{"id":104078,"date":"2010-04-10T00:00:00","date_gmt":"2010-04-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-de-un-programa-de-rehabilitacion-cardiaca-en-el-sindrome-x\/"},"modified":"2010-04-10T00:00:00","modified_gmt":"2010-04-10T00:00:00","slug":"eficacia-de-un-programa-de-rehabilitacion-cardiaca-en-el-sindrome-x","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-cardiovascular\/eficacia-de-un-programa-de-rehabilitacion-cardiaca-en-el-sindrome-x\/","title":{"rendered":"Eficacia de un programa de rehabilitacion cardiaca en el sindrome x"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Amalia Acu\u00f1a Lorenzo <\/strong><\/h2>\n<p>Introducci\u00f3n: el s\u00edndrome x es el t\u00e9rmino empleado para definir pacientes con dolor tor\u00e1cico sugerente de isquemia mioc\u00e1rdica, a pesar de tener una arteriograf\u00eda coronaria normal y no ser explicable por causas card\u00edacas ni extracardiacas con signos de isquemia mioc\u00e1rdica como depresi\u00f3n del segmento st durante la prueba de esfuerzo o defectos de perfusi\u00f3n mioc\u00e1rdica. se desconoce la etiopatogenia que desencadena los s\u00edntomas en estos pacientes, lo que nos explicar\u00eda la pobre respuesta al tratamiento farmacol\u00f3gico convencional. La hip\u00f3tesis m\u00e1s relevante que intenta explicar este s\u00edndrome es la isquemia mioc\u00e1rdica secundaria a disfunci\u00f3n del endotelio vascular. el ejercicio f\u00edsico desencadena m\u00faltiples funciones a nivel cardiovascular, muscular, hormonal endotelial y psicol\u00f3gico. hip\u00f3tesis: la rehabilitaci\u00f3n cardiaca en los pacientes con s\u00edndrome x disminuye sus s\u00edntomas, mejora la isquemia y mejora la calidad de vida material y m\u00e9todos: los pacientes con diagn\u00f3stico de s\u00edndrome x de nuestra consulta fueron incluidos de manera consecutiva en un programa de rehabilitaci\u00f3n cardiaca (rc). Se recogieron y analizaron las variables cl\u00ednicas, epidemiol\u00f3gicas y ergom\u00e9tricas antes y despu\u00e9s de realizar el protocolo de rc en un total de 41 pacientes. Este grupo fue comparado con un grupo control de cardiopat\u00eda isqu\u00e9mica no resvacularizable que realiz\u00f3 el mismo programa de rc. Al grupo de s\u00edndrome x se realiz\u00f3 determinaciones anal\u00edticas de marcadores inflamatorios, de funci\u00f3n endotelial, del sistema nervioso aut\u00f3nomo y hormonal  que fueron comparadas con un grupo control de individuos sanos. resultados: encontramos menos episodios de \u00e1ngor, un retraso en el inicio de la isquemia por descenso del segmento st y en el inicio de la angina en la prueba de esfuerzo, y una de la capacidad funcional en mets, tras la rc tanto en el grupo de s\u00edndrome x, como de cardiopat\u00eda isqu\u00e9mica. Estos cambios tras la rc fueron independientes de las variables epidemiol\u00f3gicas y anal\u00edticas en el grupo de s\u00edndrome x. La mejor\u00eda en los s\u00edntomas fue mayor en el grupo de s\u00edndrome x que en el de cardiopat\u00eda isqu\u00e9mica. No encontramos una determinaci\u00f3n anal\u00edtica alterada en tosdos los pacientes ,aunque un porcentaje significativo presentaron alteraci\u00f3n de los marcadores de funci\u00f3n endotelial<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia de un programa de rehabilitacion cardiaca en el sindrome x<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia de un programa de rehabilitacion cardiaca en el sindrome x <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Amalia Acu\u00f1a Lorenzo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/10\/2010<\/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>Alberto San Roman Calvar<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Fern\u00e1ndez avil\u00e9s <\/li>\n<li>isidre Vilacosta (vocal)<\/li>\n<li>candido Martin luengo (vocal)<\/li>\n<li>joaqu\u00edn Jes\u00fas Alonso mart\u00edn (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Amalia Acu\u00f1a Lorenzo Introducci\u00f3n: el s\u00edndrome x es el t\u00e9rmino empleado para definir pacientes con dolor [&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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