{"id":59656,"date":"2007-05-07T00:00:00","date_gmt":"2007-05-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/indicadores-pronosticos-en-los-pacientes-ingresados-por-sa%c2%adndrome-coronario-sin-elevacion-del-segmento-st-nuevos-marcadores-bioqua%c2%admicos\/"},"modified":"2007-05-07T00:00:00","modified_gmt":"2007-05-07T00:00:00","slug":"indicadores-pronosticos-en-los-pacientes-ingresados-por-sa%c2%adndrome-coronario-sin-elevacion-del-segmento-st-nuevos-marcadores-bioqua%c2%admicos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/indicadores-pronosticos-en-los-pacientes-ingresados-por-sa%c2%adndrome-coronario-sin-elevacion-del-segmento-st-nuevos-marcadores-bioqua%c2%admicos\/","title":{"rendered":"Indicadores pron\u00f3sticos en los pacientes ingresados por s\u00edndrome coronario sin elevaci\u00f3n del segmento st (nuevos marcadores bioqu\u00edmicos)."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Lorenzo F\u00e1cila Rubio <\/strong><\/h2>\n<p>En los \u00faltimos a\u00f1os es creciente la evidencia cientifica que demuestra que los marcadores de da\u00f1o miocardico, de inflamaci\u00f3n y de trombosis se relacionan con el pron\u00f3stico a corto y largo plazo tras un s\u00edndrome coronario agudo. La mayor\u00eda de estos predictores han sido estudiados en poblaciones seleccionadas de ensayos cl\u00ednicos, que cumpl\u00edan los criterios previos de definici\u00f3n de los sca y fuera de nuestro medio (casi toda la literatura es anglosajona). en este estudio se eval\u00faan dichos factores en una poblaci\u00f3n de pacientes consecutivos (no seleccionados) que cumplen los criterios actuales de scasest, y con un seguimiento a largo plazo. la hip\u00f3tesis de trabajo contempla que los pacientes de nuestro medio con scasest definido por los actuales criterios, y no seleccionados (consecutivos) con un perfil bioqu\u00edmico m\u00e1s desfavorable, es decir, con alteraci\u00f3n de la funci\u00f3n renal, elevaci\u00f3n de marcadores de inflamaci\u00f3n (prote\u00edna c reactiva, fibrin\u00f3geno, recuento leucocitario mayor) elevaci\u00f3n de homociste\u00edna, elevaci\u00f3n de marcadores de da\u00f1o mioc\u00e1rdico (troponina y mioglobina), presentar\u00e1n una peor evoluci\u00f3n tanto a intermedio como a largo plazo, y esto ser\u00e1 independiente de los factores pron\u00f3sticos cl\u00e1sicos (edad, diabetes, hipertensi\u00f3n, tabaquismo etc).  objetivos conocer los factores predictores de mala evoluci\u00f3n, sobretodo bioqu\u00edmicos, en los pacientes que ingresan consecutivamente por s\u00edndrome coronario agudo sin elevaci\u00f3n del st, en nuestro medio. conocer si los marcadores de inflamaci\u00f3n (concretamente la prote\u00edna c reactiva, el fibrin\u00f3geno y el recuento leucocitario) act\u00faan como predictores independientes de episodios cardiovasculares a corto, medio y largo plazo de seguimiento en los pacientes con scasest, y su relaci\u00f3n con los marcadores de da\u00f1o mioc\u00e1rdico, concretamente con la troponina i y mioglobina. estudiar si la utilizaci\u00f3n de una combinaci\u00f3n de marcadores bioqu\u00edmicos (de da\u00f1o mioc\u00e1rdico e inflamaci\u00f3n), apo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Indicadores pron\u00f3sticos en los pacientes ingresados por s\u00edndrome coronario sin elevaci\u00f3n del segmento st (nuevos marcadores bioqu\u00edmicos).<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Indicadores pron\u00f3sticos en los pacientes ingresados por s\u00edndrome coronario sin elevaci\u00f3n del segmento st (nuevos marcadores bioqu\u00edmicos). <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Lorenzo F\u00e1cila Rubio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/07\/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 Sanchis Fores<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Lopez merino <\/li>\n<li>gines Sanz romero (vocal)<\/li>\n<li>Juan  Antonio Ruiperez abizanda (vocal)<\/li>\n<li>vicente Bertomeu Martinez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lorenzo F\u00e1cila Rubio En los \u00faltimos a\u00f1os es creciente la evidencia cientifica que demuestra que los marcadores [&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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