{"id":69548,"date":"2018-03-09T23:14:02","date_gmt":"2018-03-09T23:14:02","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prueba-de-vasodilatacion-con-oxido-nitrico-estudio-de-la-hipertension-vascular-pulmonar-en-el-candidato-a-trasplante-cardiaco\/"},"modified":"2018-03-09T23:14:02","modified_gmt":"2018-03-09T23:14:02","slug":"prueba-de-vasodilatacion-con-oxido-nitrico-estudio-de-la-hipertension-vascular-pulmonar-en-el-candidato-a-trasplante-cardiaco","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/a-coruna\/prueba-de-vasodilatacion-con-oxido-nitrico-estudio-de-la-hipertension-vascular-pulmonar-en-el-candidato-a-trasplante-cardiaco\/","title":{"rendered":"Prueba de vasodilatacion con oxido nitrico, estudio de la hipertension vascular pulmonar en el candidato a trasplante cardiaco"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Salvador Fojon Polanco <\/strong><\/h2>\n<p>Introducci\u00f3n- la hipertensi\u00f3n vascular pulmonar, es en muchas series, el m\u00e1s importante factor de riesgo para la mortalidad postoperatoria del trasplante cardiaco, la cual a su vez supone la principal causa de muerte del trasplantado.  objetivos- dise\u00f1o, protocolizaci\u00f3n y an\u00e1lisis de una prueba preoperatoria de vasodilataci\u00f3n pulmonar con oxido n\u00edtrico, en candidatos a trasplante cardiaco con hipertensi\u00f3n vascular pulmonar severa.  objetivos secundarios: an\u00e1lisis de la respuesta al \u00f3xido n\u00edtrico de pacientes portadores de hipertensi\u00f3n vascular pulmonar severa, secundaria e insuficienca cardiaca. Protocolizaci\u00f3n de la utilizaci\u00f3n perioperatoria del \u00f3xida nitr\u00edco en el contexto del trasplante cardiaco. An\u00e1lisis de la experiencia: trasplante cardiaco en pacientes con hipertensi\u00f3n vascular pulmonar severa.  metodolog\u00eda: se seleccionaron 19 pacientes con hipertensi\u00f3n vascular pulmonar severa secundaria a insuficiencia cardiaca durante 50 meses. Se sometieron a una prueba de inhalaci\u00f3n de \u00f3xido n\u00edtrico entre 5 y 20 partes por mill\u00f3n, mediante un circuito no recirculante, herm\u00e9tico, en ventilaci\u00f3n mec\u00e1nica no invasiva con una interfase oclusiva consistente en una mascarilla dise\u00f1ada al efecto y previa instrucci\u00f3n del paciente. Se monitoriz\u00f3 la respuesta mediante un cat\u00e9ter colocado en la arteria pulmonar.  resultados y conclusiones: la prueba de vasodilataci\u00f3n pulmonar con \u00f3xido n\u00edtrico inhalado, administrado mediante ventilaci\u00f3n mec\u00e1nica no invasiva es viable. La aceptaci\u00f3n y tolerancia a la prueba es \u00f3ptima. La necesaria cooperaci\u00f3n de los pacientes en el desarrollo de la t\u00e9cnica, ha posibilitado su realizaci\u00f3n en todos los casos. Realizada a pacientes con hipertensi\u00f3n vascular pulmonar severa secundaria a insuficiencia cardiaca obtiene una respuesta vasodilatadora pulmonar selectiva, que se expresa en las siguientes cifras: descenso medio de las previsiones vasculares pulmonares de un 22 % (p&lt;0,<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Prueba de vasodilatacion con oxido nitrico, estudio de la hipertension vascular pulmonar en el candidato a trasplante cardiaco<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Prueba de vasodilatacion con oxido nitrico, estudio de la hipertension vascular pulmonar en el candidato a trasplante cardiaco <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Salvador Fojon Polanco <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/07\/2004<\/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>Alberto Juff\u00e9 Stein<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Concha ruiz <\/li>\n<li>alfonso Castro beiras (vocal)<\/li>\n<li>Jos\u00e9 Manuel Revuelta soba (vocal)<\/li>\n<li> Lopez perez Jos\u00e9 Manuel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Salvador Fojon Polanco Introducci\u00f3n- la hipertensi\u00f3n vascular pulmonar, es en muchas series, el m\u00e1s importante factor 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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