{"id":35505,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/mejora-el-analisis-de-aceleracion-espectral-el-valor-predictivo-del-ecg-de-senal-promediada-en-los-pacientes-post-infarto\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"mejora-el-analisis-de-aceleracion-espectral-el-valor-predictivo-del-ecg-de-senal-promediada-en-los-pacientes-post-infarto","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/mejora-el-analisis-de-aceleracion-espectral-el-valor-predictivo-del-ecg-de-senal-promediada-en-los-pacientes-post-infarto\/","title":{"rendered":"Mejora el \u00abanalisis de aceleracion espectral\u00bb el valor predictivo del ecg de se\u00f1al promediada en los pacientes post-infarto?."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Torres Gonzalez <\/strong><\/h2>\n<p>El an\u00e1lisis en el dominio del tiempo (td) del electrocardiograma de se\u00f1al promediada (ecgsp) est\u00e1 limitado por su bajo valor predictivo positivo y la necesidad de excluir a los pacientes con trastornos de conducci\u00f3n intraventricular (tciv). Para superar estas limitaciones, se han desarrollado diversas t\u00e9cnicas que incluyen el mapeo espectro temporal (met), el an\u00e1lisis de la turbulencia espectral (ate) y el an\u00e1lisis de la acelaraci\u00f3n espectral (aae). El prop\u00f3sito de esta tesis doctoral es comparar el aae con otras t\u00e9cnicas de ecgsp en 634 sujetos, divididos en 3 grupos: el grupo 1 incluye 117 pacientes postinfarto sometidos a estimulaci\u00f3n el\u00e9ctrica programada para estudiar la inducibilidad de taquicardia ventricular monom\u00f3rfica sostenida (tvms). El grupo 2 est\u00e1 constituido por 407 pacientes supervivientes a un infarto agudo de miocardio, seguidos al menos 1 a\u00f1o.  el grupo 3 comprende 110 sujetos control sanos.  presentaron tciv 39 pacientes del grupo 1 y 38 del grupo 2. Se indujo tvms en 54 pacientes del grupo 1. En el grupo 2, presentaron eventos arr\u00edtmicos mayores (eam) 29 pacientes: 15 tvms, 3 fibrilaciones ventriculares resucitadas y 11 muertes s\u00fabitas cardiacas. Las diferentes t\u00e9cnicas de ecgsp fueron comparadas mediante su \u00ablikelihood ratio\u00bb (lr) para la predicci\u00f3n de tvms inducibles (grupo 1) o de eam (grupo 2). En el grupo 1, el aae fue superior al met o al td, pero inferior al ate (lr = 3.3, 1.7, 1.3, 8.0, respectivamente). En el grupo 2, el aae fue mejor que el met pero peor que el td o el ate (lr = 2.1, 1.5, 2.6, 3.8, respectivamente).  excluyendo los pacientes con tciv, el aae fue menos exacto que el td tanto en el grupo 1 como en el 2. En el grupo 3, la tasa de falsos positivos con el aae, el met, el td y el ate fue del 10.0%, 4.5%, 3.6%, y 0.9%, respectivamente.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Mejora el \u00abanalisis de aceleracion espectral\u00bb el valor predictivo del ecg de se\u00f1al promediada en los pacientes post-infarto?.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Mejora el \u00abanalisis de aceleracion espectral\u00bb el valor predictivo del ecg de se\u00f1al promediada en los pacientes post-infarto?. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Torres Gonzalez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/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> Cruz Fernandez Jos\u00e9 M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Ramon Perez Cano <\/li>\n<li>Francisco Gomez Rodriguez (vocal)<\/li>\n<li>Enrique Romero Bobillo (vocal)<\/li>\n<li>Carlos Infantes Alcon (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Torres Gonzalez El an\u00e1lisis en el dominio del tiempo (td) del electrocardiograma de se\u00f1al promediada (ecgsp) [&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":[932,9,139,156,1601,10715],"tags":[26718,52805,94749,1508,1845,10783],"class_list":["post-35505","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-patologia","category-patologia-cardiovascular","category-sevilla","tag-carlos-infantes-alcon","tag-cruz-fernandez-jose-m","tag-enrique-romero-bobillo","tag-francisco-gomez-rodriguez","tag-francisco-torres-gonzalez","tag-ramon-perez-cano"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/35505","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=35505"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/35505\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=35505"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=35505"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=35505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}