{"id":10962,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/estimulacion-auriculoventricular-en-la-miocardiopatia-hipertrofica-obstructiva\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"estimulacion-auriculoventricular-en-la-miocardiopatia-hipertrofica-obstructiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estimulacion-auriculoventricular-en-la-miocardiopatia-hipertrofica-obstructiva\/","title":{"rendered":"Estimulacion auriculoventricular en la miocardiopatia hipertrofica obstructiva."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Albarran Gonzalez Trevilla Agustin <\/strong><\/h2>\n<p>El objetivo de esta tesis ha sido analizar la repercusion del tratamiento con marcapasos ddd en pacientes con miocardiopatia hipertrofica obstructiva severamente sintomaticos a pesar de tratamiento medico, con especial referencia a los mecanismos de disminucion del gradiente e insuficiencia mitral y a la mejoria de la funcion diastolica y la clase funcional. Para ello, se implanto un marcapasos ddd a 15 pacientes y se estudio la funcion sistolica y diastolica de ventriculo izquierdo mediante ecocardiograma y angiografia en situacion basal y tras estimulacion con marcapasos y se analizo la repercusion sobre el gradiente y la insuficiencia mitral mediante cateterismo cardiaco y eco-doppler, tanto basal como tras estimulacion con marcapasos.  mesultados: la estimulacion con marcapasos ddd redujo el gradiente y la insuficiencia mitral de forma significativa, disminuyendo el movimiento anterior sistolico de la valvula mitral y la velocidad de eyeccion inicial del ventriculo izquierdo. Asimismo, se produjo una mejoria significativa de todos los parametros de funcion diastolica estudiados. En todos los enfermos se produjo una mejoria clinica significativa, pasando de clase funcional 3-4 a clase 1-2 tras la implantacion del marcapasos, manteniendose esta mejoria en el tiempo de seguimiento (20+-9 meses).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estimulacion auriculoventricular en la miocardiopatia hipertrofica obstructiva.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estimulacion auriculoventricular en la miocardiopatia hipertrofica obstructiva. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Albarran Gonzalez Trevilla Agustin <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/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>Luis Valdivieso Varela<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Domingo Espinos Perez <\/li>\n<li>Gabriel T\u00e9llez De Peralta (vocal)<\/li>\n<li> Ferreira Montero Ignacio J. (vocal)<\/li>\n<li>Juan  Luis Tamargo Men\u00e9ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Albarran Gonzalez Trevilla Agustin El objetivo de esta tesis ha sido analizar la repercusion del tratamiento con [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,156,1601],"tags":[36131,897,3110,6148,4665,23340],"class_list":["post-10962","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-patologia","category-patologia-cardiovascular","tag-albarran-gonzalez-trevilla-agustin","tag-domingo-espinos-perez","tag-ferreira-montero-ignacio-j","tag-gabriel-tellez-de-peralta","tag-juan-luis-tamargo-menendez","tag-luis-valdivieso-varela"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10962","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=10962"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10962\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=10962"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=10962"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=10962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}