{"id":61588,"date":"2018-03-09T22:49:29","date_gmt":"2018-03-09T22:49:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estenosis-mitral-en-ritmo-sinusal-factores-de-riesgo-tromboembolico-y-o-de-entrada-en-fibrilacion-auricular\/"},"modified":"2018-03-09T22:49:29","modified_gmt":"2018-03-09T22:49:29","slug":"estenosis-mitral-en-ritmo-sinusal-factores-de-riesgo-tromboembolico-y-o-de-entrada-en-fibrilacion-auricular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/estenosis-mitral-en-ritmo-sinusal-factores-de-riesgo-tromboembolico-y-o-de-entrada-en-fibrilacion-auricular\/","title":{"rendered":"Estenosis mitral en ritmo sinusal: factores de riesgo tromboemb\u00f3lico y\/o de entrada en fibrilaci\u00f3n auricular"},"content":{"rendered":"

Tesis doctoral de Francisco Javier Garc\u00eda Fern\u00e1ndez <\/strong><\/h2>\n

Objetivos: identificar prospectivamente el grupo de pacientes con estenosis mitral en ritmo sinusal con un mayor riesgo de desarrollar durante el seguimiento embolismo sist\u00e9mico y\/o fibrilaci\u00f3n auricular. introducci\u00f3n: existe un acuerdo generalizado acerca de la indicaci\u00f3n de anticoagulaci\u00f3n oral en pacientes con estenosis mitral en el grupo con antecedentes de fibrilaci\u00f3n auricular o embolismo sist\u00e9mico, sin embargo no existe dicho acuerdo en pacientes en ritmo sinusal sin dichos antecedentes. m\u00e9todos: realizamos un estudio prospectivo de cohortes con 82 pacientes (85% mujeres) con estenosis mitral (\u00e1rea valvular mitral <2.0 cm2) en ritmo sinusal estable al inicio del estudio. A todos los pacientes se les realiz\u00f3 una exploraci\u00f3n f\u00edsica, anamnesis, electrocardiograma de 12 derivaciones, ecocardiograma transtor\u00e1cico y transesof\u00e1gico y holter de 24 h y se siguieron durante25 +10 meses definiendo como end point final el desarrollo de fibrilaci\u00f3n auricular persistente o embolismo sist\u00e9mico. resultados: la dilataci\u00f3n auricular (di\u00e1metro de aur\u00edcula izquierda medida en l1 paraesternal eje largo >50 mm) [rr] 5,93 [95% ci 1,22-28,74] y el \u00e1rea valvular mitral < 1,5 cm2 [rr] 9,81 [95% ci 1,15-83,36] se asociaron independientemente con el end point final. La disfunci\u00f3n de la orejuela izquierda [rr] 6,9 [95% ci 2,2-22] fue el \u00fanico predictor de embolismo sist\u00e9mico en el grupo sin anticoagulaci\u00f3n oral. conclusiones: los pacientes con una estenosis mitral en ritmo sinusal que presentan una aur\u00edcula izquierda dilatada (di\u00e1metro de auricular izquierda> 50 mm) y un \u00e1rea valvular mitral (<1,5 cm2) presentan un alto riesgo para desarrollar fibrilaci\u00f3n auricular o embolismo sist\u00e9mico, por lo que puede ser prudente empezar en dichos pacientes con tratamiento anticoagulante de manera profil\u00e1ctica.\n\n\n\n \n\n\n

Datos acad\u00e9micos de la tesis doctoral \u00abEstenosis mitral en ritmo sinusal: factores de riesgo tromboemb\u00f3lico y\/o de entrada en fibrilaci\u00f3n auricular<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Estenosis mitral en ritmo sinusal: factores de riesgo tromboemb\u00f3lico y\/o de entrada en fibrilaci\u00f3n auricular <\/li>\n
  • Autor:<\/strong>\u00a0 Francisco Javier Garc\u00eda Fern\u00e1ndez <\/li>\n
  • Universidad:<\/strong>\u00a0 Salamanca<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 27\/11\/2007<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Candido Martin Luengo<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: Jos\u00e9 ramon Berrazueta fernandez <\/li>\n
        • Rafael Peinado peinado (vocal)<\/li>\n
        • Jes\u00fas Almendral garrote (vocal)<\/li>\n
        • pedro Luis S\u00e1nchez fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Francisco Javier Garc\u00eda Fern\u00e1ndez Objetivos: identificar prospectivamente el grupo de pacientes con estenosis mitral en ritmo sinusal […]<\/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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[932,5793,1601,9386],"tags":[8880,136031,29834,118928,118358,86870],"class_list":["post-61588","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-fisiologia-cardiovascular","category-patologia-cardiovascular","category-salamanca","tag-candido-martin-luengo","tag-francisco-javier-garcia-fernandez","tag-jesus-almendral-garrote","tag-jose-ramon-berrazueta-fernandez","tag-pedro-luis-sanchez-fernandez","tag-rafael-peinado-peinado"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/61588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=61588"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/61588\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=61588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=61588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=61588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}