{"id":75961,"date":"2018-03-09T23:21:19","date_gmt":"2018-03-09T23:21:19","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/identificacion-de-variables-predictivas-de-riesgo-en-la-evaluacion-inicial-de-la-angina-inestable\/"},"modified":"2018-03-09T23:21:19","modified_gmt":"2018-03-09T23:21:19","slug":"identificacion-de-variables-predictivas-de-riesgo-en-la-evaluacion-inicial-de-la-angina-inestable","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/identificacion-de-variables-predictivas-de-riesgo-en-la-evaluacion-inicial-de-la-angina-inestable\/","title":{"rendered":"Identificaci\u00f3n de variables predictivas de riesgo en la evaluaci\u00f3n inicial de la angina inestable."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joaquin Rueda Soriano <\/strong><\/h2>\n<p>Los objetivos del trabajo han sido conocer el perfil demogr\u00e1fico, cl\u00ednico y electrocardiogr\u00e1fico de los pacientes ingresados con diagn\u00f3stico de s\u00edndrome coronario agudo sin elevaci\u00f3n persistente del segmento st. Analizar la incidencia de eventos adversos isqu\u00e9micos durante el ingreso hospitalario y tras un seguimiento a largo plazo. Identificar las variables que obtenidas en el ingreso que sean predictivas de los eventos adversos isqu\u00e9micos.  en el trabajo se ha observado que los pacientes estudiados forman un grupo heterog\u00e9neo, con una edad media alta, mayor proporci\u00f3n de hombres y elevada preValencia de factores de riesgo, fundamentalmente hipertensi\u00f3n arterial, hipercolesterolemia, cardiopatia isqu\u00e9mica previa y arteriopat\u00eda perif\u00e9rica. en el momento del ingreso el 30% de los pacientes no presentaron alteraciones de la repolarizaci\u00f3n, aunque estas se observaron en el 100% de los pacientes con infarto sin elevaci\u00f3n del segmento st.  la mortalidad intrahospitalaria fue del 2,7% y la incidencia de eventos combinados del 4,6%, presentadose m\u00e1s de la mitad de ellos en las primeras 48 horas.  las variables asociadas a una mayor incidencia del evento combinado muerte o infarto hospitalario fueron: edad mayor o igual a 70 a\u00f1os. Sexo femenino, infarto sin elevaci\u00f3n del segmento st, angina progresiva, diabetes melitus, insuficiencia renal, insuciencia cardiaca previa, insuficiencia cardiaca killip mayor de i, cambios del segmento st-onda t, descenso del segmento st, frecuencia cardiaca elevada y niveles elevados de fibrin\u00f3geno, glucemia y ckmb. Las variables predictoras independientes del evento combinado intrahospitalario fueron: edad mayor o igual a 70 a\u00f1os, descenso del segmento st y niveles de fibrin\u00f3geno iguales o superiores a 385 mg\/dl.  los pacientes presentaron una elevada incidencia de complicaciones graves isqu\u00e9micas durante los 3 primeros meses , similar a la presentada durante la fase aguda. Las variables p<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Identificaci\u00f3n de variables predictivas de riesgo en la evaluaci\u00f3n inicial de la angina inestable.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Identificaci\u00f3n de variables predictivas de riesgo en la evaluaci\u00f3n inicial de la angina inestable. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joaquin Rueda Soriano <\/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 22\/07\/2005<\/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>Luis Almenar Bonet<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Lopez merino <\/li>\n<li>Juan  Antonio Ruiperez abizanda (vocal)<\/li>\n<li> Ferreira montero ignacio j. (vocal)<\/li>\n<li>angel Llacer escorihuela (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joaquin Rueda Soriano Los objetivos del trabajo han sido conocer el perfil demogr\u00e1fico, cl\u00ednico y electrocardiogr\u00e1fico 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 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],"tags":[12066,3110,164015,8837,60968,11497],"class_list":["post-75961","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","tag-angel-llacer-escorihuela","tag-ferreira-montero-ignacio-j","tag-joaquin-rueda-soriano","tag-juan-antonio-ruiperez-abizanda","tag-luis-almenar-bonet","tag-vicente-lopez-merino"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/75961","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=75961"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/75961\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=75961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=75961"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=75961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}