{"id":39402,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-de-dos-metodos-de-toma-de-la-tension-arterial-medicion-en-el-consultorio-medico-y-automedicion-en-el-domicilio-frente-al-holter-de-24-horas\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estudio-comparativo-de-dos-metodos-de-toma-de-la-tension-arterial-medicion-en-el-consultorio-medico-y-automedicion-en-el-domicilio-frente-al-holter-de-24-horas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-de-dos-metodos-de-toma-de-la-tension-arterial-medicion-en-el-consultorio-medico-y-automedicion-en-el-domicilio-frente-al-holter-de-24-horas\/","title":{"rendered":"Estudio comparativo de dos metodos de toma de la tension arterial: medicion  en el consultorio medico y automedicion en el domicilio frente al  holter de 24 horas."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Lopez Alvarez Jos\u00e9 Luis <\/strong><\/h2>\n<p>Objetivo: comprobar si la toma casual de la tensi\u00f3n arterial es un buen criterio para diagnosticar y controlar la hipertensi\u00f3n arterial y valorar el rendimiento de la toma de la ta en la consulta frente al autocontrol y al holter de 24 horas.  dise\u00f1o: estudio observacional de seguimiento.  ambito de estudio: poblaci\u00f3n que acude al equipo de atenci\u00f3n primaria de mari\u00f1amansa. ourense.  sujetos de estudio: pacientes hipertensos diagnosticados o no previamente.  determinaciones: tomas de tensi\u00f3n arterial a cargo de una enfermera todos los meses y el primero, tercero y sexto mes, mediante un aparato autom\u00e1tico de autocontrol y mediante un holter en tiempos diferentes.  resultados principales: el 31,19% present\u00f3 cifras elevadas seg\u00fan el criterio del jnc (140\/90). cuando se utilizaba como criterio epidemiol\u00f3gico el de la oms (160\/95) exist\u00eda una preValencia menor (20,99%). La tensi\u00f3n arterial antes de tomar el f\u00e1rmaco, m+-ds), fue de 142,72+-16,62 la sist\u00f3lica y 86+-7,72 la diast\u00f3lica, y cuatro horas despu\u00e9s de tomarlo, coincidiendo con el pico de actuaci\u00f3n de \u00e9ste, la tensi\u00f3n arterial descendi\u00f3 a 133,86+-16,07 la sist\u00f3lica y 82,5+-7,3 la diast\u00f3lica, siendo estas diferencias estad\u00edsticamente significativas p&lt;0,05. Se comprobaron las concordancias entre los diferentes m\u00e9todos, y se analiz\u00f3, si las diferencias obtenidas eran estad\u00edsticamente significativas. Los datos muestran un escaso control de la tensi\u00f3n arterial, con cualquiera de los m\u00e9todos empleados y la concordancia entre los diferentes m\u00e9todos alcanza significaci\u00f3n estad\u00edstica, y se sit\u00faa en el mejor de los casos en torno al 30% medida por el \u00edndice kappa. La toma de la tensi\u00f3n arterial a primera hora de la ma\u00f1ana una s=80,24%, e=52,63%, vpp= 62,87% y vpn= 72,70%. Despu\u00e9s de cuatro horas de haber tomado el f\u00e1rmaco, la s cae y la e se eleva. S= 44%, e= 78,78%, vpp= 67,46% y vpn= 58,45%. La ampa tambi\u00e9n es un m\u00e9todo de gran sensibi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo de dos metodos de toma de la tension arterial: medicion  en el consultorio medico y automedicion en el domicilio frente al  holter de 24 horas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo de dos metodos de toma de la tension arterial: medicion  en el consultorio medico y automedicion en el domicilio frente al  holter de 24 horas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Lopez Alvarez Jos\u00e9 Luis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Santiago de compostela<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Juan  Jes\u00fas Gestal Otero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: abraan Sonis <\/li>\n<li>salvador Pita fernandez (vocal)<\/li>\n<li>alfonso Castro beiras (vocal)<\/li>\n<li>Luis Rodriguez miguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lopez Alvarez Jos\u00e9 Luis Objetivo: comprobar si la toma casual de la tensi\u00f3n arterial es un buen [&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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