{"id":25460,"date":"2018-03-09T09:16:52","date_gmt":"2018-03-09T09:16:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estenosis-arterial-renal-hipertension-vascular-renal-diagnostico-no-invasivo-mediante-ecografia-doppler-realizada-con-potenciador-de-senal-s-hu-508a-y-test-de-captopril\/"},"modified":"2018-03-09T09:16:52","modified_gmt":"2018-03-09T09:16:52","slug":"estenosis-arterial-renal-hipertension-vascular-renal-diagnostico-no-invasivo-mediante-ecografia-doppler-realizada-con-potenciador-de-senal-s-hu-508a-y-test-de-captopril","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estenosis-arterial-renal-hipertension-vascular-renal-diagnostico-no-invasivo-mediante-ecografia-doppler-realizada-con-potenciador-de-senal-s-hu-508a-y-test-de-captopril\/","title":{"rendered":"Estenosis arterial renal. hipertensi\u00f3n vascular renal. diagn\u00f3stico no invasivo mediante ecografia doppler realizada con potenciador de se\u00f1al (s hu 508a) y test de captopril"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Oteros Fernandez <\/strong><\/h2>\n<p>La estenosis de la arteria renal es una causa frecuente de hipertensi\u00f3n arterial secundaria e insuficiencia renal. En los \u00faltimos a\u00f1os se ha realizado un considerable esfuerzo en el desarrollo de t\u00e9cnicas de diagn\u00f3stico de la patolog\u00eda vascular. La ecograf\u00eda doppler es un m\u00e9todo seguro y de gran disponibilidad. Sin embargo en el momento actual no existe consenso respecto al papel del doppler renal en el diagn\u00f3stico de la estenosis de la arteria renal.  este estudio pretende establecer el valor real de esta t\u00e9cnica, definir los criterios de evaluaci\u00f3n, e incrementar el rendimiento diagn\u00f3stico mediante la combinaci\u00f3n de la eco doppler con el uso de potenciadores de se\u00f1al y un test de captopril.  material y m\u00e9todos  estudio transversal descriptivo de evaluaci\u00f3n de una prueba digan\u00f3stica, prospectivo, doble ciego, que incluye 133 pacientes (258 ri\u00f1ones) con criterios cl\u00ednicos de sospecha de estenosis arterial renal. Todos los pacientes fueron sometidos a dos ecograf\u00edas doppler de las arterias intrarrenales, la primera en situaci\u00f3n basal, y la segunda tras administraci\u00f3n de 50 mg de captopril, con un intervalo de 60 minutos. En ambos estudios se administr\u00f3 una dosis \u00fanica de potenciador de se\u00f1al de 4g de sh u 508a. En todos los casos se realiz\u00f3 una arteriograf\u00eda renal en un plazo de 3 meses. Los resultados de ambas ecograf\u00edas fueron comparados con los de la arteriograf\u00eda y referidos a diferentes grados de estenosis.  resultados  el empleo de potenciadores de se\u00f1al permiti\u00f3 concluir todos los estudios excepto en 1 paciente (99%), en un tiempo de exploraci\u00f3n reducido (9 min.). se estableci\u00f3 la concordancia entre observadores con un \u00edndice kappa= 0,82.  los resultados de la ecograf\u00eda tras el est\u00edmulo fueron superiores a los de la ecograf\u00eda basal. En las estenosis &gt; 50% de di\u00e1metro los criterios diagn\u00f3sticos m\u00e1s importantes fueron el \u00edndice de aceleraci\u00f3n (ia &lt; 220 cm\/seg2), y  el tiempo de ac<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estenosis arterial renal. hipertensi\u00f3n vascular renal. diagn\u00f3stico no invasivo mediante ecografia doppler realizada con potenciador de se\u00f1al (s hu 508a) y test de captopril<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estenosis arterial renal. hipertensi\u00f3n vascular renal. diagn\u00f3stico no invasivo mediante ecografia doppler realizada con potenciador de se\u00f1al (s hu 508a) y test de captopril <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Oteros Fernandez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/09\/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>Antonio Cano Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>Jos\u00e9 Manuel Llamas elvira (vocal)<\/li>\n<li>Juan Sabate diaz (vocal)<\/li>\n<li>alejandro Martin malo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Oteros Fernandez La estenosis de la arteria renal es una causa frecuente de hipertensi\u00f3n arterial secundaria [&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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