{"id":11270,"date":"2018-03-09T08:56:31","date_gmt":"2018-03-09T08:56:31","guid":{"rendered":""},"modified":"2018-03-09T08:56:31","modified_gmt":"2018-03-09T08:56:31","slug":"criterios-electrocardiograficos-de-repercusion-relacion-con-las-caractera%c2%adsticas-cla%c2%adnicas-y-tamano-del-infaro-estudio-en-pacientes-con-infarto-agudo-de-miocardio-de-localizacion-anterior","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/criterios-electrocardiograficos-de-repercusion-relacion-con-las-caractera%c2%adsticas-cla%c2%adnicas-y-tamano-del-infaro-estudio-en-pacientes-con-infarto-agudo-de-miocardio-de-localizacion-anterior\/","title":{"rendered":"Criterios electrocardiogr\u00e1ficos de repercusi\u00f3n. relaci\u00f3n con las caracter\u00edsticas cl\u00ednicas y tama\u00f1o del infaro. estudio en pacientes con infarto agudo de miocardio de localizaci\u00f3n anterior."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Iluminada L\u00f3pez Mart\u00ednez <\/strong><\/h2>\n<p>Introducci\u00f3n  la mayor parte de la poblaci\u00f3n que se presenta con un cuadro cl\u00ednico de infarto agudo de miocardio y elevaci\u00f3n del segmento st en el electrocardiograma, es tributario de tratamiento de reperfusi\u00f3n. Las limitaciones actuales en la infraestructura sanitaria restringe la pr\u00e1ctica de la angioplastia primaria a unos pocos centros por lo que la mayor parte de la poblaci\u00f3n es tratada con agentes fibrinol\u00edticos administrados de forma endovenosa. el fracaso de la terapeutica de reperfusi\u00f3n mediante trobol\u00edticos obliga a la consideraci\u00f3n de la indicaci\u00f3n de la angioplastia de recate. Para ser eficaz, la angioplastia de rescate debe efectuarse lo m\u00e1s precozmente posible. En ausencia de una valoracion angiogr\u00e1fica, los criterios indirectos de reprfusi\u00f3n son los \u00fanicos indicadores para determinar el establecimiento de la perfusi\u00f3n coronaria tras el tratamiento trobol\u00edtico y en este caso establecer precozmente la indicaci\u00f3n de la angioplastia de rescate.  hip\u00f3tesis  un criterio electrocardiogr\u00e1fico de reperfusi\u00f3n de facil obtenci\u00f3n permitir\u00eda determinar de forma precoz el beneficio o fracaso de la terape\u00fatica trombol\u00edtica en el infarto. Este criterio podr\u00eda ser utilizado para la indicaci\u00f3n o no de una reperfusi\u00f3n mec\u00e1nica de rescate.  material y m\u00e9todos  el presente estudio incluy\u00f3 a pacientes de ambos sexos que ingresaron en la unidad coronaria del hospital virgen de la arrixaca que cumpl\u00edan los siguientes criterios de selecci\u00f3n:  1,- sospecha de infarto agudo de miocardio, con elevaci\u00f3n de lst de localizaci\u00f3n anterior.  2,- edad &lt;75 a\u00f1os.  3,- retraso al ingreso desde el inicio de los s\u00edntomas menor de 6 horas.  4,- ausencia de contraindicaciones para tratamiento trombol\u00edtico.  5,- disponibilidad del registro en papel del ecg representativo de la afectaci\u00f3n inicial, con elevaci\u00f3n de 1 mm o m\u00e1s del segmento st en, al menos, tres derivaciones precordiales.  6,- ausencia de bloqueo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Criterios electrocardiogr\u00e1ficos de repercusi\u00f3n. relaci\u00f3n con las caracter\u00edsticas cl\u00ednicas y tama\u00f1o del infaro. estudio en pacientes con infarto agudo de miocardio de localizaci\u00f3n anterior.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Criterios electrocardiogr\u00e1ficos de repercusi\u00f3n. relaci\u00f3n con las caracter\u00edsticas cl\u00ednicas y tama\u00f1o del infaro. estudio en pacientes con infarto agudo de miocardio de localizaci\u00f3n anterior. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Iluminada L\u00f3pez Mart\u00ednez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/06\/2001<\/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 Galcer\u00e1 Tom\u00e1s<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Antonio Ruiperez abizanda <\/li>\n<li>roberto Garc\u00eda cibera (vocal)<\/li>\n<li>Rafael SanJuan  ma\u00f1ez (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Iluminada L\u00f3pez Mart\u00ednez Introducci\u00f3n la mayor parte de la poblaci\u00f3n que se presenta con un cuadro cl\u00ednico [&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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