{"id":42296,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diagnostico-incruento-de-la-reestenosis-coronaria-post-angioplastia-coronaria-actp\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"diagnostico-incruento-de-la-reestenosis-coronaria-post-angioplastia-coronaria-actp","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/diagnostico-incruento-de-la-reestenosis-coronaria-post-angioplastia-coronaria-actp\/","title":{"rendered":"Diagnostico incruento de la reestenosis coronaria post-angioplastia coronaria (actp)."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ramon Querejeta Iraola <\/strong><\/h2>\n<p>Introduccion: la reestenosis (re) post-angioplastia coronaria (actp) contin\u00faa siendo la principal limitaci\u00f3n de esta t\u00e9cnica de revascularizaci\u00f3n coronaria percut\u00e1nea. La angina t\u00edpica que ocurre en los primeros 6 meses post-actp es un marcador espec\u00edfico pero poco sensible de re. La coronariograf\u00eda de control no deber\u00eda ser un instrumento rutinario de diagn\u00f3stico de la re. La prueva de esfuerzo (pe) y las t\u00e9cnicas nucleares, el spect, son dos elementos diagn\u00f3sticos fundamentales en este contexto.  objetivos: hemos estudiado la capacidad de las pruebas de esfuerzo seriadas y del spect para diagnosticar re coronaria.  material y metodo: la muestra la componen 196 pacientes sometidos a actp convencional. A todos se les realiz\u00f3 una pe convencional a las 2 semanas, 3 meses y 6 meses post-actp, interpret\u00e1ndose seg\u00fan criterios cl\u00e1sicos de st y seg\u00fan el score de hollenberg. A un subgrupo no seleccionado de 91 pacientes consecutivos se les realiz\u00f3, adem\u00e1s, spect a los 6 meses post-actp. todos los pacientes fueron sometidos a coronariograf\u00eda de control inmediatamente despu\u00e9s de los test incruentos. El diagn\u00f3stico angiogr\u00e1fico de re se utiliz\u00f3 como \u00abpatr\u00f3n oro\u00bb y se realiz\u00f3 mediante valoraci\u00f3n visual de la estenosis residual existente en la arteria dilatada y se alcanz\u00f3 por consenso de dos observadores que desconoc\u00edan los resultados de los tests incruentos. Se utilizaron 2 criterios de re coronaria, la estenosis residual &gt; 50% del calibre luminal y la estenosis &gt; 75%.  resultados: la preValencia de re en nuestra serie fue del 46,4% para el criterio de 50% y 27% para el de 75%. La sensibilidad (s) y especificidad (e) de la pe realizada a los 6 meses fueron de 51% y 66% para re &gt; 50% y del 66% y 67% para re &gt; 75% respectivamente. Los valores correspondientes al spect fueron 61% y 92% para re &gt; 50% y 80% y 86% para 75% respectivamente. Sin embargo, en los 63 pacientes que ten\u00edan pe ano<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diagnostico incruento de la reestenosis coronaria post-angioplastia coronaria (actp).<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diagnostico incruento de la reestenosis coronaria post-angioplastia coronaria (actp). <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ramon Querejeta Iraola <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/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>Joaquin Barba Cosials<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: javier Diez Martinez <\/li>\n<li>Jorge  augusto Quiroga vilas (vocal)<\/li>\n<li>ignacio Garcia bolao (vocal)<\/li>\n<li>angel Llamas lombardia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ramon Querejeta Iraola Introduccion: la reestenosis (re) post-angioplastia coronaria (actp) contin\u00faa siendo la principal limitaci\u00f3n de esta [&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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