{"id":136016,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-evolutivo-de-estenosis-congenita-aortica-y-pulmonar-no-operadas-valoracion-del-gradiente-por-tres-metodos\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"estudio-evolutivo-de-estenosis-congenita-aortica-y-pulmonar-no-operadas-valoracion-del-gradiente-por-tres-metodos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-evolutivo-de-estenosis-congenita-aortica-y-pulmonar-no-operadas-valoracion-del-gradiente-por-tres-metodos\/","title":{"rendered":"Estudio evolutivo de estenosis congenita aortica y pulmonar no operadas. valoracion del gradiente por tres metodos."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gonzalez Herrera M. Carmen <\/strong><\/h2>\n<p>La hipotesis tradicional asume que las estenosis sigmoideas tienden a cerrarse y a agravarse con el paso del tiempo. La observacion empirica en la practica clinica permite cuestionar esta hipotesis, al menos en las estenosis moderadas y leves. La poblacion de estudio consta de 28 casos de estenosis aortica valvular y 40 casos de estenosis pulmonar valvular no operadas, en vigilancia evolutiva anual hasta un limite de 1-16 a\u00f1os (8 a\u00f1os).  se valoran sistematicamente parametros de exploracion fisica, exploraciones complementarias (ecg, rx, eco y doppler). El gradiente se cuantifica por la formula clinica del estudio mulcicentrico new england, el metodo ecocardiografico de bennet y blackwood; y por medicion directa a traves de doppler continuo. Se estudia intercambiabilidad entre metodos (test bland-altman). En la evolucion a medio plazo, la estenosis aortica con gradiente inferior a 40 mm hg y la estenosis pulmonar con gradiente inferior a 50 mmhg se comportan como leves o moderadas, no expresan cambios sintomaticos; muestran repercusion en algunos parametros clinicos; pero el gradiente se muestra estable o decreciente. No es aconsejable sustituir el metodo de medicion por doppler por los metodos de formula clinica y eco. Los datos aportados permiten rechazar la hipotesis de tendencia al cierre progresivo a lo largo de la etapa pediatrica de la vida. Por tanto no requieren intervencionismo terapeutico y los controles periodicos pasarian a ser bianuales.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio evolutivo de estenosis congenita aortica y pulmonar no operadas. valoracion del gradiente por tres metodos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio evolutivo de estenosis congenita aortica y pulmonar no operadas. valoracion del gradiente por tres metodos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gonzalez Herrera M. Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/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>Julio Ardura Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Garcia Fuentes <\/li>\n<li> Diez Tomas Juan  Jos\u00e9 (vocal)<\/li>\n<li>Antonio Rodrigo Ba\u00f1o (vocal)<\/li>\n<li>Javier Aldana Gomez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gonzalez Herrera M. Carmen La hipotesis tradicional asume que las estenosis sigmoideas tienden a cerrarse y a [&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":[155,9,156,1601,161,12451],"tags":[250320,84759,250319,95466,27728,10555],"class_list":["post-136016","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-patologia","category-patologia-cardiovascular","category-pediatria","category-valladolid","tag-antonio-rodrigo-bano","tag-diez-tomas-juan-jose","tag-gonzalez-herrera-m-carmen","tag-javier-aldana-gomez","tag-julio-ardura-fernandez","tag-miguel-garcia-fuentes"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/136016","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=136016"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/136016\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=136016"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=136016"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=136016"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}