{"id":15983,"date":"2002-08-03T00:00:00","date_gmt":"2002-08-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validez-de-los-criterios-cla%c2%adnicos-de-framingham-para-confirmar-o-descartar-el-diagnostico-de-insuficiencia-carda%c2%adaca-sistolica\/"},"modified":"2002-08-03T00:00:00","modified_gmt":"2002-08-03T00:00:00","slug":"validez-de-los-criterios-cla%c2%adnicos-de-framingham-para-confirmar-o-descartar-el-diagnostico-de-insuficiencia-carda%c2%adaca-sistolica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validez-de-los-criterios-cla%c2%adnicos-de-framingham-para-confirmar-o-descartar-el-diagnostico-de-insuficiencia-carda%c2%adaca-sistolica\/","title":{"rendered":"Validez de los criterios cl\u00ednicos de framingham para confirmar o descartar el diagn\u00f3stico de insuficiencia card\u00edaca sist\u00f3lica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Araceli Jimeno Sainz <\/strong><\/h2>\n<p>En europa, la preValencia de la insuficiencia card\u00edaca (ic) oscila entre 0,4-2% alcanzando cifras superiores al 10% en mayores a 80 a\u00f1os. El 50% de ellos puede llegar a fallecer en los pr\u00f3ximos 4 a\u00f1os. El diagn\u00f3stico de ic se realiza mediante criterios cl\u00ednicos, y una t\u00e9cnica que mida la funci\u00f3n ventricular.  objetivos  1,- determinar la validez y utilidad cl\u00ednica de los criterios cl\u00ednicos de framingham (ccf) en el diagn\u00f3stico de la ic sist\u00f3lica.  2,- construir \u00e1rboles de decisiones cl\u00ednicas para confirmar o excluir dicho diagn\u00f3stico.  4,- determinar la validez y utilidad cl\u00ednica de los ccf en el diagn\u00f3stico de ic sist\u00f3lica en mujeres, hombres, mayores de 65 a\u00f1os y menores de 65 a\u00f1os.  material y m\u00e9todos  estudio observacional descriptivo y transversal. Pacientes del hospital general de elche que acudieron por disnea de probable origen cardiol\u00f3gico, de junio de 1998 a febrero de 1999. Se les aplic\u00f3 los ccf y se agruparon a los pacientes en ic (ccf positivos) y no ic (ccf negativos). Se realiz\u00f3 una ecocardiograf\u00eda transtor\u00e1cica y se diagnosticaron de ic sist\u00f3lica (fevi &lt; 0,55) y no ic sist\u00f3lica (fevi mayor de 0,55). Se valoraron en las fevi 0,20-0,75.  criterios de inclusi\u00f3n  pacientes de ambos sexos, con disnea de probable origen cardiol\u00f3gico y edad entre 33-95 a\u00f1os.  criterios de exclusion  1,- no realizaci\u00f3n de ecocardiograf\u00eda transtor\u00e1cica.  2,- rechazar participar en el estudio.  3,- enfermedad respiratoria aguda o cr\u00f3nica.  resultados  224 pacientes fueron revisados. Seg\u00fan los ccf (157 pacientes se diagnosticaron de ic y 67 de no ic). Seg\u00fan la fevi, 82 pacientes se diagnosticaron de is sist\u00f3lica, y 142 de no ic sist\u00f3lica. En la muestra total, los ccf tuvieron una elevada sensibilidad (s) y valor predictivo negativo (vpn) pero escasa especificidad (e) y bajo valor predictivo positivo (vpp) en todos los puntos de la fevi. La eficacia diagn\u00f3stica no alcanz\u00f3 el 80%. En ning<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validez de los criterios cl\u00ednicos de framingham para confirmar o descartar el diagn\u00f3stico de insuficiencia card\u00edaca sist\u00f3lica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validez de los criterios cl\u00ednicos de framingham para confirmar o descartar el diagn\u00f3stico de insuficiencia card\u00edaca sist\u00f3lica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Araceli Jimeno Sainz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/03\/2002<\/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>Jaime Merino Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: radhames Hernandez mejia <\/li>\n<li>Jorge Navarro p\u00e9rez (vocal)<\/li>\n<li>salvador Pita fernandez (vocal)<\/li>\n<li>Miguel Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Araceli Jimeno Sainz En europa, la preValencia de la insuficiencia card\u00edaca (ic) oscila entre 0,4-2% alcanzando cifras [&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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