{"id":21910,"date":"2003-04-03T00:00:00","date_gmt":"2003-04-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/insuficiencia-cardiaca-debida-a-disfuncion-ventricular-sistolica-de-origen-hipertensivo-evolucion-cla%c2%adnica-y-funcional-a-largo-plazo\/"},"modified":"2003-04-03T00:00:00","modified_gmt":"2003-04-03T00:00:00","slug":"insuficiencia-cardiaca-debida-a-disfuncion-ventricular-sistolica-de-origen-hipertensivo-evolucion-cla%c2%adnica-y-funcional-a-largo-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/insuficiencia-cardiaca-debida-a-disfuncion-ventricular-sistolica-de-origen-hipertensivo-evolucion-cla%c2%adnica-y-funcional-a-largo-plazo\/","title":{"rendered":"Insuficiencia cardiaca debida a disfunci\u00f3n ventricular sist\u00f3lica de origen hipertensivo. evoluci\u00f3n cl\u00ednica y funcional a largo plazo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marcos Tom\u00e1s Rodr\u00edguez Esteban <\/strong><\/h2>\n<p>La miocardiopat\u00eda dialatada de origen hipertensivo constituye una entidad poco conocida, debido a su escasa fecuencia de presentaci\u00f3n y a que generalmente coexiste con enfermedad coronaria. Los objetivos de nuestro trabajo fueron;  1,- conocer el pron\u00f3stico a largo plazo de los enfermos con insuficiencia cardiaca (icc) cr\u00f3nica debida a hipertensi\u00f3n arterial y con fracci\u00f3n de eyecci\u00f3n de ventr\u00edculo izquierdo menor del 40% despu\u00e9s de descartar otras causas de disfunci\u00f3n ventricular, inclu\u00edda la presencia de cardiopat\u00eda iqu\u00e9mica concomitante.  2,- valorar el efecto de un adecuado control tensional en estos pacientes sobre la mortalidad, los reingresos por icc y los par\u00e1metros de funci\u00f3n ventricular.  3,- estudiar la relaci\u00f3n entre diferentes factores cl\u00ednicos, electrocardiogr\u00e1ficos y ecocardiogr\u00e1ficos y la evoluci\u00f3n de los enfermos.  4,- comparar la evoluci\u00f3n de los pacientes con miocardiopat\u00eda dilatada hipertensiva con la de otras formas de miocardiopat\u00eda (idiop\u00e1tica, isqu\u00e9mica).  para ello inclu\u00edmos en el estudio a 49 enfermos con miocardiopat\u00eda dilatada hipertensiva y los comparamos con 45 enfermos con miocardiopat\u00eda isqu\u00e9mica y 33 pacientes con miocardiopat\u00eda dilatada idiop\u00e1tica. Tras un tiempo de seguimiento medio de 44 meses, los enfermos con disfunci\u00f3n sist\u00f3lica de origen hipertensivo experimentaron una reducci\u00f3n significativa en los di\u00e1metros sist\u00f3lico y diast\u00f3lico estimados mediante ecocardiograf\u00eda, mientras que la fracci\u00f3n de eyecci\u00f3n aument\u00f3 de forma considerable, normaliz\u00e1ndose el 53% de los casos. Los predictores independientes de dilataci\u00f3n ventricular persistente fueron la edad de los enfermos, la cifra de tensi\u00f3n sist\u00f3lica final y el grosor parietal relativo inicial.  el pron\u00f3stico cl\u00ednico fue excelente, con una probabilidad libre de muerte o reingreso por icc del 81% a 5 a\u00f1os, siendo la de los pacientes con miocardiopat\u00eda isqu\u00e9mica del 51% y la de los enfermos con miocar<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Insuficiencia cardiaca debida a disfunci\u00f3n ventricular sist\u00f3lica de origen hipertensivo. evoluci\u00f3n cl\u00ednica y funcional a largo plazo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Insuficiencia cardiaca debida a disfunci\u00f3n ventricular sist\u00f3lica de origen hipertensivo. evoluci\u00f3n cl\u00ednica y funcional a largo plazo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marcos Tom\u00e1s Rodr\u00edguez Esteban <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/03\/2003<\/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>Jose Suarez De Lezo Cruz Conde<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>Luis Antonio Alonso pulpon rivera (vocal)<\/li>\n<li>\u00e1ngel Mart\u00ednez mart\u00ednez (vocal)<\/li>\n<li>eduardo Deteresa galvan (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marcos Tom\u00e1s Rodr\u00edguez Esteban La miocardiopat\u00eda dialatada de origen hipertensivo constituye una entidad poco conocida, debido a [&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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