{"id":10326,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/patrones-evolutivos-de-rechazo-agudo-tras-el-trasplante-cardiaco-identificacion-e-implicaciones-pronosticas\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"patrones-evolutivos-de-rechazo-agudo-tras-el-trasplante-cardiaco-identificacion-e-implicaciones-pronosticas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/patrones-evolutivos-de-rechazo-agudo-tras-el-trasplante-cardiaco-identificacion-e-implicaciones-pronosticas\/","title":{"rendered":"Patrones evolutivos de rechazo agudo tras el trasplante cardiaco. identificacion e implicaciones pronosticas."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gimenez Cervantes Diego Miguel <\/strong><\/h2>\n<p>*** objetivos: establecer la existencia de varios patrones evolutivos de rechazo agudo bien definidos en los seis primeros meses despues del trasplante y examinar la relacion existente entre estos patrones de rechazo y la evolucion a largo plazo en terminos de mortalidad, incidencia de infecciones, rechazo agudo con disfuncion severa del injerto, rechazo tardio, aterosclerosis del injerto, da\u00f1o miocardico activo y funcion ventricular.  *** material y metodos: 141 pacientes han cumplido los criterios de inclusion (pacientes trasplantados antes de julio de 1993 y que han presentado una supervivencia mayor de 6 meses o inferior pero con tres o mas episodios de rechazo grado 3a o superior). La edad media ha sido de 45+-14 a\u00f1os siendo un 87% de sexo masculino. El seguimiento global ha sido de 32+-21 meses. Se han definido cuatro patrones de rechazo aguso: patron a (ausencia de rechazo o rechazo 1a en la mayoria de las biopsias, pudiendo mostrar una o dos biopsias rechazo 1b o 2); patron b (tres o mas episodios de rechazo 1b o 2); patron c (uno o dos episodios independientes de rechazo 3a o superior) y patron d (tres o mas episodios independientes de rechazo 3a o superior).  *** resultados: 44 pacientes (31%) presentaron un patron a, 23 (16%) un patron b, 48 (34%) un patron c y 26 (19%) un patron d. No existieron diferencias significativas en cuanto a la edad, sexo, identidad de grupo, infecciones significativas, aterosclerosis del injerto y da\u00f1o miocardico activo. La mortalidad fue superior en el patron d (46%) frente a los patrones a, b y c (11%, 26% y 19%) (p&lt;0.05). El rechazo con disfuncion severa del ventriculo izquierdo fue mas frecuente en los patrones d y b (34% y 22%) que en los patrones a y c (0% y 11%) (p&lt;0.05), asi como el rechazo tardio (26% y 22% frente a 4% y 2% respectivamente) (p&lt;0.05). La fraccion de eyeccion del ventriculo izquierdo al a\u00f1o fue significativamente inferior en el patron b frente al resto d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Patrones evolutivos de rechazo agudo tras el trasplante cardiaco. identificacion e implicaciones pronosticas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Patrones evolutivos de rechazo agudo tras el trasplante cardiaco. identificacion e implicaciones pronosticas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gimenez Cervantes Diego Miguel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jose Suarez De Lezo Cruz Conde<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Jim\u00e9nez Perep\u00e9rez <\/li>\n<li>Luis Antonio Alonso Pulpon Rivera (vocal)<\/li>\n<li>Manuel Concha Ruiz (vocal)<\/li>\n<li>Emilio Gonzalez Cocina (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gimenez Cervantes Diego Miguel *** objetivos: establecer la existencia de varios patrones evolutivos de rechazo agudo bien [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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