{"id":78899,"date":"2006-02-03T00:00:00","date_gmt":"2006-02-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-hermodinamica-en-el-postoperatorio-de-ciruga%c2%ada-cardiaca-mediante-estimulacion-electrica-biventricular\/"},"modified":"2006-02-03T00:00:00","modified_gmt":"2006-02-03T00:00:00","slug":"evaluacion-hermodinamica-en-el-postoperatorio-de-ciruga%c2%ada-cardiaca-mediante-estimulacion-electrica-biventricular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/evaluacion-hermodinamica-en-el-postoperatorio-de-ciruga%c2%ada-cardiaca-mediante-estimulacion-electrica-biventricular\/","title":{"rendered":"Evaluaci\u00f3n hermodin\u00e1mica en el postoperatorio de cirugia cardiaca mediante estimulaci\u00f3n el\u00e9ctrica biventricular"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  S\u00e1nchez Calvelo Daniel Alberto <\/strong><\/h2>\n<p>Objetivos     la estimulaci\u00f3n temporal postoperatoria en cirug\u00eda card\u00edaca es una herramienta terap\u00e9utica infrautilizada ya que s\u00f3lo se aplica para aumentar la frecuencia card\u00edaca en los cuadros que cursan con bradicardia obviando el efecto de la electroestimulaci\u00f3n sobre la precarga as\u00ed como sobre la contractivilidad  y eficiencia de la s\u00edstole ventricular. La elecci\u00f3n de la c\u00e1mara ventricular, el n\u00famero y localizaci\u00f3n de los puntos donde se estimulan pueden condicionar la aparici\u00f3n o reversi\u00f3n de asincronismo durante la s\u00edstole as\u00ed como una disfunci\u00f3n de las v\u00e1lvulas aur\u00edculo-ventriculares.  material y m\u00e9todos     se estudiaron 50 pacientes, con una edad media de 67,14 a\u00f1os. El 50% ten\u00eda fe menor del 50%. El diagn\u00f3stico preoperatorio fue: estenosis a\u00f3rtica 45%, cardiopat\u00eda isqu\u00e9mica 35%, insuficiencia a\u00f3rtica 12,5% e insuficiencia mitral 7,5%. El 84% estaban en rs y el 16% en fa. Presentaban brihh, 18%, hbaihh, 8%, bav 6% y brdhh 4%. Las variantes de estimulaci\u00f3n fueron:     1,- estimulaci\u00f3n secuencial av-vi anocat\u00f3dica con c\u00e1todo en vi.     2,- estimulaci\u00f3n secuencial av-vd anocat\u00f3dica con c\u00e1todo en vd en los pacientes en rs.      en los pacientes en fa se realiz\u00f3:     1,- estimulaci\u00f3n anocat\u00f3dica ventricular izquierda con c\u00e1todo en vi.     2,- estimulaci\u00f3n anocat\u00f3dica ventricular derecha con c\u00e1todo en vd.  se evaluaron los siguientes par\u00e1metros hemodin\u00e1micos: fc, pss, pasg, paps, papd, gc y svo2.  resultados     el an\u00e1lisis global mostr\u00f3 una mejor\u00eda del gc, paps, y papd durante la estimulaci\u00f3n secuencial ad-vi y un descenso de los mismos durante la estimulaci\u00f3n secuencial ad-v en los pacientes con r. En los pacientes en fa hubo mejor\u00eda del gc, pass y pasd durante el modo de estimulaci\u00f3n del vi. Los pacientes con brihh, fe deprimida y conservada, tuvieron un incremento del gc, pass y pasd durante el modo de estimulaci\u00f3n secuencial ad-vi y descenso de estos par\u00e1metros durante la estimulaci\u00f3<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n hermodin\u00e1mica en el postoperatorio de cirugia cardiaca mediante estimulaci\u00f3n el\u00e9ctrica biventricular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n hermodin\u00e1mica en el postoperatorio de cirugia cardiaca mediante estimulaci\u00f3n el\u00e9ctrica biventricular <\/li>\n<li><strong>Autor:<\/strong>\u00a0  S\u00e1nchez Calvelo Daniel Alberto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Santiago de compostela<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/03\/2006<\/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>Jos\u00e9 Benito Garcia Bengoechea Gonzalez Moro<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Revuelta soba <\/li>\n<li>Juan Mart\u00ednez le\u00f3n (vocal)<\/li>\n<li>Jos\u00e9 ram\u00f3n Gonz\u00e1lez Juan atey (vocal)<\/li>\n<li>Juli\u00e1n \u00e1lvarez escudero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de S\u00e1nchez Calvelo Daniel Alberto Objetivos la estimulaci\u00f3n temporal postoperatoria en cirug\u00eda card\u00edaca es una herramienta terap\u00e9utica infrautilizada [&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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