{"id":115518,"date":"2014-09-04T00:00:00","date_gmt":"2014-09-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-predictivo-de-los-nuevos-biomarcadores-cardiacos-y-parametros-ecocardiograficos-en-hemodialisis\/"},"modified":"2014-09-04T00:00:00","modified_gmt":"2014-09-04T00:00:00","slug":"valor-predictivo-de-los-nuevos-biomarcadores-cardiacos-y-parametros-ecocardiograficos-en-hemodialisis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/valor-predictivo-de-los-nuevos-biomarcadores-cardiacos-y-parametros-ecocardiograficos-en-hemodialisis\/","title":{"rendered":"Valor predictivo de los nuevos biomarcadores cardiacos y par\u00e1metros ecocardiogr\u00e1ficos en hemodi\u00e1lisis."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Borja Quiroga Gili <\/strong><\/h2>\n<p>Introducci\u00f3n. La principal causa de mortalidad de los pacientes con enfermedad renal cr\u00f3nica, y sobre todo en programa renal sustitutivo es la cardiovascular (cv). Los biomarcadores cardiacos y los par\u00e1metros ecocardiogr\u00e1ficos pueden resultar herramientas \u00fatiles en la estratificaci\u00f3n del riesgo cv en di\u00e1lisis.  objetivo principal. Evaluar los factores de riesgo de mortalidad y eventos cv en una cohorte de pacientes prevalentes en hemodi\u00e1lisis (hd) y los factores asociados.  material y m\u00e9todos. Pacientes prevalentes y estables en hd. Se recogieron y analizaron variables epidemiol\u00f3gicas, cl\u00ednicas y anal\u00edticas incluyendo los biomarcadores card\u00edacos as\u00ed como datos ecocardiogr\u00e1ficos. Durante el seguimiento (mediana de 39 (1-84) meses) se recogieron y analizaron los eventos cv y la mortalidad.  resultados. De los 211 pacientes incluidos (58 por ciento hombres, edad de 73 (60-80) a\u00f1os y un tiempo en hd de 83 (43-128) meses), el 64 por ciento presentaba hipertrofia de ventr\u00edculo izquierdo (hvi), el 36 por ciento disfunci\u00f3n diast\u00f3lica (dd) y el 16 por ciento disfunci\u00f3n sist\u00f3lica (ds). Excepto ck-mb, los marcadores cardiacos se encontraban basalmente elevados. Durante el seguimiento 94 pacientes (44,5 por ciento). Los factores asociados a padecer eventos cv fueron la edad, la historia de cardiopat\u00eda, los antecedentes de enfermedad vascular perif\u00e9rica (evp), los niveles de hstnt, ckmb, nt-probnp, la dd y la ds. En el modelo multivariante ajustado final s\u00f3lo la alb\u00famina (rr 0,422, p igual a 0,008) y la dd (rr 2,639, p igual a 0,003) resultaron predictores independientes de eventos cv. Durante el seguimiento, 98 pacientes (46,4 por ciento) fallecieron. Los factores asociados con la mortalidad fueron la edad, la historia de cardiopat\u00eda, evp, el tiempo en hd, el acceso vascular diferente a f\u00edstula aut\u00f3loga, los niveles de hstnt, ckmb, nt-probnp y la dd. En el modelo multivariante ajustado final s\u00f3lo la alb\u00famina (rr 0,444, p igual a 0,014), el acceso vascular diferente a f\u00edstula aut\u00f3loga (rr 2,190, p igual a 0,022) y la dd (rr 2,25, p igual a 0,027) resultaron predictores independientes. conclusiones. Los biomarcadores cardiacos son buenos marcadores de riesgo en hd. Los predictores independientes de eventos cv en nuestra poblaci\u00f3n fueron la dd y la alb\u00famina. Ambos resultaron tambi\u00e9n ser predictores independientes de mortalidad junto con el acceso vascular diferente a fistula aut\u00f3loga.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor predictivo de los nuevos biomarcadores cardiacos y par\u00e1metros ecocardiogr\u00e1ficos en hemodi\u00e1lisis.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor predictivo de los nuevos biomarcadores cardiacos y par\u00e1metros ecocardiogr\u00e1ficos en hemodi\u00e1lisis. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Borja Quiroga Gili <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/04\/2014<\/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>Juan  Manuel L\u00f3pez G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Lahera julia <\/li>\n<li>Mar\u00eda  de los angeles Goicoechea diezhandino (vocal)<\/li>\n<li> Fernandez juarez gema m. (vocal)<\/li>\n<li>patricia de Sequera ortiz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Borja Quiroga Gili Introducci\u00f3n. La principal causa de mortalidad de los pacientes con enfermedad renal cr\u00f3nica, y [&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":[986,139],"tags":[228481,173937,99104,228482,105283,25894],"class_list":["post-115518","post","type-post","status-publish","format-standard","hentry","category-complutense-de-madrid","category-medicina-interna","tag-borja-quiroga-gili","tag-fernandez-juarez-gema-m","tag-juan-manuel-lopez-gomez","tag-maria-de-los-angeles-goicoechea-diezhandino","tag-patricia-de-sequera-ortiz","tag-vicente-lahera-julia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/115518","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=115518"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/115518\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=115518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=115518"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=115518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}