{"id":140096,"date":"2026-01-12T17:51:34","date_gmt":"2026-01-12T17:51:34","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/aspectos-patogenicos-clinicos-y-evolutivos-de-la-hipertension-arterial-en-el-trasplante-renal-estudio-de-factores-etiologicos-y-pronosticos\/"},"modified":"2026-01-12T17:51:34","modified_gmt":"2026-01-12T17:51:34","slug":"aspectos-patogenicos-clinicos-y-evolutivos-de-la-hipertension-arterial-en-el-trasplante-renal-estudio-de-factores-etiologicos-y-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/aspectos-patogenicos-clinicos-y-evolutivos-de-la-hipertension-arterial-en-el-trasplante-renal-estudio-de-factores-etiologicos-y-pronosticos\/","title":{"rendered":"Aspectos patogenicos, clinicos y evolutivos de la hipertension arterial en el trasplante renal. estudio de factores etiologicos y pronosticos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jaime Sanchez Plumed <\/strong><\/h2>\n<p>Con el objetivo de conocer la preValencia de la hipertension arterial (hta) y de su normalizacion, los factores etiologicos que se asocian con su desarrollo, y su influencia sobre la repercusion organica, supervivencia del injerto y del paciente, hemos estudiado 335 pacientes transplantados de ri\u00f1on en el hospital \u00abla fe\u00bb. Se ha utilizado el modelo del calculo de la probabilidad actuarial (kaplan y meier) para conocer la preValencia de la hta en nuestros pacientes, mostrando que es elevada. El analisis multivariante (prueba de riesgo proporcional, cox 1972) nos ha permitido conocer los factores que se correlacionaron con la presencia de hta en el tr, que fueron: el antecedente de hta del receptor en dialisis, la existencia de episodios de rechazo agudo durante la evolucion del transplante, y el empleo de ciclosporina como tratamiento inmunosupresor.  el analisis univariante (mantel-cox, tarone-ware, breslow) mostro que las caracteristicas clinicas que se asociaron con el riesgo de desarrollar hta, fueron: el tipo de nefropatia original del receptor, la existencia de antecedentes de hta en el paciente antes de ser incluido en dialisis, la causa de muerte del donante, y el estado anefrico o no del receptor. En la comparacion de medias (prueba de la t de student y prueba de la u de mann-whitney) observamos que: la creatinina plasmatica, proteinuria, prednisona acumulada, y niveles de cvldl y trigliceridos, son superiores en los pacientes hipertensos.  en analisis univariante, mostro que las caracteristicas que se asociaron con la normalizacion de la hta, fueron: numero de incompatibilidades hla-dr-b, el tratamiento inmunosupresor que incluia ciclosporina, y la causa de muerte del donante (traumatismo craneoencefalico).  la hta en el paciente transplantado se relaciona con un descenso de la supervivencia del injerto e incremento de la mortalidad cardiovascular en el paciente.  se cotejan los resultados obtenidos con los de la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aspectos patogenicos, clinicos y evolutivos de la hipertension arterial en el trasplante renal. estudio de factores etiologicos y pronosticos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aspectos patogenicos, clinicos y evolutivos de la hipertension arterial en el trasplante renal. estudio de factores etiologicos y pronosticos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jaime Sanchez Plumed <\/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 01\/01\/1992<\/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>L. Baguena Candela<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Rafael Carmena Rodriguez <\/li>\n<li>Luis Hernando Avenda\u00f1o (vocal)<\/li>\n<li>Juan  Alfonso Miguel Carrasco (vocal)<\/li>\n<li>Pedro Errasti Boenaga (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jaime Sanchez Plumed Con el objetivo de conocer la preValencia de la hipertension arterial (hta) y de [&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":[9,139,179,156,1601],"tags":[178996,33176,254655,5122,254656,11685],"class_list":["post-140096","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-medicina-interna","category-nefrologia","category-patologia","category-patologia-cardiovascular","tag-jaime-sanchez-plumed","tag-juan-alfonso-miguel-carrasco","tag-l-baguena-candela","tag-luis-hernando-avendano","tag-pedro-errasti-boenaga","tag-rafael-carmena-rodriguez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/140096","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=140096"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/140096\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=140096"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=140096"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=140096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}