{"id":129945,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/variabilidad-de-la-frecuencia-cardiaca-en-el-paciente-critico\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"variabilidad-de-la-frecuencia-cardiaca-en-el-paciente-critico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/variabilidad-de-la-frecuencia-cardiaca-en-el-paciente-critico\/","title":{"rendered":"Variabilidad de la frecuencia cardiaca en el paciente critico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan Fajardo Lopez Cuervo <\/strong><\/h2>\n<p>Con el objeto de estudiar una nueva metodolog\u00eda que cuantifique la disfuncion autonomica en enfermos criticos, economica, sencilla de recoger y facil de interpretar y que sirva como elemento predictor de gravedad y de mortalidad, hemos valorado la variabilidad de la frecuencia cardiaca (vfc) de las primeras 24 horas de ingreso en uci, a partir de las frecuencias cardiacas suministradas cada 5 minutos por los sistemas de monitorizacion ecg, en 226 pacientes criticos divididos en dos grupos: 113 ingresados por iam y 113 por insuficiencia circulatoria o respiratoria aguda.Con los indices de la vfc se confecciono un sistema de ecuaciones para cada grupo, de forma que al aplicarlo se clasifico correctamente el 95,1% de los pacientes graves y el 36% de los leves con aim, con una probabilidad de error del 7,1% al considerar que un paciente con iam evolucionaria sin complicaciones de interes (p=0,06). En la insuficiencia organica se clasificaron correctamente el 86,3% de los pacientes graves y el 61,3% de los leves. La probabilidad de error al asignar un paciente a la evolucion no complicada fue del 15,5% (p=0,003).  las alteraciones de la vfc, obtenidas a partir de los sistemas de monitorizacion ecg en la uci, se correlacionan con alteraciones del sna ocasionadas por su enfermedad. La alta correlacion demostrada entre la presentacion de complicaciones y las alteraciones en la vcf indica una importante participacion del sna en la fisiopatolog\u00eda del paciente critico, conocida en el iam pero no explorada en la insuficiencia circulatoria y respiratoria agudas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Variabilidad de la frecuencia cardiaca en el paciente critico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Variabilidad de la frecuencia cardiaca en el paciente critico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan Fajardo Lopez Cuervo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/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> Cruz Fernandez Jos\u00e9 M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Eugenio Arevalo Jimenez <\/li>\n<li>Javier Ayarra Jarne (vocal)<\/li>\n<li>Jos\u00e9 Cantillana Martinez (vocal)<\/li>\n<li>Jes\u00fas Gonzalez Lobo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Fajardo Lopez Cuervo Con el objeto de estudiar una nueva metodolog\u00eda que cuantifique la disfuncion autonomica [&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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