{"id":31118,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-las-alteraciones-en-el-patron-y-el-ritmo-electrocardiografico-en-la-fase-aguda-del-traumatismo-craneoencefalico-cerrado-y-sus-posibles-implicaciones-pronosticas\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"estudio-de-las-alteraciones-en-el-patron-y-el-ritmo-electrocardiografico-en-la-fase-aguda-del-traumatismo-craneoencefalico-cerrado-y-sus-posibles-implicaciones-pronosticas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-las-alteraciones-en-el-patron-y-el-ritmo-electrocardiografico-en-la-fase-aguda-del-traumatismo-craneoencefalico-cerrado-y-sus-posibles-implicaciones-pronosticas\/","title":{"rendered":"Estudio de las alteraciones en el patron y el ritmo electrocardiografico en la fase aguda del traumatismo craneoencefalico cerrado y sus posibles implicaciones pronosticas."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Isabel Ostabal Artigas <\/strong><\/h2>\n<p>Se estudian las alteraciones en el patron y el ritmo electrocardiografico de pacientes sin cardiopatia conocida y que sufren un traumatismo craneoencefalicocerrado con hipertension intracraneal, asi como sus caracteristicas neurologicas y el pronostico de los mismos segun los hallazgos ecg. Estos datos se recogieron mediante monitorizacion electrocardiografica, ecg basal y ecg holter de 24 horas durante uno de los tres primeros dias y a los seis meses.  se realiza un estudio estadistico descriptivo con analisis univariable y multivariable mediante regresion logistica paso a paso.  el numero total de casos fue 100 y el de controles 68, ambos grupos tenian caracteristicas antropometricas y de gravedad (apacheii y tiss) similares.  los pacientes con traumatismo craneoencefalico mostraron mas trastornos del patron y ritmo electrocardiograficos que el grupo control (p&lt;0,0001). Los principales factores de riesgo en cuanto a la aparicion de alteraciones en el patron y el ritmo electrocardiografico son la existencia de hipertension intracraneal severa, las alteraciones de la presion de perfusion cerebral, glasgow &lt;8 y afectacion troncoencefalica. Las variables electrocardiograficas que se asociaron a evolucion desfavorable en el analisis multivariable son la onda q \u00abanomala\u00bb o \u00abcerebral\u00bb, el qtc es mayor de 0.44, la aparicion de fibrilacion auricular y los bloqueos auriculoventriculares de segundo y tercer grado.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de las alteraciones en el patron y el ritmo electrocardiografico en la fase aguda del traumatismo craneoencefalico cerrado y sus posibles implicaciones pronosticas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de las alteraciones en el patron y el ritmo electrocardiografico en la fase aguda del traumatismo craneoencefalico cerrado y sus posibles implicaciones pronosticas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Isabel Ostabal Artigas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/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>Miguel Angel Suarez Pinilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Ferreira Montero Ignacio J. <\/li>\n<li> Calderero Abad Jos\u00e9 Luis (vocal)<\/li>\n<li>Angel Llamas Lombardia (vocal)<\/li>\n<li>Francisco Javier Villagrasa Compaired (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Isabel Ostabal Artigas Se estudian las alteraciones en el patron y el ritmo electrocardiografico de pacientes sin [&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":[932,9,141,139,254,13610],"tags":[39016,87024,3110,54331,87023,54329],"class_list":["post-31118","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-cirugia","category-medicina-interna","category-traumatologia","category-zaragoza","tag-angel-llamas-lombardia","tag-calderero-abad-jose-luis","tag-ferreira-montero-ignacio-j","tag-francisco-javier-villagrasa-compaired","tag-isabel-ostabal-artigas","tag-miguel-angel-suarez-pinilla"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/31118","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=31118"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/31118\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=31118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=31118"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=31118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}