{"id":34220,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/comportamiento-hemodinamico-evolutivo-del-corazon-trasplantado\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"comportamiento-hemodinamico-evolutivo-del-corazon-trasplantado","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/comportamiento-hemodinamico-evolutivo-del-corazon-trasplantado\/","title":{"rendered":"Comportamiento hemodinamico evolutivo del corazon trasplantado."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Francisco Delgado Jim\u00e9nez <\/strong><\/h2>\n<p>Estudio descriptivo de la evoluci\u00f3n hemodin\u00e1mica tras el trasplante cardiaco de 112 pacientes adultos consecutivos, trasplantados en el hospital \u00ab12 de octubre\u00bb de Madrid y tras un seguimiento de 1 a 5 a\u00f1os.  globalmente considerada la poblaci\u00f3n, la evoluci\u00f3n hemodin\u00e1mica se caracteriza por una discreta elevaci\u00f3n de la frecuencia cardiaca, de las precargas biventriculares, de las presiones y resistencias pulmonares, de las presiones a\u00f3rticas y de las resistencias sist\u00e9micas. La evoluci\u00f3n en el tiempo, lejos de ser estable, tiende a remedar una fisiopatolog\u00eda restrictiva. Sin embargo esta evoluci\u00f3n no afecta por igual a todos los pacientes, de forma que utilizando los valores de normalidad hemodin\u00e1mica, se pudieron establecer cinco patrones hemodin\u00e1micos evolutivos, que tuvieron su correlato cl\u00ednico y valor pron\u00f3stico. Estos cinco patrones fueron:  normal, de precargas derechas elevadas, de precargas izquierdas elevadas, de precargas biventriculares elevadas y finalmente, patr\u00f3n restrictivo-constrictivo.  se constat\u00f3 as\u00edmismo la importancia de la hipertensi\u00f3n pulmonar previa al trasplante en la mortalidad postoperatoria inmediata y se pudo describir la evoluci\u00f3n de los par\u00e1metros de presi\u00f3n pulmonar tras el trasplante, en un seguimiento de tres a\u00f1os.  por \u00faltimo, se comprob\u00f3 el impacto en la hemodin\u00e1mica postoperatoria de los procesos patol\u00f3gicos intercurrentes en el paciente trasplantado: rechazo mioc\u00e1rdico, enfermedad vascular del injerto, obesidad, hipertensi\u00f3n arterial sist\u00e9mica, derrame peric\u00e1rdico y desproporci\u00f3n antropom\u00e9trica entre donante y receptor.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Comportamiento hemodinamico evolutivo del corazon trasplantado.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Comportamiento hemodinamico evolutivo del corazon trasplantado. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Francisco Delgado Jim\u00e9nez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Carlos Saenz De La Calzada Campo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro Zarco Gutierrez <\/li>\n<li>Gabriel T\u00e9llez De Peralta (vocal)<\/li>\n<li>Jos\u00e9 Manuel Ribera Casado (vocal)<\/li>\n<li> Martinez Tello Francisco Jos\u00e9 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Francisco Delgado Jim\u00e9nez Estudio descriptivo de la evoluci\u00f3n hemodin\u00e1mica tras el trasplante cardiaco de 112 pacientes [&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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