{"id":53817,"date":"2006-06-07T00:00:00","date_gmt":"2006-06-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/variables-cla%c2%adnicas-biologicas-y-de-imagen-en-pacientes-con-ictus-y-foramen-oval-permeable-relacion-con-la-recurrencia\/"},"modified":"2006-06-07T00:00:00","modified_gmt":"2006-06-07T00:00:00","slug":"variables-cla%c2%adnicas-biologicas-y-de-imagen-en-pacientes-con-ictus-y-foramen-oval-permeable-relacion-con-la-recurrencia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/santiago-de-compostela\/variables-cla%c2%adnicas-biologicas-y-de-imagen-en-pacientes-con-ictus-y-foramen-oval-permeable-relacion-con-la-recurrencia\/","title":{"rendered":"Variables cl\u00ednicas, biol\u00f3gicas y de imagen en pacientes con ictus y foramen oval permeable. relaci\u00f3n con la recurrencia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Estevo Santamarina P\u00e9rez <\/strong><\/h2>\n<p>Este estudio valora las lesiones cerebrales en resonancia por difusi\u00f3n (drm) en pacientes con foramen oval permeable (fop). La combinaci\u00f3n de fop con aneurisma del septo auricular (asa)a est\u00e1 asociada de manera independiente a una mayor probabilidad de lesiones emb\u00f3licas en la drm, no as\u00ed ni el tama\u00f1o ni el grado de cortocircuito, lo que le confiere al asa un mayor potencial emb\u00f3lico en estos pacientes. Estudios previos inclu\u00edan s\u00f3lo valoraban el tama\u00f1o, pero inclu\u00edan ictus no criptog\u00e9nicos, utilizaban tc craneal o resonancia magn\u00e9tica sin difusi\u00f3n, y no valoraba la presencia de asa.     adem\u00e1s se comprueba la utilidad de la drm no s\u00f3lo en establecer el mecanismo etiopatog\u00e9nico de ictus, sino en seleccionar a los de mayor riesgo.     no se encuentra mayor preValencia de alteraci\u00f3n de los par\u00e1metros dela trombofilia en los pacientes con alteraciones septales, ni asociaci\u00f3n con el patr\u00f3n. Por primera vez se describen los niveles de prote\u00edna z en estos pacientes, con unos valores significativamente m\u00e1s bajos en los pacientes con fop con asa; esta caracter\u00edstica ya se describi\u00f3 como m\u00e1s frecuente en los ictus cardioemb\u00f3licos. La prote\u00edna z podr\u00eda ser un candidato bioqu\u00edmico para seleccionar a los de m\u00e1s riesgo, sin embargo al realizar la regresi\u00f3n log\u00edstica de los factores que influyen en la recurrencia, no sale descrito como predictor de la misma.     no se constata por tanto, resultados de estudios previos que apuntaban una mayor probabilidad de alteraciones de la trombofilia en este grupo de pacientes, por lo que probablemente no tienen un papel tan decisivo en este grupo de pacientes.     con respecto a la recurrencia, se obtiene una tasa de recurrencia anual similar a las de la literatura (3.5%), y se describen a los pacientes con asa como de m\u00e1s riesgo de recurrencia completando los datos de drma que le confieren mayor potencial embol\u00edgeno. Como novedad se describe la hipertensi\u00f3n arterial, el tabaquismo o la ateromatosi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Variables cl\u00ednicas, biol\u00f3gicas y de imagen en pacientes con ictus y foramen oval permeable. relaci\u00f3n con la recurrencia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Variables cl\u00ednicas, biol\u00f3gicas y de imagen en pacientes con ictus y foramen oval permeable. relaci\u00f3n con la recurrencia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Estevo Santamarina P\u00e9rez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Santiago de compostela<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/07\/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 \u00e1lvarez Sab\u00edn<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Guardia mass\u00f3 <\/li>\n<li>arturo Gonzalez quintela (vocal)<\/li>\n<li>Mar\u00eda no Rebollo alvarez-amandi (vocal)<\/li>\n<li>arturo Evangelista masip (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Estevo Santamarina P\u00e9rez Este estudio valora las lesiones cerebrales en resonancia por difusi\u00f3n (drm) en pacientes con [&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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