{"id":106118,"date":"2018-03-11T10:29:54","date_gmt":"2018-03-11T10:29:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/asistencia-circulatoria-mecanica-sincronizada\/"},"modified":"2018-03-11T10:29:54","modified_gmt":"2018-03-11T10:29:54","slug":"asistencia-circulatoria-mecanica-sincronizada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/asistencia-circulatoria-mecanica-sincronizada\/","title":{"rendered":"Asistencia circulatoria mec\u00e1nica sincronizada"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ram\u00f3n P\u00e9rez-caballero Mart\u00ednez <\/strong><\/h2>\n<p>Resumen de la tesis doctoral de ram\u00f3n p\u00e9rez-caballero mart\u00ednez. en la actualidad existen pocos dispositivos de asistencia circulatoria mec\u00e1nica que implementan el funcionamiento s\u00edncrono con el coraz\u00f3n.  existen m\u00faltiples motivos para implantar un ve ntr\u00edculo artificial, de todos ellos la indicaci\u00f3n como puente a la recuperaci\u00f3n resulta la m\u00e1s prometedora. Desde el estudio rematch, el uso de las asistencias circulatorias como puente a la recuperaci\u00f3n se ha disparado, no obstante los resultados co n este tipo de enfermos son malos. Tras la publicaci\u00f3n en el 2004 de un art\u00edculo de sincron\u00eda ventricular, me surgi\u00f3 la idea de mejorar la tasa de corazones recuperados ideando una estrategia de sincron\u00eda que descargara mejor el ventr\u00edculo. mi estudi \u00f3 incluye 6 minipigs sanos a los que se les implant\u00f3 un berlin heart excor controlado con la consola bcm y se les monitoriz\u00f3 varios par\u00e1metros hemodin\u00e1micos. Se sincroniz\u00f3 el latido del ventr\u00edculo con el de la asistencia y se fue retrasando la eyecci \u00f3n del berlin heart de 100 en 100 ms hasta completar el ciclo. Todo lo anterior se realiz\u00f3 asistiendo completamente al coraz\u00f3n primero y parcialmente despu\u00e9s. Para comparar los resultados, ajustamos los tiempos entre latido como el porcentaje del cic lo. al estudiar los resultados se evidenciaron diferencias muy significativas al comparar la presi\u00f3n intraventricular s\u00edstolica. Aparecieron presiones significativamente m\u00e1s bajas en los retardo iniciales (0-40 ), momento en el que coincid\u00edan ambas s \u00edstoles a lo que llamamos sincron\u00eda total,  mientras que en los retardos finales (40-80 ) cuando coincid\u00edan la sistole con la di\u00e1stole la presi\u00f3n fue mucho menor, lo que llamamos sincron\u00eda inversa. los hallazgos demostrados en este trabajo pueden con tribuir a optimizar el uso de los dispositivos de asistencia puente a la recuperaci\u00f3n, de modo que descarguen el ventr\u00edculo m\u00e1s eficazmente y aumente la tasa de corazones recuperados.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Asistencia circulatoria mec\u00e1nica sincronizada<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Asistencia circulatoria mec\u00e1nica sincronizada <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ram\u00f3n P\u00e9rez-caballero Mart\u00ednez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/12\/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>Juan  Francisco Del Ca\u00f1izo L\u00f3pez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas \u00e1lvarez fern\u00e1ndez-represa <\/li>\n<li>raul Burgos lazaro (vocal)<\/li>\n<li>Juan  Manuel Bell\u00f3n caneiro (vocal)<\/li>\n<li>julia Bujan varela (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ram\u00f3n P\u00e9rez-caballero Mart\u00ednez Resumen de la tesis doctoral de ram\u00f3n p\u00e9rez-caballero mart\u00ednez. en la actualidad existen pocos [&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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