{"id":53026,"date":"2006-09-06T00:00:00","date_gmt":"2006-09-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-importancia-de-electrocardiograma-en-el-examen-previo-a-la-participacion-deportiva-del-joven\/"},"modified":"2006-09-06T00:00:00","modified_gmt":"2006-09-06T00:00:00","slug":"la-importancia-de-electrocardiograma-en-el-examen-previo-a-la-participacion-deportiva-del-joven","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/la-importancia-de-electrocardiograma-en-el-examen-previo-a-la-participacion-deportiva-del-joven\/","title":{"rendered":"La importancia de electrocardiograma en el examen previo a la participaci\u00f3n deportiva del joven"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Erice Echegaray Mar\u00eda Blanca <\/strong><\/h2>\n<p>Realizar ejercicio f\u00edsico es beneficioso para la salud, pero entra\u00f1a el riesgo de una muerte s\u00fabita de origen cardiovascular (msc). Existe un debate internacional sobre el modelo \u00f3ptimo de examen m\u00e9dico previo a la participaci\u00f3n deportiva (epp) para evitarla. Este se centra en la relaci\u00f3n coste-efectividad, para la inclusi\u00f3n de un electrocardiograma basal (ecg). Efectivamente, el ecg (muy sensible) ofrece una baja especificidad al utilizar los criterios tradicionales de hipertrofia ventricular izquierda (hvi) para detectar la enfermedad cardiovascular m\u00e1s frecuentemente implicada: miocardiopat\u00eda hipertr\u00f3fica (mch). se plante\u00f3 esta hip\u00f3tesis: si existen unos criterios electrocardiogr\u00e1ficos de hvi m\u00e1s espec\u00edficos para el diagn\u00f3stico de mch se podr\u00eda considerar que el ecg es una t\u00e9cnica id\u00f3nea para ser incluida en los epp. en espa\u00f1a no se ha estudiado la preValencia de estas enfermedades cardiovasculares. Por esto se realiz\u00f3 un epp a los j\u00f3venes de 12 a 19 a\u00f1os de edad de la poblaci\u00f3n de huarte-pamplona, seg\u00fan propuesto la asociaci\u00f3n americana del coraz\u00f3n (1996), y a\u00f1adiendo un ecg basal sigui\u00e9ndole modelo descrito por corrado y col en 1998. El objetivo fue analizar la validez de este modelo de epp y mejorar la especificidad del ecg mediante el an\u00e1lisis de diferentes criterios de hvi.     se estudi\u00f3 a 471 j\u00f3venes (15,5 +- 2,4 a\u00f1os). Se detectaron 3 (0,64%) individuos con patolog\u00eda de riesgo al realizar deporte de competici\u00f3n: un s\u00edndrome de qt prolongado, un s\u00edndrome de wolf-parkinson-white y un caso de hta severa (160\/100 mmhg); las dos primeras se detectaron gracias al ecg.  adversamente, con este epp hubo 53 (11,3%) individuos con hallazgos positivos, de los que 36 fueron por criterios de ecg de hvi resultando finalmente hallazgos falsos positivos.     en una 2\u00aa fase se contrastaron estos 36 ecg con los de 31 enfermos, con diagn\u00f3stico ecocardiogr\u00e1fico de mch (13,0 +- 5,1 a\u00f1os) y se realiz\u00f3 un an\u00e1lisis estad\u00edstico c<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La importancia de electrocardiograma en el examen previo a la participaci\u00f3n deportiva del joven<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La importancia de electrocardiograma en el examen previo a la participaci\u00f3n deportiva del joven <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Erice Echegaray Mar\u00eda Blanca <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/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>Javier Ib\u00e1\u00f1ez Santos<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: felipe Miguel de la villa <\/li>\n<li>esteban Gorostiza ayestaran (vocal)<\/li>\n<li>Miguel Anderiz lopez (vocal)<\/li>\n<li>Juan  Manuel Casas fernandez de tejerina (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Erice Echegaray Mar\u00eda Blanca Realizar ejercicio f\u00edsico es beneficioso para la salud, pero entra\u00f1a el riesgo de [&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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