{"id":17545,"date":"2018-03-09T09:05:39","date_gmt":"2018-03-09T09:05:39","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/troponina-t-cardiaca-y-ecocardiograa%c2%adfa-de-estres-con-dobutamina-en-la-deteccion-de-dano-miocardico\/"},"modified":"2018-03-09T09:05:39","modified_gmt":"2018-03-09T09:05:39","slug":"troponina-t-cardiaca-y-ecocardiograa%c2%adfa-de-estres-con-dobutamina-en-la-deteccion-de-dano-miocardico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/troponina-t-cardiaca-y-ecocardiograa%c2%adfa-de-estres-con-dobutamina-en-la-deteccion-de-dano-miocardico\/","title":{"rendered":"Troponina t cardiaca y ecocardiogra\u00edfa de estr\u00e9s con dobutamina en la detecci\u00f3n de da\u00f1o mioc\u00e1rdico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Gonz\u00e1lez Sagrado <\/strong><\/h2>\n<p>La realizaci\u00f3n de una ecocardiograf\u00eda de estr\u00e9s con dobutamina (edob) en 63 pacientes con enfermedad de la arteria coronaria da lugar a la aparici\u00f3n de da\u00f1o mioc\u00e1rdico demostrable bioqu\u00edmicamente mediante la elevaci\u00f3n de troponina t cardiaca (ctnt) en al menos, el 25% de los casos. El da\u00f1o mioc\u00e1rdico asociado a la prueba no alcanza el rango de iam definido (bioqu\u00edmica, cl\u00ednica o electrocardiogr\u00e1ficamente) por los criterios diagn\u00f3sticos tradicionales de la oms. Por el contrario, puede ser definido bioqu\u00edmicamente como da\u00f1o mioc\u00e1rdico m\u00ednimo (dmm), distingui\u00e9ndose en su aparici\u00f3n dos tipos de cin\u00e9ticas: una precoz (con pico m\u00e1ximo entre las 3 y las 6 horas, 81% de los casos) y otra tard\u00eda (entre las 12 y las 24 horas, 19% de los casos). La determinaci\u00f3n aislada de ctnt a las 6 a las 12 horas permitir\u00e1 detectar en la pr\u00e1ctica cl\u00ednica la mayor\u00eda de los picos m\u00e1ximos del marcador con una p\u00e9rdida m\u00ednima de informaci\u00f3n respecto a las m\u00faltiples determinaciones de una cin\u00e9tica completa.  respecto a las variables cl\u00ednicas analizadas (edad, sexo, pauta de dobutamina, antecedentes coronarios y factores de riesgo cardiovascular), ninguna de ellas ha podido ser relacionada con el resultado de la edob, en tanto que la existencia de iam (antiguo o reciente), se ha asociado con el resultado positivo de la ctnt. La concordancia entre los resultados \u00abpositivos\u00bb y \u00abnegativo\u00bb de la edob y de la troponina t se ha producido en el 67% de los casos. Esta coincidencia ha estado fundamentada en una buena correlaci\u00f3n de los par\u00e1metros que definen la positividad de la ctnt (incremento absoluto y relativo del marcador) con el resultado \u00abpositivo\u00bb de la edob. El significado diagn\u00f3stico y\/o pron\u00f3stico de la elevaci\u00f3n de la ctnt en la edob deber\u00e1 establecerse mediante estudios prospectivos en los que sean utilizados como \u00abpatr\u00f3n oro\u00bb la coronariograf\u00eda y el \u00edndice de eventos coronarios adversos a diferentes plazos. Finalmente, e<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Troponina t cardiaca y ecocardiogra\u00edfa de estr\u00e9s con dobutamina en la detecci\u00f3n de da\u00f1o mioc\u00e1rdico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Troponina t cardiaca y ecocardiogra\u00edfa de estr\u00e9s con dobutamina en la detecci\u00f3n de da\u00f1o mioc\u00e1rdico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Gonz\u00e1lez Sagrado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/06\/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> Fern\u00e1ndez Aviles Francisco Jes\u00fas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: valentin Del villar sordo <\/li>\n<li>Luis Mart\u00ednez elbal (vocal)<\/li>\n<li>Antonio G\u00f3mez jose (vocal)<\/li>\n<li>isidre Vila costa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Gonz\u00e1lez Sagrado La realizaci\u00f3n de una ecocardiograf\u00eda de estr\u00e9s con dobutamina (edob) en 63 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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