{"id":71337,"date":"2018-03-09T23:15:59","date_gmt":"2018-03-09T23:15:59","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/incidencia-factores-de-riesgo-y-evolucion-de-la-neuropatia-frenica-en-pacientes-sometidos-a-ciruga%c2%ada-coronaria-de-revascularizacion-miocardica\/"},"modified":"2018-03-09T23:15:59","modified_gmt":"2018-03-09T23:15:59","slug":"incidencia-factores-de-riesgo-y-evolucion-de-la-neuropatia-frenica-en-pacientes-sometidos-a-ciruga%c2%ada-coronaria-de-revascularizacion-miocardica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/incidencia-factores-de-riesgo-y-evolucion-de-la-neuropatia-frenica-en-pacientes-sometidos-a-ciruga%c2%ada-coronaria-de-revascularizacion-miocardica\/","title":{"rendered":"Incidencia, factores de riesgo y evoluci\u00f3n de la neuropatia fr\u00e9nica en pacientes sometidos a cirugia coronaria de revascularizaci\u00f3n mioc\u00e1rdica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Miguel \u00e1ngel Merino Ram\u00edrez <\/strong><\/h2>\n<p>La lesi\u00f3n del nervio fr\u00e9nico se asocia con frecuencia a la cirug\u00eda coronaria de revascularizaci\u00f3n. La hipotermia se considera su causa principal y aunque los modernos avances en cirug\u00eda han logrado minimizar el riesgo, se siguen describiendo nuevos casos de lesi\u00f3n. Varios estudios han valorado su incidencia y relevancia cl\u00ednica con resultados muy diversos en funci\u00f3n de las caracter\u00edsticas de dise\u00f1o del estudio y la metodolog\u00eda diagn\u00f3stica empleada. Otros han investigado la etiolog\u00eda de la lesi\u00f3n, considerando a la disecci\u00f3n de la arteria mamaria interna, la isquemia sist\u00e9mica o incluso la diabetes, frecuente en estos pacientes, como factores predisponentes, independientemente de la hipotermia. Por otro lado, los estudios sobre el desarrollo de neuropat\u00eda fr\u00e9nica en cirug\u00eda coronaria basados en t\u00e9cnicas neurofisiol\u00f3gicas son escasos, especialmente bajo condiciones de normotermia. Tampoco se dispone de informaci\u00f3n sobre el rendimiento diagn\u00f3stico de los diversos medios empleados habitualmente ni datos sobre la posible influencia de la diabetes basados en estudios cl\u00ednicos controlados.  nuestro objetivo fue valorar la incidencia, severidad, repercusi\u00f3n cl\u00ednica y evoluci\u00f3n de la lesi\u00f3n fr\u00e9nica, estudiar el riesgo de lesi\u00f3n en relaci\u00f3n con la diabetes y otras variables, as\u00ed como evaluar la capacidad diagn\u00f3stica de diversos m\u00e9todos utilizando como referencia la t\u00e9cnica de conducci\u00f3n del nervio fr\u00e9nico.  para ello estudiamos prospect\u00edvamente a 94 pacientes intervenidos de cirug\u00eda coronaria con uso en todos ellos de la arteria mamaria interna izquierda. en 8 pacientes se utiliz\u00f3 la arteria mamaria derecha y en 12 se llevaron a cabo otros procedimientos quir\u00fargicos. La mitad de los pacientes operados eran diab\u00e9ticos con polineuropat\u00eda. 70 pacientes fueron intervenidos con cirug\u00eda extracorp\u00f3rea y 24 bajo condiciones de normotermia.  a todos los pacientes se les efectu\u00f3 una valoraci\u00f3n cl\u00ednica, prueba<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Incidencia, factores de riesgo y evoluci\u00f3n de la neuropatia fr\u00e9nica en pacientes sometidos a cirugia coronaria de revascularizaci\u00f3n mioc\u00e1rdica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Incidencia, factores de riesgo y evoluci\u00f3n de la neuropatia fr\u00e9nica en pacientes sometidos a cirugia coronaria de revascularizaci\u00f3n mioc\u00e1rdica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Miguel \u00e1ngel Merino Ram\u00edrez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/11\/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>Anastasio Montero Argudo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: julio Mar\u00edn pardo <\/li>\n<li> Revuelta saba  Jos\u00e9 Manuel (vocal)<\/li>\n<li>Manuel Concha ruiz (vocal)<\/li>\n<li>Elena Rubio gomis (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Miguel \u00e1ngel Merino Ram\u00edrez La lesi\u00f3n del nervio fr\u00e9nico se asocia con frecuencia a la cirug\u00eda coronaria [&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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