{"id":129964,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-pronostica-mediante-la-ecocardiografia-bidimensional-la-electrocardiografia-de-alta-resolucion-y-la-sensibilidad-barorrefleja-de-pacientes-con-infarto-agudo-de-miocardio\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"valoracion-pronostica-mediante-la-ecocardiografia-bidimensional-la-electrocardiografia-de-alta-resolucion-y-la-sensibilidad-barorrefleja-de-pacientes-con-infarto-agudo-de-miocardio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-pronostica-mediante-la-ecocardiografia-bidimensional-la-electrocardiografia-de-alta-resolucion-y-la-sensibilidad-barorrefleja-de-pacientes-con-infarto-agudo-de-miocardio\/","title":{"rendered":"Valoracion pronostica mediante la ecocardiografia bidimensional, la electrocardiografia de alta resolucion y la sensibilidad barorrefleja de pacientes con infarto agudo de miocardio."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fernando Garcia Diaz <\/strong><\/h2>\n<p>Se estudiaron 69 pacientes consecutivos, que pudieron ser dados de alta de la unidad de cuidados intensivos coronarios (ucic) del hospital militar de sevilla. A todos los pacientes (n=69), se les practico, el dia del alta de la ucic, una ecocardiografia bidimensional (eb), mediante la cual se determino la fraccion de eyeccion ventricular izquierda (fevi) y la presencia de aquinesia\/disquinesia (aq-dq), un electrocardiograma de alta resolucion (saekg) para detectar potenciales tardios ventriculares (pt). A un subgrupo de 49 pacientes se les determino, ademas, la sensibilidad barorrefleja (brs) mediante el test de la fenilefrina (tf). Los pacientes fueron seguidos 14+-7 meses y se consideraron los siguientes eventos cardiacos finales (ecf). Muerte subita cardiaca (msc), muerte cardiaca no subita (mcns) y los episodios de taquicardia ventricular sostenida y\/o fibrilacion ventricular (tvs\/fv) no fatales.  hubo 8 ecf (11% de la muestra) 3 msc, 3 mcns y 2 episodios de tvs reanimados. La tasa de fibrinolisis fue del 55%. La presencia de aq-dq no se relaciono con la aparicion de ecf. La fevi&lt;45%, la presencia de pt y la brs patologica (&lt;3.0) fueron predictores de ecf en el analisis pronostico univariado con unos valores predictivos positivos (vpp) de 33%, 24% y 16% respectivamente. Cuando se aplico el analisis discriminante multivariante a todas las combinaciones posibles de pares de variables encontramos que la combinacion brs patologica y pt fue la que alcanzo la mejor significacion pronostica con un vpp del 36%. Cuando se combinaron todas las variables empleadas en el estudio (pt presentes, fevi &lt;45% y brs patologica), se consiguio una notable mejoria en la significacion pronostica, alcanzandose un vpp del 50%.  conclusion: la combinacion de la fevi estimada por eb, los pt identificados mediante la saekg y la brs determinada por el tf, es una estrategia util para la valoracion del riesgo postinfarto.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoracion pronostica mediante la ecocardiografia bidimensional, la electrocardiografia de alta resolucion y la sensibilidad barorrefleja de pacientes con infarto agudo de miocardio.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoracion pronostica mediante la ecocardiografia bidimensional, la electrocardiografia de alta resolucion y la sensibilidad barorrefleja de pacientes con infarto agudo de miocardio. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fernando Garcia Diaz <\/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: Javier Ayarra Jarne <\/li>\n<li> Perez Piqueras Jos\u00e9 Luis (vocal)<\/li>\n<li>Jes\u00fas Gonzalez Lobo (vocal)<\/li>\n<li>Carlos Alvarez Leiva (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernando Garcia Diaz Se estudiaron 69 pacientes consecutivos, que pudieron ser dados de alta de la unidad [&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":[932,9,139,156,1601,10715],"tags":[77731,52805,10771,38099,103853,17639],"class_list":["post-129964","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-patologia","category-patologia-cardiovascular","category-sevilla","tag-carlos-alvarez-leiva","tag-cruz-fernandez-jose-m","tag-fernando-garcia-diaz","tag-javier-ayarra-jarne","tag-jesus-gonzalez-lobo","tag-perez-piqueras-jose-luis"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/129964","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=129964"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/129964\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=129964"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=129964"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=129964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}