{"id":58972,"date":"2018-03-09T22:46:49","date_gmt":"2018-03-09T22:46:49","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/biomarcadores-en-ciruga%c2%ada-de-revascularizacion-coronaria-valor-pronostico-a-corto-plazo\/"},"modified":"2018-03-09T22:46:49","modified_gmt":"2018-03-09T22:46:49","slug":"biomarcadores-en-ciruga%c2%ada-de-revascularizacion-coronaria-valor-pronostico-a-corto-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-cardiovascular\/biomarcadores-en-ciruga%c2%ada-de-revascularizacion-coronaria-valor-pronostico-a-corto-plazo\/","title":{"rendered":"Biomarcadores en cirugia de revascularizaci\u00f3n coronaria. valor pron\u00f3stico a corto plazo"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Arribas Leal Jos\u00e9 Mar\u00eda <\/strong><\/h2>\n<p>Estudio prospectivo observacional con 141 pacientes sometidos a cirug\u00eda de revascularizaci\u00f3n coronaria en dos hospitales terciarios del sureste espa\u00f1ol, que intenta conocer el valor pron\u00f3stico de tres biomarcadores basales (prote\u00edna  c-reactiva, troponina-t y nt -probnp) en cirug\u00eda de revascularizaci\u00f3n coronaria habitual. eventos a analizar: muerte\/iam perioperatorio fibrilaci\u00f3n auricular postoperatoria (fap) y deterioro hemodin\u00e1mico precoz (dh) a treinta d\u00edas. s\u00f3lo la troponina t mostr\u00f3 ser un buen predictor de eventos mayores en el postoperatorio (muerte\/iam). Adem\u00e1s la ausencia de estatinas en el tratamiento preoperatorio, favoreci\u00f3 la aparici\u00f3n de eventos mayores (muerte\/iam) en el postoperatorio, as\u00ed como de fibrilaci\u00f3n auricular postoperatoria (fap).  por otro lado, la presencia de un bloqueo completo de rama en el ecg preoperatorio fue predictor independiente de eventos mayores (muerte\/iam) en el postoperatorio y un qrs alargado favorec\u00eda la presencia de deterioro hemodin\u00e1mico en el postoperatorio precoz. El papel protector de las estatoinas era m\u00e1s marcado si el paciente presentaba troponina t positiva basal. ni la pcr basal ni el nt-probnp basal fueron predictores de los eventos analizados. Tampoco las escalas de riesgo quir\u00fargico empleadas (euroscore y parsonnet95) fueron de utilidad como predictores de los eventos analizados. la presencia de un s\u00edndrome coronario agudo en el mes previo a la intervenci\u00f3n junto con la presencia de enfermedad del tronco de la coronaria izquierda tambi\u00e9n fueron predictores independientes de deterioro hemodin\u00e1mico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Biomarcadores en cirugia de revascularizaci\u00f3n coronaria. valor pron\u00f3stico a corto plazo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Biomarcadores en cirugia de revascularizaci\u00f3n coronaria. valor pron\u00f3stico a corto plazo <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Arribas Leal Jos\u00e9 Mar\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/06\/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>Juan  Antonio Ruiperez Abizanda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda no Vald\u00e9s chavarri <\/li>\n<li>federico Soria arcos (vocal)<\/li>\n<li> Mestres lucio Carlos Alberto (vocal)<\/li>\n<li>pablo Ram\u00edrez romero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Arribas Leal Jos\u00e9 Mar\u00eda Estudio prospectivo observacional con 141 pacientes sometidos a cirug\u00eda de revascularizaci\u00f3n coronaria 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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