{"id":42883,"date":"2018-03-09T09:45:01","date_gmt":"2018-03-09T09:45:01","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-endotelial-coronaria-y-lesion-miocardica\/"},"modified":"2018-03-09T09:45:01","modified_gmt":"2018-03-09T09:45:01","slug":"disfuncion-endotelial-coronaria-y-lesion-miocardica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/disfuncion-endotelial-coronaria-y-lesion-miocardica\/","title":{"rendered":"Disfuncion endotelial coronaria y lesion miocardica"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Aymat Rodriguez M. Rosa <\/strong><\/h2>\n<p>El objetivo del presente estudio fue correlacionar disfunci\u00f3n endotelial coronaria y lesi\u00f3n mioc\u00e1rdica difusa en el rechazo del injerto cardiaco y en la miocardiopatia dilatada.  se incluyeron 27 pacientes trasplantados despues del primer a\u00f1o de la intervenci\u00f3n (3,7-,7 a\u00f1os) (protocolo a) y 22 pacientes con micoardiopatia dilatada idiopatica cronica estable (procolo b). En ambos grupos de pacientes se evaluo la funci\u00f3n endotelial mediante la infusi\u00f3n de acetilcolina seguida de nitroglicerina intracoronaria (respuesta vasomotora endotelio independiente). los cambios del di\u00e1metro luminal de la arteria se analizaron mediante angiografia cuantitativa. Una respuesta vasoconstrictora paradojica fue indicativa de disfunci\u00f3n endotelial. En 19 pacientes trasplantados se determino el indice engrosamiento intimal meidante ecografia intracoronaria (eic). El rechazo cardiaco y la lesion micardica presente en la miocardiopatia dilatada fueron valorados con anticuerpos monoclonales antimiosina. Un indice de captacion corazon-pulmon &lt;1,55 fue considerado normal.  protocolo a. El 100% de los pacientes trasplantados evidenciaron engrosamiento intimal. 14 pacientes (52%) presentaron disfuncion endotelial y en los 13 restantes las respuestas vasomotora fue normal. Los pacientes con disfunci\u00f3n endotelial presentaron mayor agrosamiento intimal respecto a los de respuesta vasomotora normal. Se observ\u00f3 correlaci\u00f3n entre el indice de captaci\u00f3n de antimiosina y la respuesta vasomotora inducida por acetilcolina.  protocolo b: 18 (81%) de los 22 pacientes estudiados presentaron vasoconstricci\u00f3n paradojica con acetilcolina intracoronaria. Se observ\u00f3 una correlaci\u00f3n lineal entre la magnitud de la respuesta vasomotora inducida por acetilcolina y el indice de captacion de antimiosina.  el 52% de los pacientes presenta disfunci\u00f3n endotelial despues del primer a\u00f1o del trasplante. El grado de disfunci\u00f3n endotelial se correlaciona con la intensidad<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfuncion endotelial coronaria y lesion miocardica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfuncion endotelial coronaria y lesion miocardica <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Aymat Rodriguez M. Rosa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/04\/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>Vicens Marti Claramunt<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: amadeo Betriu gibert <\/li>\n<li>joan Mar\u00eda Cinca cuscullola (vocal)<\/li>\n<li>miquel Rutllant ba\u00f1eres (vocal)<\/li>\n<li>angel Cequier fillat (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Aymat Rodriguez M. Rosa El objetivo del presente estudio fue correlacionar disfunci\u00f3n endotelial coronaria y lesi\u00f3n mioc\u00e1rdica [&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":[932,9,139,156,1601],"tags":[1164,107456,107455,29457,6984,64848],"class_list":["post-42883","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-patologia","category-patologia-cardiovascular","tag-amadeo-betriu-gibert","tag-angel-cequier-fillat","tag-aymat-rodriguez-m-rosa","tag-joan-maria-cinca-cuscullola","tag-miquel-rutllant-baneres","tag-vicens-marti-claramunt"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42883","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=42883"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42883\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=42883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=42883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=42883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}