{"id":57136,"date":"2018-03-09T22:44:54","date_gmt":"2018-03-09T22:44:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/endocarditis-sobre-valvula-protesica\/"},"modified":"2018-03-09T22:44:54","modified_gmt":"2018-03-09T22:44:54","slug":"endocarditis-sobre-valvula-protesica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/endocarditis-sobre-valvula-protesica\/","title":{"rendered":"Endocarditis sobre v\u00e1lvula prot\u00e9sica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Valle Hector Alonso <\/strong><\/h2>\n<p>La endocarditis sobre v\u00e1lvula prot\u00e9sica contin\u00faa teniendo a pesar de los avances realizados en su aboradaje, una elevada mortalidad (20-45%). Con el fin de identificar las caracter\u00edsticas cl\u00ednicas y factores pron\u00f3sticos de mortalidad, se realiz\u00f3 un estudio de cohortes ambispectivo de enero de 1986 a diciembre de 2005. Los signos y s\u00edntomas m\u00e1s frecuentemente encontrados fueron la presencia de fiebre, insuficiencia cardiaca y soplo regurgitante de nueva aparici\u00f3n. El microorganismo m\u00e1s frecuentemente aislado en hemocultivos fue s. Epid\u00e9rmidis. Destacaba un elevado porcentaje de pacientes con absceso objetivado en ecocardiograf\u00eda (29%). La mortalidad intrahospitalaria fue del 29% y fue mayor en los casos de endocarditis precoces respecto a las tard\u00edas. Los factores pron\u00f3sticos en el an\u00e1lisis multivariante fueron los siguientes: presentaci\u00f3n en los primeros 3 meses tras la cirug\u00eda de recambio valvular, leuecocitosis o leucopenia en anal\u00edtica inicial, absceso aislado en eco o cirug\u00eda, cirug\u00eda urgente, insuficiencia respiratoria cardiaca, insuficiencia renal, complicaciones neurol\u00f3gicas, infecci\u00f3n incontrolada, sepsis grave y shock s\u00e9ptico. El tratamiento m\u00e9dico-quir\u00fargico se asoci\u00f3 con una menor mortalidad a largo plazo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Endocarditis sobre v\u00e1lvula prot\u00e9sica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Endocarditis sobre v\u00e1lvula prot\u00e9sica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Valle Hector Alonso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/02\/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> Maria Del Carmen Fari\u00c2\u00a5as Alvarez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Revuelta soba <\/li>\n<li>Luis Garc\u00eda-castrillo riesgo (vocal)<\/li>\n<li> Jose ramon berrazueta fernandez (vocal)<\/li>\n<li>Jos\u00e9 ignacio Fernandez bernaldo de quiros (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Valle Hector Alonso La endocarditis sobre v\u00e1lvula prot\u00e9sica contin\u00faa teniendo a pesar de los avances realizados en [&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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