{"id":13360,"date":"2018-03-09T08:59:36","date_gmt":"2018-03-09T08:59:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ablacion-por-radiofrecuencia-del-flutter-auricular\/"},"modified":"2018-03-09T08:59:36","modified_gmt":"2018-03-09T08:59:36","slug":"ablacion-por-radiofrecuencia-del-flutter-auricular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ablacion-por-radiofrecuencia-del-flutter-auricular\/","title":{"rendered":"Ablacion por radiofrecuencia del flutter auricular"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Amparo Valls Serral <\/strong><\/h2>\n<p>Objetivos:  -determinar la efectividad y seguridad de la ablaci\u00f3n por radiofrecuencia del ist cavotricuspideo como tratamiento del flutter comun a corto y largo plazo.  -evaluar los resultados a largo plazo, estudiando la tasa de recidivas de flutter y la incidencia de otras arritmias auriculares relacionadas con el mismo.  -estudiar las variables clinicas y anatomicas que puedan predisponer a las recidivas.  -evaluar la evolucion tras la ablaci\u00f3n, tanto desde el punto de vista anatomico (mediante ecocardiografia), como electrico(mediante el analisis del ecg).  conclusiones:  -la ablacion por radiofrecuencia del flutter auricuar comun, efectuada en pacientes seleccionados, con una tecnica cuidadosa y siguiendo criterios de \u00e9xito estrictos (demostracion del bloqueo del istmo y no inducibilidad), es un tratamiento efectivo y seguro, con una proporcion de \u00e9xito inicial del 86%.  -la probabilidad acumulada de recurrencia del flutter tipico en el primer a\u00f1o tras la ablacion es del 21%, siendo a largo plazo del 27,6%.  -las variables que se asocian independientemente a la recurrencia del flutter son la fraccion de eyeccion disminuida, la edad avanzada y la hipertension arterial.  -se encuentran dos picos de recurrencia, uno precoz en los 6 primeros meses y otro tardio. Las recurrencias precoces podrian atribuirse a un fallo en el procedimiento inicial, mientras que las tardias podrian ser debidas a una progresion de la enfermedad auricular.  -despues de la ablacion hay una incidencia considerable de otras arritmias auriculares: un 21% de fibrilacion auricular y un 17% de flutter atipico.  -los pacientes con dilatacion auricular, funcion sistolica deprimida, flutter paroxistico y aquellos en los que persiste la inducibilidad de fibrilacion auricular tienen una mayor susceptibilidad de presentar arritmias auriculares tras la ablacion.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ablacion por radiofrecuencia del flutter auricular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ablacion por radiofrecuencia del flutter auricular <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Amparo Valls Serral <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/10\/2001<\/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>Roberto Garcia Civera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Antonio Ruiperez abizanda <\/li>\n<li>vicente Bertomeu Martinez (vocal)<\/li>\n<li>Juan Martinez leon (vocal)<\/li>\n<li>lu\u00eds Such belenguer (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Amparo Valls Serral Objetivos: -determinar la efectividad y seguridad de la ablaci\u00f3n por radiofrecuencia del ist cavotricuspideo [&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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