{"id":55528,"date":"2018-03-09T22:43:15","date_gmt":"2018-03-09T22:43:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-mediante-resonancia-magnetica-cardiaca-de-la-extension-y-recuperacion-funcional-en-el-infarto-agudo-de-miocardio-tratado-con-angioplastia-primaria\/"},"modified":"2018-03-09T22:43:15","modified_gmt":"2018-03-09T22:43:15","slug":"valoracion-mediante-resonancia-magnetica-cardiaca-de-la-extension-y-recuperacion-funcional-en-el-infarto-agudo-de-miocardio-tratado-con-angioplastia-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/valoracion-mediante-resonancia-magnetica-cardiaca-de-la-extension-y-recuperacion-funcional-en-el-infarto-agudo-de-miocardio-tratado-con-angioplastia-primaria\/","title":{"rendered":"Valoraci\u00f3n mediante resonancia magn\u00e9tica cardiaca de la extensi\u00f3n y recuperaci\u00f3n funcional en el infarto agudo de miocardio tratado con angioplastia primaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ignacio Diez Gonz\u00e1lez <\/strong><\/h2>\n<p>Objetivo     estudiar la capacidad de la resonancia magn\u00e9tica cardiaca realizada dentro de los 14 d\u00edas siguientes a un infarto agudo de miocardio (iam) con secuencias de realce tardi\u00f3 (rt) para predecir la recuperaci\u00f3n funcional a los 6 meses de los segmentos mioc\u00e1rdicos implicados.  metodo     estudio observacional de cohortes de pacientes con un primer iam a los que se ha efectuado una angioplastia primaria efectiva. Se analiz\u00f3 el rt y la motilidad segmentaria con secuencias especificas. Adem\u00e1s, se compararon los datos de la crm basal con el espesor mioc\u00e1rdico, tiempo a la revascularizaci\u00f3n, cifras de cpk y flujo hallado en la arteria responsable del iam.  resultados     se analiz\u00f3 en 25 pacientes (22 hombres, edad media 65) el rt de 225 segmentos mioc\u00e1rdicos de y la motilidad segmentaria de 231. El 27% de los segmentos analizados ten\u00edan un rt mayor 50% en la crm basal. La probabilidad de tener una mala motilidad a los 6 meses es 114 veces mayor cuando el realce tard\u00edo de ingreso es mayor 50%, teniendo en cuenta todos los factores de riesgo que se mantienen en el modelo estad\u00edstico. Respecto a las variables secundarias, los pacientes con un rt mayor 50% ten\u00edan un tiempo a la angioplastia mayor, estaban mas adelgazados, ten\u00edan una cpk m\u00e1xima m\u00e1s alta y el flujo timi de la arteria coronaria implicada era peor. El porcentaje de rt era similar en la crm basal y a los 6 meses. No encontramos diferencias en la motilidad segmentaria a los 6 meses respecto a la basal.  conclusi\u00f3n     la crm realizada en los d\u00edas siguientes a un infarto agudo de miocardio es una t\u00e9cnica reproducible, segura y que aporta informaci\u00f3n pron\u00f3stica importante en cuanto a la viabilidad residual y la futura recuperaci\u00f3n funcional del miocardio infartado. Los hallazgos de la crm se correlaciona con las variables cl\u00ednicas y anal\u00edticas utilizadas habitualmente para la estratificaci\u00f3n pron\u00f3stica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n mediante resonancia magn\u00e9tica cardiaca de la extensi\u00f3n y recuperaci\u00f3n funcional en el infarto agudo de miocardio tratado con angioplastia primaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n mediante resonancia magn\u00e9tica cardiaca de la extensi\u00f3n y recuperaci\u00f3n funcional en el infarto agudo de miocardio tratado con angioplastia primaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ignacio Diez Gonz\u00e1lez <\/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 17\/11\/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> Aguirre Salcedo Jos\u00e9 Mar\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 ram\u00f3n Gonz\u00e1lez Juan atey <\/li>\n<li> Berrazueta fern\u00e1ndez Jos\u00e9 ram\u00f3n (vocal)<\/li>\n<li>felipe Miguel de la villa (vocal)<\/li>\n<li>Carlos Macaya Miguel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ignacio Diez Gonz\u00e1lez Objetivo estudiar la capacidad de la resonancia magn\u00e9tica cardiaca realizada dentro de los 14 [&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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