{"id":38443,"date":"2018-03-09T09:38:00","date_gmt":"2018-03-09T09:38:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-predictivos-de-morbimortalidad-en-la-angina-inestable-tratada-quirurgicamente\/"},"modified":"2018-03-09T09:38:00","modified_gmt":"2018-03-09T09:38:00","slug":"factores-predictivos-de-morbimortalidad-en-la-angina-inestable-tratada-quirurgicamente","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-predictivos-de-morbimortalidad-en-la-angina-inestable-tratada-quirurgicamente\/","title":{"rendered":"Factores predictivos de morbimortalidad en la angina inestable tratada quirurgicamente."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Andres Carretero Quevedo <\/strong><\/h2>\n<p>La angina inestable (ai), constituye una entidad cl\u00ednica definida con fisiopatolog\u00eda y tratamiento espec\u00edficos.  la formaci\u00f3n de un trombo sobre una placa ateroscler\u00f3tica complicada, fue reconocida como la causa principal de la ai y por eso se pudo comprobar la eficacia de la medicaci\u00f3n antitromb\u00f3tica en el tratamiento de esta entidad.  la historia natural de esta patolog\u00eda, demuestra una incidencia aumentada de infarto agudo de miocardio y de muerte en los primeros meses y primer a\u00f1o tras el evento coronario. Por este motivo se le considera un cuadro cl\u00ednico de alto riesgo y por tanto candidato a tratamientos agresivos, que revascularicen el miocardio isqu\u00e9mico. En este sentido, son dos procedimientos terap\u00e9uticos disponibles actp y cirug\u00eda coronaria.  este trabajo analiza los resultados obtenidos en un grupo de pacientes con ai sometidos a cirug\u00eda coronaria. La mortalidad de la cirug\u00eda coronaria en ai, es por lo menos doble de la hallada en angina estable.  la hip\u00f3tesis que se plantea, es si existen factores que ayuden a la valoraci\u00f3n pron\u00f3stica de los pacientes con ai sometidos a cirug\u00eda coronaria.  los resultados que se valoran son la normalidad inmdiata y el infarto perioperatorio. As\u00ed mismo se realiza un seguimiento del grupo de enfermos (212) durante un per\u00edodo de 53 meses; en este tiempo se estudi\u00f3 la mortalidad tard\u00eda y la aprici\u00f3n de nuevos eventos coronarios.  se analizaron 20 variables mediante an\u00e1lisis univariado y multivariado.  los resultados del estudio, mostraron significaci\u00f3n estadistica (en lo que a mortalidad inmediata se refiere) de las siguientes variables: intervenci\u00f3n previa, tiempo de bypass prolongado y edad superior a 65 a\u00f1os. En cuanto al iam perioperatorio, hubo significaci\u00f3n estad\u00edstica en la fracci\u00f3n de eyecci\u00f3n alta.  el seguimiento demostr\u00f3 una tasa de mortalidad baja y una tasa de morbilidad alta (nuevos eventos coronarios o insuficiencia card<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores predictivos de morbimortalidad en la angina inestable tratada quirurgicamente.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores predictivos de morbimortalidad en la angina inestable tratada quirurgicamente. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Andres Carretero Quevedo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/07\/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>Luis Callol Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Manuel Gonzalez barom (vocal)<\/li>\n<li>gabriel T\u00e9llez de peralta (vocal)<\/li>\n<li> Murga sierra (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Andres Carretero Quevedo La angina inestable (ai), constituye una entidad cl\u00ednica definida con fisiopatolog\u00eda y tratamiento espec\u00edficos. [&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":[9,141,1550,156,12395],"tags":[99838,6148,6075,78382,99839,10988],"class_list":["post-38443","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-vascular","category-patologia","category-trombosis","tag-andres-carretero-quevedo","tag-gabriel-tellez-de-peralta","tag-jose-luis-alvarez-sala-walther","tag-luis-callol-sanchez","tag-manuel-gonzalez-barom","tag-murga-sierra"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38443","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=38443"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38443\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=38443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=38443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=38443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}