{"id":13542,"date":"2018-03-09T08:59:52","date_gmt":"2018-03-09T08:59:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-troponina-i-como-marcador-de-reperfusion-en-el-infarto-agudo-de-miocardio-tras-fibrinolisis\/"},"modified":"2018-03-09T08:59:52","modified_gmt":"2018-03-09T08:59:52","slug":"la-troponina-i-como-marcador-de-reperfusion-en-el-infarto-agudo-de-miocardio-tras-fibrinolisis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-troponina-i-como-marcador-de-reperfusion-en-el-infarto-agudo-de-miocardio-tras-fibrinolisis\/","title":{"rendered":"La troponina i como marcador de reperfusi\u00f3n en el infarto agudo de miocardio tras fibrinolisis"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fernando Sell\u00e9s Galiana <\/strong><\/h2>\n<p>Introducci\u00f3n  la cardiopat\u00eda isqu\u00e9mica tiene una alta incidencia de mortalidad actualmente, a pesar del beneficio obtenido con la introducci\u00f3n del tratamiento fibrinol\u00edtico en el infarto agudo de miocardio iam. Por lo tanto, es necesario disponer de marcadores no invasivos que permitan realizar un  diagn\u00f3stico precoz de la eficacia o no de la fibrinolisis. La precodidad en el diagn\u00f3stico de reperfusi\u00f3n tras fibrinolisis tiene suma importancia, ya que en caso de no ser efectiva, se podr\u00edan llevar a cabo otras alternativas terapeuticas que permitieran restablecer el flujo coronario, disminuyendo asi la mortalidad por iam.  objetivos  1,- comprobar el comportamiento de la troponina i en funci\u00f3n del tiempo de evoluci\u00f3n del iam.  2,- valorar la utilidad de la troponina i como marcador precoz de reperfusi\u00f3n eficaz en el iam tras fibrinolisis.  3,- analizar el comportamiento de otros marcadores tales como mioglobina, cpk, cpk-mb en los pacientes con iam y fibrinolisis, seg\u00fan \u00e9sta sea o no eficaz.  poblacion  se recogieron 250 pacientes, que acudieron al servicio de urgencias externas del hospital universitario san cecilio de granada, con cuadro cl\u00ednico sospechoso de s\u00edndrome coronario agudo. De estos, 110 fueron diagnosticados de iam seg\u00fan los criterios cl\u00e1sicos: cl\u00ednicos, electrocardiogr\u00e1ficos y enzim\u00e1ticos. A partir de las indicaciones y contraindicaciones de fibrinolisis, estos fueron clasifiados en dos grupos a (recibieron fibrinolisis) y b (sin fibrinolisis). El grupo a se clasific\u00f3 en dos subgrupos a1 (cumpl\u00eda criterios de reperfusi\u00f3n cl\u00e1sicos: cl\u00ednicos, electrocardiogr\u00e1ficos y enzim\u00e1ticos y a2 ( no los cumpl\u00eda). Criterios de inclusi\u00f3n: pacientes con iam sin criterios de exclusi\u00f3n (edad mayor de 90 a\u00f1os, falsos positivios para troponina i: insuficiencia renal cr\u00f3nica, miocarditis, edema agudo de pulm\u00f3n, etc.).  m\u00e9todos  se recogieron:  * interrogatorio: antecedentes personales (hta, diabete<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La troponina i como marcador de reperfusi\u00f3n en el infarto agudo de miocardio tras fibrinolisis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La troponina i como marcador de reperfusi\u00f3n en el infarto agudo de miocardio tras fibrinolisis <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fernando Sell\u00e9s Galiana <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/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>Juan  Miguel Torres Ruiz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose De la higuera torres-puchol <\/li>\n<li>Jos\u00e9 ram\u00f3n Vicente rull (vocal)<\/li>\n<li> G\u00f3mez rub\u00ed Juan  Antonio (vocal)<\/li>\n<li> Ulecia mart\u00ednez Miguel angel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernando Sell\u00e9s Galiana Introducci\u00f3n la cardiopat\u00eda isqu\u00e9mica tiene una alta incidencia de mortalidad actualmente, a pesar del [&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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