{"id":112542,"date":"2018-03-11T10:39:36","date_gmt":"2018-03-11T10:39:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/presentaciones-cla%c2%adnicas-del-hiperaldosteronismo-primario-en-hipertensos\/"},"modified":"2018-03-11T10:39:36","modified_gmt":"2018-03-11T10:39:36","slug":"presentaciones-cla%c2%adnicas-del-hiperaldosteronismo-primario-en-hipertensos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/presentaciones-cla%c2%adnicas-del-hiperaldosteronismo-primario-en-hipertensos\/","title":{"rendered":"Presentaciones cl\u00ednicas del hiperaldosteronismo primario en hipertensos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Abad Cardiel <\/strong><\/h2>\n<p>Abstract estudio retrospectivo sobre el hiperaldosteronismo primario, causa endocrinol\u00f3gica m\u00e1s frecuente de hta secundaria. Se precisa una mejora en el conocimiento de su historia natural, pues datos recientes confirman que la presentaci\u00f3n cl\u00ednica t \u00edpica, definida por la aparici\u00f3n de hipokaliemia, no es patognom\u00f3nica. Para ello se revisan datos de 172 pacientes con hta secundaria a hiperaldosteronismos seguidos en la unidad de hta. Se han comparado con hipertensos esenciales, y dentro del grupo  de hipeeraldosteronismos entre los que se presentan con hipokaliemia o normokaliemia.  las principales conclusiones son:  la presentaci\u00f3n como urgencias hipertensivas, es un cuadro cl\u00ednico que no se hab\u00eda descrito asociado al hiperaldosteronismo pri mario.  la presentaci\u00f3n morfol\u00f3gica con afectaci\u00f3n bilateral es la m\u00e1s frecuente.  el estudio de imagen debe completarse con la determinaci\u00f3n de aldosterona en venas adrenales antes de la decisi\u00f3n quir\u00fargica.   casi el 50  de los hiperaldosteronismos  son normokali\u00e9micos.   el diagn\u00f3stico de hiperaldosteronismo con la instauraci\u00f3n del tratamiento espec\u00edfico, consigue el control \u00f3ptimo de la presi\u00f3n arterial, y la resoluci\u00f3n de la hipokaliemia.   la presentaci\u00f3n cl\u00ednica no diferencia ni el tipo mo rfol\u00f3gico, ni el perfil bioqu\u00edmico (glucemia basal y perfil lip\u00eddico) de los pacientes.   el potasio s\u00e9rico se correlaciona de manera inversa con las cifras de pas y pad.   en los pacientes con presentaci\u00f3n at\u00edpica, con  niveles normales de potasio, los niveles de aldosterona s\u00e9ricos tienden a elevarse con el tiempo.  en los pacientes hipokali\u00e9micos la aldosterona s\u00e9rica presenta valores m\u00e1s elevados que tienden a ser estables.  estos dos \u00faltimos hechos podr\u00edan significar que para que una pacien te presente hipokaliemia se necesita mayor tiempo de evoluci\u00f3n y\/o niveles s\u00e9ricos de aldosterona m\u00e1s elevados.  es importante diagnosticar a estos pacientes puesto que son los que presentan mejor perfil cl\u00ednico (menor riesgo cardiovascular) y probab lemente mayores posibilidades de curaci\u00f3n con el tratamiento quir\u00fargico y mejor respuesta al tratamiento farmacol\u00f3gico espec\u00edfico.   la aldosterona se correlaciona de manera inversa con los niveles de potasio s\u00e9rico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Presentaciones cl\u00ednicas del hiperaldosteronismo primario en hipertensos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Presentaciones cl\u00ednicas del hiperaldosteronismo primario en hipertensos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Abad Cardiel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/03\/2012<\/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>Nieves Martell Claros<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Lahera julia <\/li>\n<li>Jos\u00e9 Abellan aleman (vocal)<\/li>\n<li>Jes\u00fas Egido de los rios (vocal)<\/li>\n<li>carmen Su\u00e1rez fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Abad Cardiel Abstract estudio retrospectivo sobre el hiperaldosteronismo primario, causa endocrinol\u00f3gica m\u00e1s frecuente de hta secundaria. [&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":[9,986],"tags":[15420,5119,19281,223858,115036,25894],"class_list":["post-112542","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-complutense-de-madrid","tag-carmen-suarez-fernandez","tag-jesus-egido-de-los-rios","tag-jose-abellan-aleman","tag-maria-abad-cardiel","tag-nieves-martell-claros","tag-vicente-lahera-julia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/112542","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=112542"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/112542\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=112542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=112542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=112542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}