{"id":106402,"date":"2018-03-11T10:30:19","date_gmt":"2018-03-11T10:30:19","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-pronostico-del-perfil-lipa%c2%addico-en-insuficiencia-cardiaca-y-su-relacion-con-marcadores-inflamatorios-y-nutricionales\/"},"modified":"2018-03-11T10:30:19","modified_gmt":"2018-03-11T10:30:19","slug":"valor-pronostico-del-perfil-lipa%c2%addico-en-insuficiencia-cardiaca-y-su-relacion-con-marcadores-inflamatorios-y-nutricionales","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/valor-pronostico-del-perfil-lipa%c2%addico-en-insuficiencia-cardiaca-y-su-relacion-con-marcadores-inflamatorios-y-nutricionales\/","title":{"rendered":"Valor pron\u00f3stico del perfil lip\u00eddico en insuficiencia cardiaca y su relaci\u00f3n con marcadores inflamatorios y nutricionales."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Del Prado Salamanca Bautista <\/strong><\/h2>\n<p>Introducci\u00f3n: los l\u00edpidos, adem\u00e1s de ser un factor de riesgo cardiovascular, podr\u00edan jugar tambi\u00e9n un papel como marcador pron\u00f3stico de insuficiencia cardiaca.   objetivos: valorar si los niveles de colesterol y otros par\u00e1metros lip\u00eddicos son predictores de mala evoluci\u00f3n en  insuficiencia cardiaca y  su relaci\u00f3n con otros marcadores pron\u00f3sticos y la situaci\u00f3n inflamatoria y nutricional.   material y m\u00e9todos: se recogieron 110 pacientes consecutivos hospitalizados por insuficiencia cardiaca y se les determin\u00f3 un perfil lip\u00eddico, marcadores de nutrici\u00f3n y citoquinas. Fueron seguidos una media de 21 \u00c2\u00b1 13 meses, durante los cuales se recogieron eventos adversos (mortalidad por cualquier causa y reingresos por insuficiencia cardiaca)  resultados: el 63,6% de la poblaci\u00f3n sobrevivi\u00f3 al seguimiento y el 41,8% no present\u00f3 eventos. Los pacientes que sobrevivieron ten\u00edan niveles medios de colesterol, triglic\u00e9ridos, c-ldl, c-vldl y apo b100 significativamente m\u00e1s elevados que los que fallecieron. Adem\u00e1s, se apreciaron correlaciones positivas entre colesterol y triglic\u00e9ridos con prealb\u00famina y rbp, y negativas con il-6. En el an\u00e1lisis multivariante de cox, los niveles de triglic\u00e9ridos por debajo de 100 mg\/dl fueron un factor independiente de mortalidad (hr 2,8, ic 95% 1,2-6,1). Los pacientes con colesterol y triglic\u00e9ridos bajos y nt-probnp alto constituyeron el grupo de mayor riesgo de eventos.   conclusiones: los pacientes ingresados por ic que no sobreviven al seguimiento presentan cifras m\u00e1s bajas en la mayor\u00eda de par\u00e1metros lip\u00eddicos que los que sobreviven, en parte debido al aumento de la  inflamaci\u00f3n y a la malnutrici\u00f3n que presentan. Adem\u00e1s, los niveles bajos de triglic\u00e9ridos se asocian con incremento de la mortalidad. Si a \u00e9sto se asocia elevaci\u00f3n de nt-probnp, el n\u00famero de eventos aumenta considerablemente.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor pron\u00f3stico del perfil lip\u00eddico en insuficiencia cardiaca y su relaci\u00f3n con marcadores inflamatorios y nutricionales.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor pron\u00f3stico del perfil lip\u00eddico en insuficiencia cardiaca y su relaci\u00f3n con marcadores inflamatorios y nutricionales. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Del Prado Salamanca Bautista <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/01\/2011<\/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>Jos\u00e9 Luis Arias Jimenez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Aznar martin <\/li>\n<li>Fernando Fabiani romero (vocal)<\/li>\n<li>francesc Formiga perez (vocal)<\/li>\n<li>Juan  Manuel De la vega vazquez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Del Prado Salamanca Bautista Introducci\u00f3n: los l\u00edpidos, adem\u00e1s de ser un factor de riesgo cardiovascular, podr\u00edan [&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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