{"id":52913,"date":"2006-02-06T00:00:00","date_gmt":"2006-02-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-con-necropsia-y-ecocardiografa%c2%ada-de-los-criterios-electrocardiograficos-de-hipertrofia-ventricular-izquierdo\/"},"modified":"2006-02-06T00:00:00","modified_gmt":"2006-02-06T00:00:00","slug":"estudio-comparativo-con-necropsia-y-ecocardiografa%c2%ada-de-los-criterios-electrocardiograficos-de-hipertrofia-ventricular-izquierdo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/estudio-comparativo-con-necropsia-y-ecocardiografa%c2%ada-de-los-criterios-electrocardiograficos-de-hipertrofia-ventricular-izquierdo\/","title":{"rendered":"Estudio comparativo con necropsia y ecocardiograf\u00edade los criterios electrocardiogr\u00e1ficos de hipertrofia ventricular izquierdo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Catalina Santiago Gonz\u00e1lez <\/strong><\/h2>\n<p>En la muestra analizada se han encontrado criterios electrocardiogr\u00e1ficos con rentabilidad diagn\u00f3stica a la del criterio de cornell. Dada su mayor simplicidad y su valor en presencia o ausencia de obesidad, en varones y sobre todo en mujeres, parece ser el criterio m\u00e1s rentable para el uso cl\u00ednico habitual. * el criterio de sokolow deber\u00eda ser desplazado por otros criterios m\u00e1s rentables, sobre todo en la poblaci\u00f3n obesa. * en nuestra muestra se sugiere que el criterio de gubner deber\u00eda ser utilizado con un punto de corte diferente al publicado en la literatura. Con ese punto de corte puede ser de especial inter\u00e9s en los varones y para aplicar en aquellos pacientes en los que el criterio de cornell es negativo y tienen alta probabilidad pre-test de tener hipertrofia. * el uso de criterios complejos (perugia, store de romhilt-stes, siegel, producto de cornell) complica el diagn\u00f3stico y parece aportar poca ventaje a la pr\u00e1ctica habitual. * los criterios electrocardiogr\u00e1ficos, solos o combinados, tienen una sensibilidad limitada. Casi el 50% de los pacientes con hipertrofia ventricular izquierda de nuestra serie no cumple ning\u00fan criterio de los mejores seleccionados (voltaje, anchura, onda t, descenso st). * la aplicaci\u00f3n simult\u00e1nea de varios criterios no mejora la rentabilidad de los mejores criterios aplicados de forma individual, y en general reduce la especificidad. * en pacientes que no cumplen el criterio de cornell, la presencia de un eje m\u00e1s a la izquierda de menos 30 grados, la duraci\u00f3n de qrs mayor de 109 milisegundos, y el descenso de st en avl son muy espec\u00edficos de hipertrofia, pero se cumplen en pocos pacientes. La aplicaci\u00f3n del criterio de gubner en estos pacientes tiene una sensibilidad aceptable de 29%, para una especificidad de 95%, y puede ser una estrategia de combinaci\u00f3n de criterios sencilla y adecuada para incrementar la rentabilidad diagn\u00f3stica del electrocardiograma.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo con necropsia y ecocardiograf\u00edade los criterios electrocardiogr\u00e1ficos de hipertrofia ventricular izquierdo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo con necropsia y ecocardiograf\u00edade los criterios electrocardiogr\u00e1ficos de hipertrofia ventricular izquierdo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Catalina Santiago Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/06\/2006<\/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>Jos\u00e9 Alberto Garcia Lledo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>Jos\u00e9 esteban G\u00f3mez mart\u00edn (vocal)<\/li>\n<li>vicente Albert cu\u00f1at (vocal)<\/li>\n<li>Jos\u00e9 Luis Moya mur (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Catalina Santiago Gonz\u00e1lez En la muestra analizada se han encontrado criterios electrocardiogr\u00e1ficos con rentabilidad diagn\u00f3stica a la [&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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