{"id":64464,"date":"2008-12-05T00:00:00","date_gmt":"2008-12-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-en-la-insuficiencia-carda%c2%adaca-con-fraccion-de-eyeccion-preservada\/"},"modified":"2008-12-05T00:00:00","modified_gmt":"2008-12-05T00:00:00","slug":"factores-pronosticos-en-la-insuficiencia-carda%c2%adaca-con-fraccion-de-eyeccion-preservada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/factores-pronosticos-en-la-insuficiencia-carda%c2%adaca-con-fraccion-de-eyeccion-preservada\/","title":{"rendered":"Factores pron\u00f3sticos en la insuficiencia card\u00edaca con fracci\u00f3n de eyecci\u00f3n preservada"},"content":{"rendered":"

Tesis doctoral de Ra\u00fal Quir\u00f3s L\u00f3pez <\/strong><\/h2>\n

El presente estudio tiene como objetivo evaluar la mortalidad a largo plazo y los factores pron\u00f3sticos en los pacientes con insuficiencia card\u00edaca con fracci\u00f3nde eyecci\u00f3n preservada (icfep) frente a la insuficiencia card\u00edaca con disfunci\u00f3n sist\u00f3lica (icds) material y m\u00e9todos: estudio de cohorte retrospectivo sobre pacientes con primer ingreso por insuficiencia card\u00edaca durante el per\u00edodo comprendido entre el 1-01-2001 y el 31-12-2001, clasificados en funci\u00f3n de la fracci\u00f3n de eyecci\u00f3n del ventr\u00edculo izquierdo (fevi) mayor (icfep) o menor (icds) del 50% seguidos hasta el 31 de diciembre de 2006. resultados: sobre un total de 400 casos incidentes de insuficiencia card\u00edaca, 231 pacientes (57,7%) tuvieron icfep. \u00e9stos tuvieron mayor edad (69,1 vs. 66,3 a\u00f1os, p<0,001), mayor proporci\u00f3n de g\u00e9nero femenino (58,5% vs. 30,8%, p<0,001)m abtecedentes de hipertensi\u00f3n arteral (64,1% vs. 46,7%, p<0,001) y fibrilaci\u00f3n auricular (22,9% vs. 14,8%, p=0,03) respecto al grupo con icds. La mortalidad fue similar en ambos grupos a los 5 a\u00f1os de seguimiento (39,5% vs. 46,6%, p=0,17). A los 10 a\u00f1os la mortalidad fue mayor en la icds (64,5% vs. 55,4%, p=0,04). Tras la realizaci\u00f3n de un an\u00e1lisis multivariante las variables relacionadas con la mortalidad en icfep incluyeron la edad, diabetes mellitus, cardiopat\u00eda isqu\u00e9mica e insuficiencia renal cr\u00f3nica. El tratamiento con estatinas y beta-bloqueantes se asoci\u00f3 a un mejor pron\u00f3stico. Entre los pacientes con icds los predictores de mortalidad fueron similares, aunque no se objetiv\u00f3 una supervivencia mayor entre auqellos tratados con estatinas. conclusiones: una elevada proporci\u00f3n de pacientes con insuficiencia card\u00edaca tienen icfep. La mortalidad de estos pacientes es muy elevada y pr\u00e1cticamente equiparable a la icds. La edad, diabetes mellitus, cardiopat\u00eda isqu\u00e9mica e insuficiencia renal cr\u00f3nica se asocian a un peor pron\u00f3stico en estos pacientes, mientras que el uso de beta-bloqueantes y estatinas lo mejora.\n\n\n\n \n\n\n

Datos acad\u00e9micos de la tesis doctoral \u00abFactores pron\u00f3sticos en la insuficiencia card\u00edaca con fracci\u00f3n de eyecci\u00f3n preservada<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos en la insuficiencia card\u00edaca con fracci\u00f3n de eyecci\u00f3n preservada <\/li>\n
  • Autor:<\/strong>\u00a0 Ra\u00fal Quir\u00f3s L\u00f3pez <\/li>\n
  • Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 12\/05\/2008<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Pedro Valdivielso Felices<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: pedro Gonz\u00e1lez santos <\/li>\n
        • Manuel Montero perez barquero (vocal)<\/li>\n
        • joaqu\u00edn Fern\u00e1ndez-crehuet navajas (vocal)<\/li>\n
        • \u00e1ngeles Alonso Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

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

          Tesis doctoral de Ra\u00fal Quir\u00f3s L\u00f3pez El presente estudio tiene como objetivo evaluar la mortalidad a largo plazo y los […]<\/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":[932,1086,7834],"tags":[142231,2223,1938,2192,52358,142230],"class_list":["post-64464","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-epidemiologia","category-malaga","tag-angeles-alonso-garcia","tag-joaquin-fernandez-crehuet-navajas","tag-manuel-montero-perez-barquero","tag-pedro-gonzalez-santos","tag-pedro-valdivielso-felices","tag-raul-quiros-lopez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/64464","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=64464"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/64464\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=64464"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=64464"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=64464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}