{"id":6830,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/incidencia-significacion-y-valor-pronostico-de-los-trastornos-de-conduccion-tc-en-el-infarto-agudo-de-miocardio-iam-en-la-era-trombolitica\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"incidencia-significacion-y-valor-pronostico-de-los-trastornos-de-conduccion-tc-en-el-infarto-agudo-de-miocardio-iam-en-la-era-trombolitica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/incidencia-significacion-y-valor-pronostico-de-los-trastornos-de-conduccion-tc-en-el-infarto-agudo-de-miocardio-iam-en-la-era-trombolitica\/","title":{"rendered":"Incidencia, significacion y valor pronostico de los trastornos de conduccion (tc) en el infarto agudo de miocardio (iam) en la era trombolitica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Antonio Melgarejo Moreno <\/strong><\/h2>\n<p>Estudio prospectivo multicentrico en tres hospitales de la region de murcia de 1.238 pacientes ingresados consecutivamente por infarto agudo de miocardio (iam), entre junio de 1.992 y enero de 1.994, con un periodo de seguimiento de un a\u00f1o. Estudiamos trastornos de conduccion (tc), su incidencia, significacion clinica y pronostica.  la incidencia de tc resulto del 32%; un 21% previos, un 26% indeterminados y un 51% nuevos. Los tc se asociaron a pacientes de mas edad. El conjunto de los tc y sobre todo los nuevos, se asociaron a una mayor incidencia de complicaciones: arritmias, insuficiencia cardiaca y mortalidad. Los tc indeterminados se asocian a iam anteriores, los nuevos a iam inferiores y los previos a iam no que indeterminados. La mortalidad de los tc fue del doble que la de los pacientes sin tc tanto en la fase aguda como en el seguimiento. Los bloqueos de rama tuvieron valor predictivo independiente de la mortalidad en la fase aguda y en el seguimiento. Los bloqueos de rama derecha cursaron con gran incidencia de complicaciones y mortalidad global del 25%. Los de rama izquierda cursaron con insuficiencia cardiaca en el 80% y su mortalidad fue del 19%. Los pacientes trombolisados presentaron menor mortalidad ante la presencia de tc, sobre todo los bloqueos auriculoventriculares asociados a iam inferior.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Incidencia, significacion y valor pronostico de los trastornos de conduccion (tc) en el infarto agudo de miocardio (iam) en la era trombolitica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Incidencia, significacion y valor pronostico de los trastornos de conduccion (tc) en el infarto agudo de miocardio (iam) en la era trombolitica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Antonio Melgarejo Moreno <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Mar\u00eda no Valdes Chavarri<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Ruiperez Abiganda Juan  Antonio <\/li>\n<li>Vicente Berlomen Martinez (vocal)<\/li>\n<li> Chopo Gaseo Fco. Javier (vocal)<\/li>\n<li>Luis Torres Martinez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Antonio Melgarejo Moreno Estudio prospectivo multicentrico en tres hospitales de la region de murcia de 1.238 [&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 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":[932,9,139,8235],"tags":[25102,25099,25103,8243,25100,25101],"class_list":["post-6830","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-murcia","tag-chopo-gaseo-fco-javier","tag-jose-antonio-melgarejo-moreno","tag-luis-torres-Martinez","tag-maria-no-valdes-chavarri","tag-ruiperez-abiganda-juan-antonio","tag-vicente-berlomen-Martinez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/6830","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=6830"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/6830\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=6830"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=6830"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=6830"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}