{"id":35739,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-a-corto-y-largo-plazo-de-la-valvuloplastia-mitral-percutanea\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"eficacia-a-corto-y-largo-plazo-de-la-valvuloplastia-mitral-percutanea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/eficacia-a-corto-y-largo-plazo-de-la-valvuloplastia-mitral-percutanea\/","title":{"rendered":"Eficacia a corto y largo plazo de la valvuloplastia mitral percutanea."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana Osa Saez <\/strong><\/h2>\n<p>Objetivo: valorar la eficacia de la valvuloplastia mitral percut\u00e1nea (vmp) en pacientes con estenosis mitral reum\u00e1tica. Material y metodo: 204 pacientes sometidos a vmp entre 1990 y 1996. Seguimiento cl\u00ednico y ecocardiogr\u00e1fico: 34+-11 meses. Se valora, mediante un an\u00e1lisis univariado y multivariado, la existencia de factores predictores de fracaso de la vmp y de reestenosis, as\u00ed como la supervivencia a largo plazo libre de eventos (exitus, clase funcional iii\/iv o necesidad de cirug\u00eda valvular) y la existencia de factores predictores de la misma. Resultados: se consideraron como \u00e9xito el 86% de los procedimientos y, de ellos, el 93% como \u00f3ptimos (\u00e1rea mitral igual o superior a 1,5 cm2). La fibrilaci\u00f3n auricular fu\u00e9 un factor predictor independiente de fracaso del procedimiento. El \u00e1rea valvular pas\u00f3 de 1,04 a 1,8 cm2, se produjo insuficiencia mitral 3+\/4+ en un 9,8%, no hubo ning\u00fan fallecimiento en relaci\u00f3n con el procedimiento.  ninguna de las variables analizadas result\u00f3 tener capacidad predictiva de reestenosis durante el seguimiento. Al final del seguimiento un 88% de los pacientes estaban en clase funcional i\/ii con un \u00e1rea valvular media de 1,7 cm2. Resultaron ser factores predictores de eventos: di\u00e1metro de aur\u00edcula izquierda igual o superior a 60 mm. Movilidad valvular superior a 2. Engrosamiento valvular superior a 2, la insuficiencia mitral severa tras la vmp y la obtenci\u00f3n de un \u00e1rea inferior a 1,5 cm2. Conclusiones: la vmp es una t\u00e9cnica segura y eficaz en el tratamiento de la estenosis mitral reum\u00e1tica; los mejores resultados se obtienen en pacientes en ritmo sinusal y, a largo plazo, en v\u00e1lvulas con escasa afectaci\u00f3n, aur\u00edcula peque\u00f1a y en aquellos con buen resultado inicial y sin complicaciones.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia a corto y largo plazo de la valvuloplastia mitral percutanea.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia a corto y largo plazo de la valvuloplastia mitral percutanea. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana Osa Saez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/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>Francisco Javier Chorro Gasc\u00f3<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Vicente Lopez Merino <\/li>\n<li>Juan Martinez Leon (vocal)<\/li>\n<li>Gines Sanz Romero (vocal)<\/li>\n<li>Francisco Pico Aracil (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana Osa Saez Objetivo: valorar la eficacia de la valvuloplastia mitral percut\u00e1nea (vmp) en pacientes con estenosis [&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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