{"id":76414,"date":"2018-03-09T23:21:47","date_gmt":"2018-03-09T23:21:47","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ecocardiografa%c2%ada-doppler-en-la-valoracio-del-foramen-oval-permeable-implicacions-terapa%c2%a8utiques\/"},"modified":"2018-03-09T23:21:47","modified_gmt":"2018-03-09T23:21:47","slug":"ecocardiografa%c2%ada-doppler-en-la-valoracio-del-foramen-oval-permeable-implicacions-terapa%c2%a8utiques","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ecocardiografa%c2%ada-doppler-en-la-valoracio-del-foramen-oval-permeable-implicacions-terapa%c2%a8utiques\/","title":{"rendered":"Ecocardiograf\u00edadoppler en la valoraci\u00f3 del foramen oval permeable. implicacions terap\u00e9utiques"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gonz\u00e1lez Alujas Mar\u00eda Teresa <\/strong><\/h2>\n<p>El foramen oval permeable (fop) est\u00e1 presente en el 30% de la poblaci\u00f3n. hay discrepancia entre las t\u00e9cnicas diagn\u00f3sticas: doppler transcraneal (dtc), ecocardiograf\u00eda transeosof\u00e1gica (ete) y ecocardiograf\u00eda transtor\u00e1cica (eit). El inter\u00e9s para estudiar el fop reside en que puede ser la causa de embolia parad\u00f3jica. El accidente vascular cerebral criptog\u00e9nico (avc-c) se ha asociado a su presencia. La definici\u00f3n de sus caracter\u00edsticas morfol\u00f3gicas en relaci\u00f3n con el riesgo de recurrencia es fundamental para dise\u00f1ar una estrategia de tratamiento adecuada.  motivo del estudio y objetivos  1,- discrepancies entre dtc i ete. Estudio de discrepancias y elaboraci\u00f3n de la estrategia diagn\u00f3stica.  2,- valorar la relaci\u00f3n entre fop i avc-c. Determinaci\u00f3n del tratamiento seg\u00fan los datos estudiados.  dise\u00f1o del estudio  2 fases.  fase i: an\u00e1lisis de la concordancia entre t\u00e9cnicas.  fase ii: relaci\u00f3n entre fop y avc-c.  pacientes y m\u00e9todos  134 pacientes con sospecha de avc-c fueron incluidos en la fase i (28 ait, 91 avc y 15 migra\u00f1a) de edades 46,4 +- 14,2. En 21 pacientes se valoraron los cambios de las variables fisiol\u00f3gicas durante la sedaci\u00f3n del ete. fase ii: se incluyeron 119 pacientes diagnosticados de avc-c (28 ait, 91 avc).  Para establecer la incidencia de fop en la poblaci\u00f3n normal se estudi\u00f3 un grupo control de 65 pacientes sin patolog\u00eda cardioemb\u00f3lica. A todos los pacientes se practic\u00f3 dtc, ett y ete simult\u00e1neamente y se dio como positivo el diagn\u00f3stico en el que 2 de las t\u00e9cnicas concordaban. El seguimiento y tratamiento se realiz\u00f3 por el neur\u00f3logo.  resultados  fase i: se diagn\u00f3stico de fop a 93 (93\/134: 69%) 17 mostraron discordancia entre t\u00e9cnicas: 4 entre el dtc y ett\/ete y 13 entre la ete y ett\/dtc. El dtc hizo 3 falsos negativos en cortocircuitos ligeros y un falso positivo en un paciente con f\u00edstula pulmonar. La ete hizo 13 falsos negativos que fueron diagnosticados de fop po<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ecocardiograf\u00edadoppler en la valoraci\u00f3 del foramen oval permeable. implicacions terap\u00e9utiques<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ecocardiograf\u00edadoppler en la valoraci\u00f3 del foramen oval permeable. implicacions terap\u00e9utiques <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gonz\u00e1lez Alujas Mar\u00eda Teresa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/09\/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>Artur Evangelista Masip<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jordi Soler soler <\/li>\n<li> Par\u00e9 bardera joan carles (vocal)<\/li>\n<li>gines Sanz romero (vocal)<\/li>\n<li>gaieta Permanyer miralda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gonz\u00e1lez Alujas Mar\u00eda Teresa El foramen oval permeable (fop) est\u00e1 presente en el 30% de la poblaci\u00f3n. [&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":[932,9,139,1880,156,1601],"tags":[82668,29385,11774,164879,29317,164880],"class_list":["post-76414","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-neurologia","category-patologia","category-patologia-cardiovascular","tag-artur-evangelista-masip","tag-gaieta-permanyer-miralda","tag-gines-sanz-romero","tag-gonzalez-alujas-maria-teresa","tag-jordi-soler-soler","tag-pare-bardera-joan-carles"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76414","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=76414"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76414\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=76414"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=76414"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=76414"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}