{"id":20026,"date":"2018-03-09T09:09:13","date_gmt":"2018-03-09T09:09:13","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prevalencia-y-evolucion-de-la-insuficiencia-renal-cronica-en-pacientes-con-hipertension-arterial-esencial\/"},"modified":"2018-03-09T09:09:13","modified_gmt":"2018-03-09T09:09:13","slug":"prevalencia-y-evolucion-de-la-insuficiencia-renal-cronica-en-pacientes-con-hipertension-arterial-esencial","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/prevalencia-y-evolucion-de-la-insuficiencia-renal-cronica-en-pacientes-con-hipertension-arterial-esencial\/","title":{"rendered":"PreValencia y evolucion de la insuficiencia renal cronica en pacientes con hipertension arterial esencial."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Julian Segura De La Morena <\/strong><\/h2>\n<p>1. La preValencia de insuficiencia renal cr\u00f3nica atribuible a nefroangioesclerosis hipertensiva en pacientes con hipertensi\u00f3n arterial esencial remitidos a una unidad de hipertensi\u00f3n es de un 22,3%, al valorar la funci\u00f3n renal mediante la determinaci\u00f3n  del aclaraci\u00f3n de creatinina.  2. Dicha preValencia es de un 21,6% al estimar la funci\u00f3n renal mediante la f\u00f3rmula de cockroft-gault, y de un 7.6 % seg\u00fan los niveles de creatinina plasm\u00e1tica.  3. La cuantificaci\u00f3n de la funci\u00f3n renal mediante la determinaci\u00f3n de la creatinina plasm\u00e1tica infravalora dicha preValencia. Este hecho es m\u00e1s evidente en pacientes de edad avanzada.  4. Los pacientes con insuficiencia renal presentan unas caracter\u00edsticas espec\u00edficas que los diferencian de aquellos con funci\u00f3n renal conservada: edad m\u00e1s avanzada, pero corporal m\u00e1s bajo, presi\u00f3n arterial sist\u00f3lica y presi\u00f3n de pulso m\u00e1s elevadas.  5. Desde el punto de vista anal\u00edtico, estos pacientes presentan menores cifras de homoglobina y hematocrito, glucemias basales m\u00e1s altas, as\u00ed como niveles m\u00e1s elevados de potasio, \u00e1cido \u00farico, calcio y f\u00f3sforo plasm\u00e1ticos, y m\u00e1s reducidos de alb\u00famina.  6. Los pacientes con insuficiencia renal cr\u00f3nica se caracterizan por presentar un perfil lip\u00eddico con unas cifras de colesterol total y triglic\u00e9ridos m\u00e1s elevados, niveles m\u00e1s elevados de ldl-colesterol y m\u00e1s bajos de hdl-colesterol.  7. En la  bioqu\u00edmica urinaria de estos pacientes se detecta una reducida excreci\u00f3n de sodio y potasio, y una mayor eliminaci\u00f3n urinaria de prote\u00ednas.  8. En pacientes con insuficiencia renal cr\u00f3nica secundaria a nefroangioesclerosis hipertensiva, el riesgo de presentar un evento renal es dos veces mayor cuando su tratamiento antihipertensivo no incluye un ieca. Por tanto, en dichos pacientes la administraci\u00f3n de ieca enlentece la progresi\u00f3n de la insuficiencia renal cr\u00f3nica.  9. Este aumento del riesgo se ha observado a pesar de que el g<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>PreValencia y evolucion de la insuficiencia renal cronica en pacientes con hipertension arterial esencial.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 PreValencia y evolucion de la insuficiencia renal cronica en pacientes con hipertension arterial esencial. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Julian Segura De La Morena <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/11\/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 Rodicio Diaz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li> Alcazar de la osa Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>Manuel Luque otero (vocal)<\/li>\n<li>vicente Lahera julia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Julian Segura De La Morena 1. La preValencia de insuficiencia renal cr\u00f3nica atribuible a nefroangioesclerosis hipertensiva [&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":[17426],"tags":[61152,61151,15544,3111,14431,25894],"class_list":["post-20026","post","type-post","status-publish","format-standard","hentry","category-alcala","tag-alcazar-de-la-osa-jose-maria","tag-jose-julian-segura-de-la-morena","tag-jose-luis-rodicio-diaz","tag-manuel-luque-otero","tag-melchor-alvarez-de-mon-soto","tag-vicente-lahera-julia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/20026","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=20026"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/20026\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=20026"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=20026"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=20026"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}