{"id":11051,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/evolucion-y-pronostico-hospitalario-del-primer-infarto-agudo-de-miocardio-en-pacientes-de-edad-avanzada\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"evolucion-y-pronostico-hospitalario-del-primer-infarto-agudo-de-miocardio-en-pacientes-de-edad-avanzada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evolucion-y-pronostico-hospitalario-del-primer-infarto-agudo-de-miocardio-en-pacientes-de-edad-avanzada\/","title":{"rendered":"Evolucion y pronostico hospitalario del primer infarto agudo de miocardio en pacientes de edad avanzada."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Bueno Zamora Hector Jose <\/strong><\/h2>\n<p>Con el objetivo de estudiar las peculiaridades especificas en la evolucion y pronostico a corto plazo de infarto agudo de miocardio en pacientes de edad avanzada se estudiaron 204 pacientes de  &#8211; 75 a\u00f1os ingresados consecutivamente en una unidad coronaria. La mortalidad hospitalaria global fue de 32% (40% en mujeres, 23% en hombres). Un 79% de los pacientes presento alguna complicacion, el 54% al menos una complicacion mayor (potencialmente letal). El ecg en el ingreso permitio estratificar los pacientes en 3 grupos de riesgo:  infartos sin onda q (mortalidad 14%), con onda q (mortalidad 34%; 32% en los de localizacion anterior, 35% en los inferiores) y de localizacion indeterminada (mortalidad 60%). La elevada mortalidad de los infartos inferiores dependia de la presencia de infarto de ventriculo derecho o de bloqueo av completo. El analisis de regresion logistica identifico la clase de killip, el pico de cpk y la aparicion de bloqueo av completo como los principales predictores independientes de mortalidad.  en conclusion, estos pacientes presentan una mortalidad hospitalaria y una incidencia de complicaciones mayores muy elevada, particularmente las mujeres, los pacientes con infarto de localizacion indeterminada y con infarto inferior complicado con afectacion ventricular derecha y\/o bloqueo av completo. Los principales predictores de muerte hospitalario son la presencia de signos de insuficiencia cardiaca en el ingreso, el tama\u00f1o del infarto y la aparicion del bloqueo av completo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evolucion y pronostico hospitalario del primer infarto agudo de miocardio en pacientes de edad avanzada.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evolucion y pronostico hospitalario del primer infarto agudo de miocardio en pacientes de edad avanzada. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Bueno Zamora Hector Jose <\/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>Jes\u00fas Almendral Garrote<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Luis Tamargo Men\u00e9ndez <\/li>\n<li>Jos\u00e9 Villamor Leon (vocal)<\/li>\n<li>Rafael Enr\u00edquez De Salamanca (vocal)<\/li>\n<li>Santiago De Pascual Marcos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bueno Zamora Hector Jose Con el objetivo de estudiar las peculiaridades especificas en la evolucion y pronostico [&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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