{"id":64580,"date":"2018-03-09T22:52:36","date_gmt":"2018-03-09T22:52:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-diagnostica-de-la-gammagrafa%c2%ada-de-perfusion-miocardica-con-99mtc-tetrofosmina-en-mujeres-con-sospecha-de-cardiopata%c2%ada-isquemica\/"},"modified":"2018-03-09T22:52:36","modified_gmt":"2018-03-09T22:52:36","slug":"valoracion-diagnostica-de-la-gammagrafa%c2%ada-de-perfusion-miocardica-con-99mtc-tetrofosmina-en-mujeres-con-sospecha-de-cardiopata%c2%ada-isquemica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/salud-publica\/valoracion-diagnostica-de-la-gammagrafa%c2%ada-de-perfusion-miocardica-con-99mtc-tetrofosmina-en-mujeres-con-sospecha-de-cardiopata%c2%ada-isquemica\/","title":{"rendered":"Valoraci\u00f3n diagn\u00f3stica de la gammagraf\u00edade perfusi\u00f3n mioc\u00e1rdica con 99mtc-tetrofosmina en mujeres con sospecha de cardiopat\u00edaisqu\u00e9mica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Antonio P\u00e9rez Iruela <\/strong><\/h2>\n<p>La justificaci\u00f3n del presente estudio parte de la necesidad de la realizaci\u00f3n de estudios que determinen la eficacia diagn\u00f3stica de los estudios de perfusi\u00f3n mioc\u00e1rdica en la mujer y su repercusi\u00f3n en el diagn\u00f3stico y seguimiento de la patolog\u00eda arterial coronaria. Concretamente la utilidad diagn\u00f3stica de los tim (test de isqu\u00e9mia mioc\u00e1rdica) isot\u00f3picos con dipiridamol en la poblaci\u00f3n femenina. objetivo: determinar los valores diagn\u00f3sticos del estudio de perfusi\u00f3n mioc\u00e1rdica con 99mtc-tetrofosmina en protocolo de un d\u00eda tras est\u00edmulo farmacol\u00f3gico con dipiridamol, en una poblaci\u00f3n de mujeres en indicaci\u00f3n diagn\u00f3stica y pron\u00f3stica, as\u00ed como en relaci\u00f3n con los territorios vasculares coronarios tomando como referencia la coronariograf\u00eda, as\u00ed como determinar la utilidad del estudio en pacientes revascularizados como t\u00e9cnica de seguimiento para exploraciones de intervencionismo coronario. Poblaci\u00f3n y m\u00e9todos: se han estudiado con car\u00e1cter retrospectivo 413 historias cl\u00ednicas de mujeres con sospecha de cardiopat\u00eda isqu\u00e9mica (poblaci\u00f3n total), que fueron sometidas a una prueba de perfusi\u00f3n mioc\u00e1rdica. De ellas, 202 pacientes fueron sometidas adem\u00e1s a una coronariograf\u00eda (p.C.G+c), y de \u00e9stas, a 149 se les realiz\u00f3 la gammagraf\u00eda previa a la coronariograf\u00eda (p. Post-r), y 53 fueron derivadas primero a la prueba angiogr\u00e1fica (p. Pre-r). Se consideraron las variables: tratamiento farmacol\u00f3gico, factores de riesgo, par\u00e1metros bioqu\u00edmicos, ecg basal, ergometr\u00eda realizada, ecocardiograf\u00eda, diagn\u00f3stico definitivo, y par\u00e1metros de la gammagraf\u00eda de perfusi\u00f3n mioc\u00e1rdica. Resultados: los valores diagn\u00f3sticos en general para las p.C.G+c y p. Post-r fueron elevados as\u00ed como por territorio coronario, para la p. Pre-r fueron moderados aunque con un elevado vpp. Conclusiones: la prueba de perfusi\u00f3n mioc\u00e1rdica esfuerzo\/reposo con 99mtc-tetrofosmina y dipiridamol como vasodilatador, utilizando el protocolo de un solo d\u00eda, en mujeres con sospecha de cardiopat\u00eda isqu\u00e9mica presenta una elevada validez diagn\u00f3stica para esta enfermedad, as\u00ed como para el diagn\u00f3stico de los territorios coronarios considerando un grado de estenosis del 50% como del 70% adem\u00e1s parece ser una prueba id\u00f3nea para realizar el seguimiento de pacientes asintom\u00e1ticas previamente revascularizadas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n diagn\u00f3stica de la gammagraf\u00edade perfusi\u00f3n mioc\u00e1rdica con 99mtc-tetrofosmina en mujeres con sospecha de cardiopat\u00edaisqu\u00e9mica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n diagn\u00f3stica de la gammagraf\u00edade perfusi\u00f3n mioc\u00e1rdica con 99mtc-tetrofosmina en mujeres con sospecha de cardiopat\u00edaisqu\u00e9mica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Antonio P\u00e9rez Iruela <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/05\/2008<\/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>Paloma Ortega Molina<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: david Mart\u00ednez hern\u00e1ndez <\/li>\n<li>rodrigo Jim\u00e9nez Garc\u00eda (vocal)<\/li>\n<li>carmen Puentes zarzuela (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Amate blanco (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Antonio P\u00e9rez Iruela La justificaci\u00f3n del presente estudio parte de la necesidad de la realizaci\u00f3n de [&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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