{"id":132855,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-hormona-atrial-natriuretica-como-indicador-de-idoneidad-de-la-estimulacion-ventricular\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"la-hormona-atrial-natriuretica-como-indicador-de-idoneidad-de-la-estimulacion-ventricular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-hormona-atrial-natriuretica-como-indicador-de-idoneidad-de-la-estimulacion-ventricular\/","title":{"rendered":"La hormona atrial natriuretica como indicador de idoneidad de la estimulacion ventricular."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Santiago Soler Martinez <\/strong><\/h2>\n<p>Objetivo: la estimulacion cardiaca induce diversos grados de disfuncion cardiaca que eventualmente se traducen en la aparicion de sintomas. El objetivo de esta tesis es evaluar el grado de tal disfuncion a traves de la hormona atrial natriuretica (han) y su repercusion sobre los sintomas y calidad de vida del paciente.  material y metodos: se reclutaron pacientes portadores de marcapasos sin disfuncion aparente, a los cuales se practico un ecg a 25 y 50 mm\/seg. Y un holter. Se determino el nivel de han por ria. Se establecio el resultado sobre el paciente mediante la escala de la nyha, una escala para determinar la presencia del sindrome del marcapasos, la existencia o no de insuficiencia cardiaca y un test general de calidad de vida (psn). Se clasifico a los pacientes segun su disfuncion cardioelectrica: 1) secuencia av conservada; 2) disociacion av simple; 3) fibrilacion auricular; 4) conduccion retrograda va. Se controlaron otras variables de confusion que pudieran influir en el nivel de hormona.  se realizo analisis estadistico bivariante (test de correlacion, x2,&#8230;) Para determinar las variables que influyeron sobre el nivel de han y sobre las distintas puntuaciones de los test de sintomatolog\u00eda, y analisis multivariante (anova, analisis discriminante, regresion logistica) para controlar las variables de confusion.  resultados: fueron validos 120 pacientes de ellos. La presencia de conduccion va mostro diferencias significativas en el nivel de hormona con respecto a otras situaciones de conduccion av (grupo 1, 151,302+- 74,226 pg\/ml; disociacion av, 288,634 +- 235,814 pg\/ml; acxfa, 268,304 +- 198,818 pg\/ml; conduccion va, 494,666 +- 328,827 pg\/ml). Otras causas influyentes de elevacion la edad y la presencia de bav por iam previo. Aunque se encontro nivel de han mas elevado conforme los pacientes se encontraban peor clinicamente, fue la fibrilacion auricular la situacion cardioelectrica que influyo negativamente en su sit<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La hormona atrial natriuretica como indicador de idoneidad de la estimulacion ventricular.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La hormona atrial natriuretica como indicador de idoneidad de la estimulacion ventricular. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Santiago Soler Martinez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alicante<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/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> Cabello Lopez Juan  Bautista<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Bernat Soria Escoms <\/li>\n<li>Ramiro Calatayud Cendra (vocal)<\/li>\n<li>Jes\u00fas Rodriguez Marin (vocal)<\/li>\n<li>Segismundo Botella Solana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Santiago Soler Martinez Objetivo: la estimulacion cardiaca induce diversos grados de disfuncion cardiaca que eventualmente se traducen [&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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