{"id":70441,"date":"2018-03-09T23:14:58","date_gmt":"2018-03-09T23:14:58","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/miocardiopatia-hipertrofica-en-ninos-y-adolescentes-jovenes-modo-de-presentacion-caractera%c2%adsticas-morfologicas-y-analisis-de-la-superviviencia\/"},"modified":"2018-03-09T23:14:58","modified_gmt":"2018-03-09T23:14:58","slug":"miocardiopatia-hipertrofica-en-ninos-y-adolescentes-jovenes-modo-de-presentacion-caractera%c2%adsticas-morfologicas-y-analisis-de-la-superviviencia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/miocardiopatia-hipertrofica-en-ninos-y-adolescentes-jovenes-modo-de-presentacion-caractera%c2%adsticas-morfologicas-y-analisis-de-la-superviviencia\/","title":{"rendered":"Miocardiopatia hipertrofica en ni\u00f1os y adolescentes j\u00f3venes: modo de presentaci\u00f3n, caracter\u00edsticas morfol\u00f3gicas y an\u00e1lisis de la superviviencia."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Tome Esteban Mar\u00eda  Teresa <\/strong><\/h2>\n<p>Introducci\u00f3n: la miocardiopat\u00eda hipertr\u00f3fica (mch) es una enfermedad primaria del miocardio de origen gen\u00e9tico que se hereda de forma autos\u00f3mica dominante con penetrancia variable. Afecta a 1:500 en la poblaci\u00f3n.  La primera descripci\u00f3n de la enfermedad  se hizo en 1958 y desde entonces las aportaciones a la literatura han sido muy numerosas de forma que el concepto actual de la miocardiopat\u00eda hipertr\u00f3fica ha evolucionada dr\u00e1sticamente a lo largo del tiempo.  No existen en la literatura grandes series que describan la enfermedad en la ni\u00f1ez ni en la adolescencia, la mayor parte de los datos disponibles proceden de muestras de pacientes sintom\u00e1ticos. La mortalidad en este grupo de acuerdo en la literatura esta en torno al 4 -6%. La observaci\u00f3n cercana de esos datos sugieren que no representan la mayor parte de los pacientes con mch en esta edades, los pacientes asintom\u00e1ticos.  m\u00e9todos: se estudi\u00f3 una cohorte hist\u00f3rica de 212 pacientes (varones 137, 64%, edad media inicio de seguimiento 11.9 a\u00f1os de 5 ) que acudieron al st george hospital medical school (sghms) y al great ortmond street hospital for sick children (gosh) entre enero de 1986 y enero del 2004 a la consulta de miocardiopat\u00edas cuyo primer ecocardiograma diagn\u00f3stico se realiz\u00f3 antes de los 18 a\u00f1os inclusive.  Para el an\u00e1lisis de la supervivencia de se seleccionaron de la misma poblaci\u00f3n 164 pacientes con tiempo medio de seguimiento 5.4 de 3.7.  resultados: al inicio del seguimiento s\u00f3lo el 36% de los pacientes presentaron s\u00edntomas.   S\u00f3lo el grupo de mujeres de 13 a 18 a\u00f1os present\u00f3 s\u00edntomas de forma significativa.  Los pacientes fueron diagnosticados en su mayor\u00eda debido a screening familiar (43%), seguido del diagn\u00f3stico tras un hallazgo casual (23.6%).  S\u00f3lo el 21% de  los pacientes se diagnosticaron por presentaci\u00f3n sintom\u00e1tica. Un 39% present\u00f3 historia familiar de muerte s\u00fabita y el 70% present\u00f3 historia familiar de mch. Los s\u00edntomas<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Miocardiopatia hipertrofica en ni\u00f1os y adolescentes j\u00f3venes: modo de presentaci\u00f3n, caracter\u00edsticas morfol\u00f3gicas y an\u00e1lisis de la superviviencia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Miocardiopatia hipertrofica en ni\u00f1os y adolescentes j\u00f3venes: modo de presentaci\u00f3n, caracter\u00edsticas morfol\u00f3gicas y an\u00e1lisis de la superviviencia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Tome Esteban Mar\u00eda  Teresa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/09\/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>J. Mckenna William<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Saez de la calzada Carlos <\/li>\n<li>perry Elliott (vocal)<\/li>\n<li>angela Figuera alvarez (vocal)<\/li>\n<li>Santiago De pascual marcos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Tome Esteban Mar\u00eda Teresa Introducci\u00f3n: la miocardiopat\u00eda hipertr\u00f3fica (mch) es una enfermedad primaria del miocardio de origen [&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":[1],"tags":[51970,58704,153823,65368,15368,153822],"class_list":["post-70441","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-angela-figuera-alvarez","tag-j-mckenna-william","tag-perry-elliott","tag-saez-de-la-calzada-carlos","tag-santiago-de-pascual-marcos","tag-tome-esteban-maria-teresa"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/70441","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=70441"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/70441\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=70441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=70441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=70441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}