{"id":56757,"date":"2018-03-09T22:44:33","date_gmt":"2018-03-09T22:44:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prevalencia-y-riesgo-cardiovascular-del-sa%c2%adndrome-metabolico-magnitud-de-su-efecto-sobre-el-a%c2%adndice-tobillo-brazo-bajo\/"},"modified":"2018-03-09T22:44:33","modified_gmt":"2018-03-09T22:44:33","slug":"prevalencia-y-riesgo-cardiovascular-del-sa%c2%adndrome-metabolico-magnitud-de-su-efecto-sobre-el-a%c2%adndice-tobillo-brazo-bajo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/prevalencia-y-riesgo-cardiovascular-del-sa%c2%adndrome-metabolico-magnitud-de-su-efecto-sobre-el-a%c2%adndice-tobillo-brazo-bajo\/","title":{"rendered":"PreValencia y riesgo cardiovascular del s\u00edndrome metab\u00f3lico. magnitud de su efecto sobre el \u00edndice tobillo-brazo bajo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Yolanda Schmolling Guinovart <\/strong><\/h2>\n<p>Describir la preValencia del s\u00edndrome metab\u00f3lico (sm) en la poblaci\u00f3n general de 50 a 79 a\u00f1os. Estimar, en las personas sin enfermedad vascular conocida, en qu\u00e9 medida la presencia de sm aumenta el riesgo cardiovascular (rcv) y establecer la asociaci\u00f3n entre el sm no diab\u00e9tico con un rcv alto. Determinar, en prevenci\u00f3n primaria, la asociaci\u00f3n del sm con la enfermedad vascular asintom\u00e1tica, definida por un \u00edndice tobillo-brazo (itb) bajo, y conocer si la presencia de sm reestratifica a rcv alto los casos de rcv moderado. Pacientes y m\u00e9todo: estudio descriptivo, transversal y anal\u00edtico de casos-control. La preValencia del sm se estudi\u00f3 entre toda la poblaci\u00f3n de 50 a 79 a\u00f1os de una consulta de un centro de salud de talavera de la reina, evalu\u00e1ndose los criterios de sm del ncep atp iii 2001. Igualmente se midieron diversos factores de riesgo cardiovascular (frcv). Se seleccionaron los casos de sm sin enfermedad vascular conocida, se estim\u00f3 su rcv a trav\u00e9s de las tablas score 2003 y regicor 2003, y se determin\u00f3 la enfermedad vascular asintom\u00e1tica por la presencia de una itb bajo ( menor que 0,90), medio por eco-doppler vascular. Se compar\u00f3 con un grupo control. Se realiz\u00f3 an\u00e1lisis de regresi\u00f3n log\u00edstica para conocer la magnitud del efecto del sm sobre el itb. Resultados: 581 pacientes inclu\u00eddos (53,1% mujeres). 179 casos de sm (30,8%) (49,7% mujeres). PreValencia de sm entre los diab\u00e9ticos: 82,7%, entre los obesos: 56,2%, entre los hipertensos: 51,2%; presentaron sm la mitad de los hipercolesterol\u00e9micos, as\u00ed como las tres cuartas partes de los que ten\u00edan hipertrigliceridemia o c-hdl bajo. Los frcv que se relacionaron con el sm son la edad, la hipertensi\u00f3n arterial, la diabetes, la hipercolesterolemia, la obesidad y los antecedentes familiares de diabetes. Adem\u00e1s, en la mujer, la hiperuricemia y el no trabajar fuera de casa son factores que tambi\u00e9n se asociaron al sm. El rcv score medio en el sm result\u00f3 dos veces mayor (5% a los 10 a\u00f1o<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>PreValencia y riesgo cardiovascular del s\u00edndrome metab\u00f3lico. magnitud de su efecto sobre el \u00edndice tobillo-brazo bajo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 PreValencia y riesgo cardiovascular del s\u00edndrome metab\u00f3lico. magnitud de su efecto sobre el \u00edndice tobillo-brazo bajo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Yolanda Schmolling Guinovart <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/01\/2007<\/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>Carlos Antonio P\u00e9rez De Oteyza<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Millan nu\u00f1ez cortes <\/li>\n<li> Men\u00e9ndez mart\u00ednez Mar\u00eda antonia (vocal)<\/li>\n<li>Mar\u00eda elisa Calle pur\u00f3n (vocal)<\/li>\n<li>Francisco Arnalich fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Yolanda Schmolling Guinovart Describir la preValencia del s\u00edndrome metab\u00f3lico (sm) en la poblaci\u00f3n general de 50 a [&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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