{"id":65158,"date":"2008-12-06T00:00:00","date_gmt":"2008-12-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/peculiaridades-electrocardiograficas-de-acuerdo-al-sexo-en-pacientes-con-un-primer-infarto-agudo-de-miocardio-con-elevacion-del-segmento-st-e-ingreso-precoz\/"},"modified":"2008-12-06T00:00:00","modified_gmt":"2008-12-06T00:00:00","slug":"peculiaridades-electrocardiograficas-de-acuerdo-al-sexo-en-pacientes-con-un-primer-infarto-agudo-de-miocardio-con-elevacion-del-segmento-st-e-ingreso-precoz","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/peculiaridades-electrocardiograficas-de-acuerdo-al-sexo-en-pacientes-con-un-primer-infarto-agudo-de-miocardio-con-elevacion-del-segmento-st-e-ingreso-precoz\/","title":{"rendered":"Peculiaridades electrocardiogr\u00e1ficas de acuerdo al sexo en pacientes con un primer infarto agudo de miocardio con elevaci\u00f3n del segmento st e ingreso precoz"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Nuria Alonso Fern\u00e1ndez <\/strong><\/h2>\n<p>Las diferencias de acuerdo al sexo en pacientes con infarto agudo de miocardio (iam) han sido objeto de numerosos estudios. Sin embargo, las peculiaridades en el ecg inicial son menos conocidas. Comparamos el ecg incial de 1483 pacientes ingresados en dos unidades de cuidados intensivos con un primer iam con elevaci\u00f3n del segmento st (iamste) e ingreso en los primeros 180 minutos desde el inicio de los s\u00edntomas. Se consider\u00f3 la presencia de una marcada elevaci\u00f3n del segmento st (>11 mm). Las mujeres se caracterizaron por presentar mayor edad y comorbilidad, ingresar con mayor retrsaso y en peor situaci\u00f3n cl\u00ednica, frecuentemente complicada con insuficencia cardiaca (killip>i). Algunas peculiaridades del ecg inicial en la mujer fueron la mayor proporci\u00f3n de onda q patol\u00f3gica y una menor magnitud total de elevaci\u00f3n del segmento st. A pesar de similares tasas de angioplastia primaria, las mujeres recibieron menores tasas de reperfusi\u00f3n global, y fueron sometidas en menor proporci\u00f3n a procedimientos diagn\u00f3sticos. As\u00ed mismo, las mujeres desarrollaron mayor n\u00famero de complicaciones incluida la mortalidad a los 31 d\u00edas. Las variables asociadas de forma independiente con una marcada elevaci\u00f3n del segmento st (> 11mm) fueron: onda q, frecuencia cardiaca y tensi\u00f3n arterial sist\u00f3lica al ingreso, localizaci\u00f3n anterior, tabaquismo activo, sexo masculino y ausencia de angina previa. Conclusiones: en pacientes con un primer iamste e ingreso precoz , una peculiaridad electrocardiogr\u00e1fica del sexo femenino fue la menor magnitud total de elevaci\u00f3n del segmento st. El sexo femenino se asoci\u00f3 de forma inversa e independiente con una marcada elevaci\u00f3n del segmento st.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Peculiaridades electrocardiogr\u00e1ficas de acuerdo al sexo en pacientes con un primer infarto agudo de miocardio con elevaci\u00f3n del segmento st e ingreso precoz<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Peculiaridades electrocardiogr\u00e1ficas de acuerdo al sexo en pacientes con un primer infarto agudo de miocardio con elevaci\u00f3n del segmento st e ingreso precoz <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Nuria Alonso Fern\u00e1ndez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/06\/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>Jos\u00e9 Antonio Melgarejo Moreno<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Antonio Ruiperez abizanda <\/li>\n<li>federico Soria arcos (vocal)<\/li>\n<li>ram\u00f3n Francisco L\u00f3pez palop (vocal)<\/li>\n<li>vicent Valentin segura (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Nuria Alonso Fern\u00e1ndez Las diferencias de acuerdo al sexo en pacientes con infarto agudo de miocardio (iam) [&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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