occupied the attention of public opinion.
It is that his legacy
is already part of history.
One month after the last goodbye, complementary studies revealed
a highly complex clinical scenario.
Specialists consulted by
Clarín
agree that the toxicological and histopathological reports speak of a
long-standing
deteriorated organism due to multiple causes
.
Laboratory analysis shows that the star suffered from a series of pathologies that affected his overall health.
What is each one about?
Hepatic cirrhosis
The word cirrhosis is a neologism coined by the French physician Rene Theophile Laënnec, inventor of the stethoscope.
Its etymology comes from the Greek terms
κιρρος
(kirros = orange or hard) and
ωσις
(osis = formation).
“It is a chronic and
degenerative liver disease
.
Among the main causes are excessive alcohol consumption and hepatitis B and C viruses, ”explains Guillermo Camus, endoscopist and head of the Gastroenterology Service at Hospital Español de Mendoza.
Horacio Rubio, a gastroenterologist, points out: “It is about the replacement of liver tissue by fibrotic tissue, like a scar that replaces the skin damaged by fire in a burn.
In summary, it is the final consequence in response to the
aggressions of toxic
or chronic viral infections ”.
Acute tubular necrosis
"It is a
disorder of the functional cells of the kidney
(tubular) that causes acute renal failure or abrupt loss of the organ's functionality", indicates Diego Lowenstein Haber, a cardiologist (UBA) and Medical Director of the Bioimage Diagnosis Center.
It even points out that it may be associated with
chronic kidney disease
.
For his part, Mario Boskis, expert in clinical research and prevention of heart disease and Titular Member of the Argentine Society of Cardiology (MTSAC), considers that in patients with heart failure it is common to find associated kidney failure (poor irrigation).
Ischemic cardiomyopathy
Specialists point out that the disease is caused by the narrowing of the arteries that supply blood to the heart, that is, it causes the walls
to become thin
.
“The decrease in oxygen in the cells of the heart causes what is called acute ischemia.
If it is prolonged in time,
a myocardial infarction
can occur
”, emphasizes Lowenstein.
Likewise, Boskis points out that when the cells are fibrosed, they change their muscular structure and become
scar tissue that over days
can lose its pumping capacity, generating heart failure with dilation and increase in the volume of the heart ”.
Non-occlusive calcific coronary atheromatosis
As described by cardiology specialists, coronary atheromatosis is the inflammatory process by which arteries of the heart suffer a chronic condition in which they
become progressively obstructed
.
“The fact that it is non-occlusive implies that the artery was still open, but that the coronary lesion was already established.
The
80 percent obstruction
is practically meaning that the heart is suffering from a lack of oxygen, ”says Lowenstein.
Chronic lung disease with acute signs consistent with heart failure
Professionals affirm that it is the presence of a certain degree of rigidity and a chronic exposure to some condition that generates damage and implies the replacement of normal tissue by scar.
"The presence of siderophages indicates that the heart
could no longer expel blood" forward "
and a picture of pulmonary congestion occurred, which is known in medicine as acute lung edema," Lowenstein illustrates.
"Whenever there is chronic dilated myocardia, the lung is usually affected and heart and respiratory failure can lead to," adds Boskis.
The autopsy was carried out on December 2 at the Laboratories of the Superintendency of Scientific Police in La Plata.
A Medical Board, convened by prosecutors Laura Capra, Cosme Iribarren and Patricio Ferrari, will be in charge of analyzing the case and ruling
if the death was avoidable
, if there was malpractice and if there was responsibility on the part of any of the professionals who treated the Maradona.
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