{"id":116301,"date":"2018-03-11T10:45:18","date_gmt":"2018-03-11T10:45:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/situacion-actual-de-la-insuficiencia-carda%c2%adaca-con-fraccion-de-eyeccion-de-ventriculo-izquierdo-preservada-en-pacientes-ingresados-en-un-hospital-general-nivel-2\/"},"modified":"2018-03-11T10:45:18","modified_gmt":"2018-03-11T10:45:18","slug":"situacion-actual-de-la-insuficiencia-carda%c2%adaca-con-fraccion-de-eyeccion-de-ventriculo-izquierdo-preservada-en-pacientes-ingresados-en-un-hospital-general-nivel-2","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/situacion-actual-de-la-insuficiencia-carda%c2%adaca-con-fraccion-de-eyeccion-de-ventriculo-izquierdo-preservada-en-pacientes-ingresados-en-un-hospital-general-nivel-2\/","title":{"rendered":"Situaci\u00f3n actual de la insuficiencia card\u00edaca con fraccion de eyecci\u00f3n de ventriculo izquierdo preservada en pacientes ingresados en un hospital general nivel 2"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Paula Martinez Santos <\/strong><\/h2>\n<p>Introducci\u00f3n: la fracci\u00f3n de eyecci\u00f3n del ventr\u00edculo izquierdo (fevi) se ha propuesto como elemento diferenciador del s\u00edndrome de la ic en dos entidades distintas, entendiendo que los pacientes en ic con fevi preservada (ic fep) presentan unas caracter\u00edsticas cl\u00ednicas y pron\u00f3sticas espec\u00edficas.Objetivo: describir las caracter\u00edsticas cl\u00ednico-epidemiol\u00f3gicas y relacionadas con el pron\u00f3stico en pacientes hospitalizados por ic fep en un hospital general nivel 2. Metodolog\u00eda y resultados: estudio observacional y prospectivo en el que se incluyeron de forma consecutiva 154 pacientes hospitalizados con diagn\u00f3stico de ic fep, seg\u00fan las clasificaciones vigentes, entre mayo de 2011 y mayo de 2012 en el hospital universitario fundaci\u00f3n alcorc\u00f3n. La edad media (de) fue 81 (9) a\u00f1os. El 63% de los pacientes fueron mujeres. La mortalidad al a\u00f1o fue del 24%. En el an\u00e1lisis de regresi\u00f3n log\u00edstica se identificaron tres predictores independientes de mortalidad: la edad superior a 80 a\u00f1os (or 5,59; 1,60-22,48 ic 95%, p = 0,008), niveles de nt probnp superiores a la mediana (or 5,36; 1,84-15,65 ic 95%, p = 0,002) y la necesidad de soporte cr\u00f3nico con oxigenoterapia domiciliaria (or 4,19; 1,51-11,59 ic 95%, p = 0,006). En el modelo predictivo de regresi\u00f3n de cox, entre los pacientes sin historia de ingresos previos por ic, s\u00f3lo se asoci\u00f3 a un mayor riesgo de rehospitalizaci\u00f3n por ic la determinaci\u00f3n plasm\u00e1tica de nt probnp superior a 1822,5 ng\/l (hr 3,67; 1,22  11,05 ic 95%, p = 0,021). Conclusiones: la edad, la elevaci\u00f3n plasm\u00e1tica del nt probnp y la necesidad de soporte cr\u00f3nico con oxigenoterapia se asocian a mal pron\u00f3stico en pacientes hospitalizados por ic fep.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Situaci\u00f3n actual de la insuficiencia card\u00edaca con fraccion de eyecci\u00f3n de ventriculo izquierdo preservada en pacientes ingresados en un hospital general nivel 2<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Situaci\u00f3n actual de la insuficiencia card\u00edaca con fraccion de eyecci\u00f3n de ventriculo izquierdo preservada en pacientes ingresados en un hospital general nivel 2 <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Paula Martinez Santos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/09\/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>Mar\u00eda  Dolores Martin Rios<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Ladero quesada <\/li>\n<li>benjam\u00edn Herreros ru\u00edz-valdepe\u00f1as (vocal)<\/li>\n<li>Carlos Guijarro herraiz (vocal)<\/li>\n<li>lorenzo Lopez bescos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Paula Martinez Santos Introducci\u00f3n: la fracci\u00f3n de eyecci\u00f3n del ventr\u00edculo izquierdo (fevi) se ha propuesto como elemento [&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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