{"id":31580,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/frecuencia-y-caracteristicas-clinicas-de-la-hipertension-de-bata-blanca-en-atencion-primaria\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"frecuencia-y-caracteristicas-clinicas-de-la-hipertension-de-bata-blanca-en-atencion-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/frecuencia-y-caracteristicas-clinicas-de-la-hipertension-de-bata-blanca-en-atencion-primaria\/","title":{"rendered":"Frecuencia y caracteristicas clinicas de la hipertension de \u00abbata blanca\u00bb en atencion primaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Martin Gutierrez Juan  Carlos <\/strong><\/h2>\n<p>Objetivos: estudiar la frecuencia y caracteristicas clinicas y tensionales que definen la hta de \u00abbata blanca\u00bb (htabb) en pacientes con hta ligera.  metodolog\u00eda: estudio descriptivo realizado en 10 centros de atencion primaria (ap) coordinados con un hospital.  sujetos: 301 adultos diagnosticados de hta ligera (criterios oms) reclutados en consultas de ap.  protocolo de estudio: 1) curso de entrenamiento en lectura de pa; 2) cuestionario clinico-epidemiologico; 3) examen fisico; medias de pa casual de tres visitas; 4) analisis convencionales de laboratorio; 5) ecg y ecocardiograma (valoracion del da\u00f1o organico relacionado con la hta) y 6) monitorizacion ambulatoria de la pa (mapa).  se define htabb la situacion caracterizada por hipertension clinica de grado ligero, pero con pa sistolica y pa diastolica medias diurnas inferiores a 135 mmhg y 85 mmhg, respectivamente, en el registro de pa de 24 horas.  resultados: la frecuencia de htabb en los sujetos con hta ligera, no tratados que acuden a centros de salud de nuestra zona es de un 38,5%. La htabb se asocia de forma independiente con el sexo femenino, un nivel cultural bajo y una menor duracion de pa. La edad, el indice de masa corporal (imc) y el consumo de tabaco no muestran asociacion independiente con la htabb. Las cifras de pa registradas por el enfermero son mas cercanas a las pa diurnas que las registradas por el medico, aunque los coeficientes de correlacion entre las pa del enfermero y las diurnas son debiles. La diferencia pa clinica -pa diurna (dcd) es mas elevada en las mujeres. La dcd sistolica se asocia con la edad y pa casual y la dcd diastolica con el imc en el sexo femenino. El porcentaje de sujetos con hipertrofia ventricular izquierda ecocardiografica es menor en los htabb que en los hipertensos mantenidos y el diagnostico htabb se asocia de forma negativa e independiente con el indice de masa de ventriculo izquierdo.  conclusiones: la frecuencia de hta<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Frecuencia y caracteristicas clinicas de la hipertension de \u00abbata blanca\u00bb en atencion primaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Frecuencia y caracteristicas clinicas de la hipertension de \u00abbata blanca\u00bb en atencion primaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Martin Gutierrez Juan  Carlos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/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>Juan Garcia Puig<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Jos\u00e9 V\u00e1zquez Rodr\u00edguez <\/li>\n<li>Eliseo Guallar Castillon (vocal)<\/li>\n<li>Francisco Arnalich Fern\u00e1ndez (vocal)<\/li>\n<li> Ruilore Uriuste Luis Miguel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Martin Gutierrez Juan Carlos Objetivos: estudiar la frecuencia y caracteristicas clinicas y tensionales que definen la hta [&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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