{"id":143741,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-factores-pronosticos-de-la-valvulotomia-mitral-bajo-circulacion-extracorporea-en-seguimiento-a-largo-plazo\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"estudio-de-factores-pronosticos-de-la-valvulotomia-mitral-bajo-circulacion-extracorporea-en-seguimiento-a-largo-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-factores-pronosticos-de-la-valvulotomia-mitral-bajo-circulacion-extracorporea-en-seguimiento-a-largo-plazo\/","title":{"rendered":"Estudio de factores pronosticos de la valvulotomia mitral bajo circulacion extracorporea en seguimiento a largo plazo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Alvarez Cofi\u00f1o Suarez <\/strong><\/h2>\n<p>Se hace un estudio de seguimiento a largo plazo (de 10 a 22 a\u00f1os) de los pacientes intervenidos de valvulotomia mitral, realizado bajo cec por estenosis mitral, para detectar que factores pronosticos son significativos respecto a la supervivencia y necesidad de reoperacion, asi como comparar los resultado con los de otras series que utilizan el mismo proceder quirurgico, haciendo especial hincapie en la cirugia delaparato subvalvular.  se maneja una muestra de 314 enfermos, intervenidos con esta tecnica conservadora en el hospital general de asturias, desde el 1 enero 1970 al 30 diciembre 1979, manejando el programa de bmdp con tratamiento estadistico de mantelcox y breslow con curvas de kaplan meir. Resulto un indice de mortalidad del 20% y de reoperacion en un 8,9% en un seguimiento medio a 18,2 a\u00f1os.  se concluye que la tecnica de la valvulotomia mitral es tan eficaz como en otras series consultadas, adquiriendo valor significativo independiente la edad, grado funcional, fibrilacion auricular, fraccion de eyeccion y valvulopatia aortica asociada respecto a la supervivencia. La actuacion o no sobre el aparato subvalvular no influye en la supervivencia, pero de lo contrario tiene considerables valor respecto a la reoperacion (4,9%) frente a un 12,3% de reoperacion en las que no se abrieron los musculos papilares.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de factores pronosticos de la valvulotomia mitral bajo circulacion extracorporea en seguimiento a largo plazo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de factores pronosticos de la valvulotomia mitral bajo circulacion extracorporea en seguimiento a largo plazo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Alvarez Cofi\u00f1o Suarez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 La laguna<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/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>Fernando Gonzalez Hermoso<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Gonz\u00e1lez Feria <\/li>\n<li> Cortina Llosa Arturo A. (vocal)<\/li>\n<li>Enrique Martinez Rodriguez (vocal)<\/li>\n<li> Armas Trujillo Diego De (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Alvarez Cofi\u00f1o Suarez Se hace un estudio de seguimiento a largo plazo (de 10 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":[9,141,2189,9915],"tags":[103587,258475,8848,10018,258474,10234],"class_list":["post-143741","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","category-la-laguna","tag-armas-trujillo-diego-de","tag-cortina-llosa-arturo-a","tag-enrique-Martinez-rodriguez","tag-fernando-gonzalez-hermoso","tag-jose-luis-alvarez-cofino-suarez","tag-luis-gonzalez-feria"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/143741","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=143741"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/143741\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=143741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=143741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=143741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}