{"id":145705,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/trombolisis-en-el-infarto-agudo-de-miocardio-estudio-angiografico-seriado\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"trombolisis-en-el-infarto-agudo-de-miocardio-estudio-angiografico-seriado","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/trombolisis-en-el-infarto-agudo-de-miocardio-estudio-angiografico-seriado\/","title":{"rendered":"Trombolisis en el infarto agudo de miocardio. estudio angiografico seriado."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan Morales Gonzalez <\/strong><\/h2>\n<p>En nuestra tesis analizamos de forma prospectiva una serie consecutiva de 174 pacientes con infarto de miocardio y sometidos a trombolisis sistemica con rtpa.  el dise\u00f1o del estudio contemplaba la realizacion de un cateterismo cardiaco previo al alta hospitalaria y otro control angiografico a los dos meses del infarto, evitando cualquier tipo de revascularizacion coronaria -percutanea o quirurgica- salvo inestabilidad clinica.  se realizo un analisis exhaustivo de diferentes variables clinicas y angiograficas con el objeto de discernir factores relacionados con un pronostico diferente, asi como definir la evolucion angiografica de la funcion ventricular y de las arterias coronarias en el seguimiento inmediato. Asimismo se realizo un seguimiento clinico de nuestra serie durante un periodo de 12+-6 meses.  los hallazgos de nuestro estudio podrian resumirse en 1) la documentacion de un gran permeabilidad de la arteria relacionada con el infarto previa al alta hospitalaria (89%); 2) menor extension de la ateromatosis coronaria y mejor pronostico en los pacientes fumadores activos en el momento del infarto; 3) escasa regresion de la estenosis residual de la lesion responsable a los dos meses del infarto; 4) se detecta un 14% de reoclusion tras el alta hospitalaria de la arteria responsable, siendo esta en su gran mayoria silente y asociada a estenosis residuales severas; 5) se objetivan a los dos meses cambios cualitativos significativos en la estenosis residual incluyendose la formacion de aneurismas, alisamiento de los bordes de la lesion y desaparicion de los defectos intraluminales; y 6) la trombolisis preserva mas la funcion ventricular cuando se administra mas precozmente.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Trombolisis en el infarto agudo de miocardio. estudio angiografico seriado.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Trombolisis en el infarto agudo de miocardio. estudio angiografico seriado. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan Morales Gonzalez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/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>Alfonso Medina Fern\u00e1ndez Aceytuno<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Bonifacio Nicol\u00e1s Diaz Chico <\/li>\n<li>Jos\u00e9 Suarez De Lezo Cruz Conde (vocal)<\/li>\n<li>Juan  Andr\u00e9s Ramirez Gonzalez (vocal)<\/li>\n<li>Manuel Pan Alvarez-osorio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Morales Gonzalez En nuestra tesis analizamos de forma prospectiva una serie consecutiva de 174 pacientes con [&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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