{"id":19043,"date":"2018-03-09T09:07:52","date_gmt":"2018-03-09T09:07:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/significado-pronostico-de-la-presencia-de-taquicardia-ventricular-no-sostenida-y-de-sus-caractera%c2%adsticas-en-pacientes-con-miocardiopata%c2%ada-hipertrofica\/"},"modified":"2018-03-09T09:07:52","modified_gmt":"2018-03-09T09:07:52","slug":"significado-pronostico-de-la-presencia-de-taquicardia-ventricular-no-sostenida-y-de-sus-caractera%c2%adsticas-en-pacientes-con-miocardiopata%c2%ada-hipertrofica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/significado-pronostico-de-la-presencia-de-taquicardia-ventricular-no-sostenida-y-de-sus-caractera%c2%adsticas-en-pacientes-con-miocardiopata%c2%ada-hipertrofica\/","title":{"rendered":"Significado pron\u00f3stico de la presencia de taquicardia ventricular no sostenida y de sus caracter\u00edsticas en pacientes con miocardiopat\u00edahipertr\u00f3fica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Lorenzo Monserrat Iglesias <\/strong><\/h2>\n<p>Introducci\u00f3n y objetivos  en los a\u00f1os 80, mckenna y cols y maron y cols., Describier\u00f3n la asociaci\u00f3n entre presencia de taquicardia ventricular no sostenida (tvns) en el holter y riesgo de muerte s\u00fabita en la miocardiopat\u00eda hipertr\u00f3fica (mch). M\u00e1s recientemente, spirito y cols., En una poblaci\u00f3n de bajo riesgo no encontraron diferencias en el riesgo de muerte s\u00fabita en funci\u00f3n de la presencia de tvns, y sugieren que la tvns s\u00f3lo tendr\u00eda relevancia en caso de presentar episodios m\u00faltiples, repetitivos, prolongados o sintom\u00e1ticos, sin embargo esta hip\u00f3tesis, acepatada por la mayor\u00eda de los autores, no ha sido comprobada.  el objetivo de nuestro estudio es examinar la relaci\u00f3n entre presencia y caracter\u00edsticas de la tvns en el holter de pacientes con mch y el pron\u00f3stico (muerte s\u00fabita y muerte de cualquier causa) y analizar la posible influencia de otros potenciales factores de confusi\u00f3n o interacci\u00f3n (como la edad) en esta relaci\u00f3n.  m\u00e9todos y resultados  estudiamos 532 pacientes con mch (324 varones, edad 39+-15 a\u00f1os). Se realiz\u00f3 holter en todos (41+-11 horas). Ciento cuatro pacientes (19.6%) presentaron tvns. La proporci\u00f3n de pacientes con tvns aument\u00f3 con la edad (p=0.008). El grosor parietal m\u00e1ximo del ventr\u00edculo izquierdo y el di\u00e1metro de la aur\u00edcula izquierda fueron mayores en los pacientes con tvns (22.6+-5.9 mm versus 20.3+-6.8 mm (p=0.001) y 45.6+-8.3 mm versus 41.8+-8.2 mm (p=0.0001) respectivamente). El seguimiento medio fue de 3.9+-2.6 a\u00f1os. Cincuenta y un pacientes murieron (24 muerte s\u00fabita). No hubo relaci\u00f3n entre duraci\u00f3n o n\u00famero de episodios de tvns y pron\u00f3stico en ning\u00fan grupo de edad. La odds ratio de muerte s\u00fabita\/descarga de dci en pacientes con tvns fue de 1.55 (ic del 95%: 0.64-3.8), p=0.317. El riesgo fue m\u00e1ximo en los pacientes con edad &lt;30 a\u00f1os (odds ratio 3.29 (ic 95%: 1.02-10.56); p=0.052). La supervivencia a 5 a\u00f1os fue de 54% (se 12.1) en pacientes &lt;30 con tv<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Significado pron\u00f3stico de la presencia de taquicardia ventricular no sostenida y de sus caracter\u00edsticas en pacientes con miocardiopat\u00edahipertr\u00f3fica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Significado pron\u00f3stico de la presencia de taquicardia ventricular no sostenida y de sus caracter\u00edsticas en pacientes con miocardiopat\u00edahipertr\u00f3fica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Lorenzo Monserrat Iglesias <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/09\/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>Alfonso Castro Beiras<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Berrazueta fern\u00e1ndez Jos\u00e9 ram\u00f3n <\/li>\n<li>j. Mckenna william (vocal)<\/li>\n<li>Manuel Penas lado (vocal)<\/li>\n<li>Carlos Kaski Juan (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lorenzo Monserrat Iglesias Introducci\u00f3n y objetivos en los a\u00f1os 80, mckenna y cols y maron y cols., [&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":[18576,932,9,139,156,1601],"tags":[58703,10627,58706,58704,58702,58705],"class_list":["post-19043","post","type-post","status-publish","format-standard","hentry","category-a-coruna","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-patologia","category-patologia-cardiovascular","tag-alfonso-castro-beiras","tag-berrazueta-fernandez-jose-ramon","tag-carlos-kaski-juan","tag-j-mckenna-william","tag-lorenzo-monserrat-iglesias","tag-manuel-penas-lado"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19043","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=19043"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19043\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19043"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19043"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}