{"id":40164,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/precondicionamiento-isquemico-aconcepto-teorico-o-realidad-clinica\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"precondicionamiento-isquemico-aconcepto-teorico-o-realidad-clinica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/precondicionamiento-isquemico-aconcepto-teorico-o-realidad-clinica\/","title":{"rendered":"Precondicionamiento isquemico: \u00c2\u00bfconcepto teorico o realidad clinica?"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Francisco Jimenez Navarro <\/strong><\/h2>\n<p>Introduccion: la angina de pecho de larga duraci\u00f3n se relaciona con un mejor pron\u00f3stico de los pacientes que presentan un infarto agudo de miocardio. Recientemente se ha descrito el fen\u00f3meno de precondicionamiento isqu\u00e9mico que se define como el aumento de la tolerancia del miocardio ante un evento isquemico mayor si este va precedido de breves episodios de isquemia. Sin embargo, no existen grandes series sobre la correlaci\u00f3n cl\u00ednica de este fen\u00f3meno.  hipotesis: la presencia de angina en la semana previa al primer infarto como expresi\u00f3n de isquemia mioc\u00e1rdica y a trav\u00e9s del fen\u00f3meno de precondicionamiento isqu\u00e9mico puede influir favorablemente sobre la evoluci\u00f3n posterior al infarto.  objetivos: describir la preValencia de angina en la semana previa y conocer su influencia sobre la mortalidad y complicaciones cardiovasculares, funci\u00f3n ventricular e isquemia residual durante la fase aguda y tras un periodo de seguimiento de un primer infarto agudo de miocardio seg\u00fan diversas variables cl\u00ednicas que no han sido estudiadas previamente como el sexo, edad, localizaci\u00f3n del infarto y realizaci\u00f3n de tratamiento fibrinol\u00edtico.  material y metodos: hemos analizado 290 pacientes que presentaron su primer infarto en el hospital universitario de m\u00e1laga entre enero 95 y diciembre 96 sin cardiopat\u00eda previa ni angina de m\u00e1s de una semana de evoluci\u00f3n. Los dividimos seg\u00fan la presencia de angina en la semana previa y estudiamos sus caracter\u00edsticas: factores de riesgo cardiovascular, localizaci\u00f3n del mismo (anterior\/no anterior), realizaci\u00f3n de fibrinolisis, retraso de inicio de la misma, pico de cpk y sus complicaciones: muerte, angina, complic. mec\u00e1nicas, arritmias, insuficiencia cardiaca y reinfarto tanto agudas como tras un periodo de seguimiento medio de 18 meses. Asimismo estudiamos el deterioro de la funci\u00f3n ventricular por ecocardiograf\u00eda-doppler y la isquemia residual por ergometr\u00eda.  resultados: no exist<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Precondicionamiento isquemico: \u00c2\u00bfconcepto teorico o realidad clinica?<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Precondicionamiento isquemico: \u00c2\u00bfconcepto teorico o realidad clinica? <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Francisco Jimenez Navarro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/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>Eduardo Deteresa Galvan<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Gonz\u00e1lez santos <\/li>\n<li>Mar\u00eda  g. Crespo leiro (vocal)<\/li>\n<li>Manuel Arias rodriguez (vocal)<\/li>\n<li>Jos\u00e9 Antonio Gir\u00f3n gonz\u00e1lez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Francisco Jimenez Navarro Introduccion: la angina de pecho de larga duraci\u00f3n se relaciona con un mejor [&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":[9,7834,156,1601],"tags":[7921,10865,21611,102781,81289,2192],"class_list":["post-40164","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-malaga","category-patologia","category-patologia-cardiovascular","tag-eduardo-deteresa-galvan","tag-jose-antonio-giron-gonzalez","tag-manuel-arias-rodriguez","tag-manuel-francisco-jimenez-navarro","tag-maria-g-crespo-leiro","tag-pedro-gonzalez-santos"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/40164","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=40164"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/40164\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=40164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=40164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=40164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}