{"id":17108,"date":"2018-03-09T09:05:02","date_gmt":"2018-03-09T09:05:02","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-del-engrosamiento-de-la-pared-carotidea-por-ecografa%c2%ada-modo-b-estudio-en-diabeticos-tipo-1-y-2-y-controles-no-diabeticos\/"},"modified":"2018-03-09T09:05:02","modified_gmt":"2018-03-09T09:05:02","slug":"valoracion-del-engrosamiento-de-la-pared-carotidea-por-ecografa%c2%ada-modo-b-estudio-en-diabeticos-tipo-1-y-2-y-controles-no-diabeticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-del-engrosamiento-de-la-pared-carotidea-por-ecografa%c2%ada-modo-b-estudio-en-diabeticos-tipo-1-y-2-y-controles-no-diabeticos\/","title":{"rendered":"Valoraci\u00f3n del engrosamiento de la pared carotidea por ecograf\u00edamodo-b: estudio en diabeticos tipo (1 y 2) y controles no diab\u00e9ticos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Elda Castro L\u00f3pez <\/strong><\/h2>\n<p>Introducci\u00f3n  la diabetes mellitus tipo 2 se asocia con un riesgo cardiovascular entre dos y cuatro veces superior respecto a la poblaci\u00f3n no diab\u00e9tica. La arterosclerosis es asintom\u00e1tica durante a\u00f1os hasta que se producen las manifestaciones cl\u00ednicas, la mayor\u00eda de las veces irreversibles. La ecograf\u00eda modo-b nos permite valorar cambios en la pared arterial desde sus inicios.  objetivos  valorar la relaci\u00f3n de algunos factores de riesgo cardiovasculares conocidos (obesidad, hipertensi\u00f3n, tabaco, colesterol, triglic\u00e9ridos, microalbuminuria) y el imt (engrosamiento de la \u00edntima media carotidea) mediante ecograf\u00eda modo-b, en pacientes diab\u00e9ticos tipo (1 y 2) y un grupo control.  pacientes y m\u00e9todos  se estudian un total de 187 diab\u00e9ticos y 60 controles, distribuidos por sexo y grupos de edad.  variable dependiente: imt por ecograf\u00eda modo-b definida como la distancia entre 2 l\u00edneas hiperecog\u00e9nicas paralelas separadas por un espacio hipoecog\u00e9nico. la l\u00ednea interna representa la interfase luz \u00edntima y la externa la interfase media adventicia.  variables independientes: edad, sexo, pr.Arterial sist\u00f3lica (pas), pr.Arterial diast\u00f3lica (pad), glucemia basal, hemoglobina glucosilada (hba1c), creatinina (cr), aclaramiento de creatinina (cl cr), alb\u00famina (alb), col total, cldl, chdl, triglic\u00e9ridos (tg).  m\u00e9todo estad\u00edstico  test de correlaci\u00f3n de spearman (r)  y an\u00e1lisis multivariado por regresi\u00f3n lineal m\u00faltiple (pasos sucesivos), si r&lt;0,2 \u00f3 &gt;0,2.  resultados  en los controles hay correlaci\u00f3n significativa entre imt y edad (r=0,86), pas (r=0,65), glu (r=0,45), pad (r=0,45), col-t (r=0,44).  en los diab\u00e9ticos el an\u00e1lisis multivariado demuestra que la edad es el principal predictor del imt (29,8% variabilidad); seguido de pas (2,8%) y chdl (4,8%) que act\u00faa como protector.  conclusiones  en los controles la edad, pas, colesterol y glucemia son factores de riesgo del imt, existiendo una asoci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n del engrosamiento de la pared carotidea por ecograf\u00edamodo-b: estudio en diabeticos tipo (1 y 2) y controles no diab\u00e9ticos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n del engrosamiento de la pared carotidea por ecograf\u00edamodo-b: estudio en diabeticos tipo (1 y 2) y controles no diab\u00e9ticos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Elda Castro L\u00f3pez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/05\/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>Jos\u00e9 Luis Herrera Pombo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: horacio Oliva aldamiz <\/li>\n<li>federico Hawkins carranza (vocal)<\/li>\n<li>Manuel Serrano rios (vocal)<\/li>\n<li>Luis felipe Pallardo sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Elda Castro L\u00f3pez Introducci\u00f3n la diabetes mellitus tipo 2 se asocia con un riesgo cardiovascular entre dos [&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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