{"id":38999,"date":"2018-03-09T09:38:52","date_gmt":"2018-03-09T09:38:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/presion-arterial-nocturna-y-factores-de-riesgo-cardiovascular\/"},"modified":"2018-03-09T09:38:52","modified_gmt":"2018-03-09T09:38:52","slug":"presion-arterial-nocturna-y-factores-de-riesgo-cardiovascular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/presion-arterial-nocturna-y-factores-de-riesgo-cardiovascular\/","title":{"rendered":"Presion arterial nocturna y factores de riesgo cardiovascular."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fernando Cobo Martinez <\/strong><\/h2>\n<p>La presi\u00f3n arterial sigue un perfil circadiano, es m\u00e1s elevada durante la vigilia que durante el sue\u00f1o. Suele descender espont\u00e1neamente por la noche entre un 15-20%. Un descenso de la presi\u00f3n arterial sist\u00f3lica y diast\u00f3lica inferior al 10% se considera anormal, clasific\u00e1ndose estos pacientes como non dipper.  el objetivo principal de este estudio fu\u00e9 evaluar, en pacientes hipertensos, la posible relaci\u00f3n entre el descenso nocturno de la presi\u00f3n arterial y los factores de riesgo cardiovascular.  se seleccionaron 100 pacientes hipertensos de nuestra unidad y se dividieron en dos grupos comparativos (dipper y non dipper). Se compararon en ambos datos somatom\u00e9tricos, par\u00e1metros sangu\u00edneos y urinarios y se realiz\u00f3 monitorizaci\u00f3n ambulatoria de la presi\u00f3n arterial mediante el sistema space labs 9092\/9097. Los test estad\u00edsticos usados fueron an\u00e1lisis de la varianza de una y dos v\u00edas, metodolog\u00eda de bonferroni y test del chi-cuadrado.  los resultados obtenidos fueron los siguientes: se aprecia una frecuencia card\u00edaca significativamente superior en non dipper (p=0.0253); los hipertensos non dipper tienen unos niveles de creatinina s\u00e9rica significativamente superiores (p=0.0343) y de potasemia inferiores (p=0.0140) respecto a los dipper; los pacientes non dipper presentan unos niveles de hdl-c significativamente inferiores (p=0.008) respecto a los dipper; los pacientes dipper tienen una presi\u00f3n arterial diast\u00f3lica diurna significativamente superior (p=0.0211) a los non dipper.  conclusiones: 1-se aprecia una frecuencia card\u00edaca superior en dipper respecto a no dipper. 2-se aprecia una creatinina s\u00e9rica superior y potasemia inferior en hipertensos non dipper respecto a los dipper 3-los pacientes non dipper tienen niveles significativamente inferiores de hdl-c respecto a los dipper, en non dipper es mayor en mujeres que en hombres. 4-los pacientes non dipper tienen mayor n\u00famero de factores de riesgo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Presion arterial nocturna y factores de riesgo cardiovascular.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Presion arterial nocturna y factores de riesgo cardiovascular. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fernando Cobo Martinez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/12\/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>Blas Gil Extremera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Raya mu\u00f1oz <\/li>\n<li>Jos\u00e9 ram\u00f3n Vicente rull (vocal)<\/li>\n<li>Fernando Yelamos-bellido rodriguez (vocal)<\/li>\n<li>Rafael Rodr\u00edguez-contreras pelayo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernando Cobo Martinez La presi\u00f3n arterial sigue un perfil circadiano, es m\u00e1s elevada durante la vigilia que [&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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