{"id":113498,"date":"2018-03-11T10:40:57","date_gmt":"2018-03-11T10:40:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-de-la-monitorizacion-prolongada-con-holter-de-7-da%c2%adas-en-pacientes-con-insuficiencia-cardiaca-cronica\/"},"modified":"2018-03-11T10:40:57","modified_gmt":"2018-03-11T10:40:57","slug":"valor-de-la-monitorizacion-prolongada-con-holter-de-7-da%c2%adas-en-pacientes-con-insuficiencia-cardiaca-cronica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/valor-de-la-monitorizacion-prolongada-con-holter-de-7-da%c2%adas-en-pacientes-con-insuficiencia-cardiaca-cronica\/","title":{"rendered":"\u00abvalor de la monitorizaci\u00f3n prolongada con holter de 7 d\u00edas en pacientes con insuficiencia cardiaca cr\u00f3nica\u00bb."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Jose Pastor Perez <\/strong><\/h2>\n<p>Valor de la monitorizaci\u00f3n prolongada con holter de 7 dias en pacientes con insuficiencia cardiaca cr\u00f3nica  el objetivo fue establecer la utilidad de la monitorizaci\u00f3n prolongada con holter de 7 dias (h7d) en el marco de la insuficiencia cardiaca cr\u00f3nica (icc) con respecto a la capacidad de detecci\u00f3n de arritmias, al an\u00e1lisis de la variabilidad de la turbulencia de la frecuencia cardiaca (tfc) y a la posibilidad de descubrir nuevos par\u00e1metros de variabilidad de frecuencia cardiaca. El h7d mejora la detecci\u00f3n y la caracterizaci\u00f3n de los eventos arr\u00edtmicos ventriculares aunque las diferencias son menores en cuanto a eventos supraventriculares compar\u00e1ndolo con un holter de 1 d\u00eda. El h7d incrementa el porcentaje de pacientes en los que se puede calcular la tfc siendo la variabilidad a corto plazo de la medida cuantitativa buena pero sub\u00f3ptima en los an\u00e1lisis cualitativos. Finalmente los ritmos de frecuencia cardiaca de 7 d\u00edas est\u00e1n presentes en los pacientes con icc y poseen utilidad pron\u00f3stica complementaria a par\u00e1metros cl\u00ednicos y bioqu\u00edmicos ya establecidos.    usefulness of prolongued 7-days holter monitoring in chronic heart failure patients  the purpose was to assess the usefulness of prolongued 7-days holter (7dh) monitoring in the setting of chronic heart failure (chf) with respect to the ability to detect arrhythmias, to assess the variability of the heart rate turbulence (hrt) and to discover new prognostic parameters of heart rate variability. 7dh clearly improves the detection and allows a better characterization of ventricular arrhythmic episodes and seems to be less useful for supraventricular events compared to standar 1-day holter monitoring. 7dh significantly increased the percentage of patients with calculable hrt parameters. The short-term variability of the quantitative hrt values was good, but when patients were categorized into the established hrt subgroups the concordance was suboptimal. Finally, a 7-days heart rate rhythm is present in most patients with chf, and has prognostic significance complementary to other clinical and biochemical parameters.  palabras clave: insuficiencia cardiaca; estratificaci\u00f3n de riesgo; monitorizaci\u00f3n holter<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abvalor de la monitorizaci\u00f3n prolongada con holter de 7 d\u00edas en pacientes con insuficiencia cardiaca cr\u00f3nica\u00bb.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abvalor de la monitorizaci\u00f3n prolongada con holter de 7 d\u00edas en pacientes con insuficiencia cardiaca cr\u00f3nica\u00bb. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Jose Pastor Perez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/11\/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>Arcadio Garcia Alberola<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco javier Chorro gasc\u00f3 <\/li>\n<li>Rafael Peinado peinado (vocal)<\/li>\n<li>Juan  Jos\u00e9 Sanchez mu\u00f1oz (vocal)<\/li>\n<li>eduardo Pinar bermudez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Jose Pastor Perez Valor de la monitorizaci\u00f3n prolongada con holter de 7 dias en pacientes con 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