{"id":78951,"date":"2006-03-03T00:00:00","date_gmt":"2006-03-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validacion-de-la-troponina-i-en-el-diagnostico-de-infarto-agudo-de-miocardio\/"},"modified":"2006-03-03T00:00:00","modified_gmt":"2006-03-03T00:00:00","slug":"validacion-de-la-troponina-i-en-el-diagnostico-de-infarto-agudo-de-miocardio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validacion-de-la-troponina-i-en-el-diagnostico-de-infarto-agudo-de-miocardio\/","title":{"rendered":"Validacion de la troponina i en el diagnostico de infarto agudo de miocardio"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Fabregat Reolid Ana Mar\u00eda <\/strong><\/h2>\n<p>Introduccion: debido a la falta de criterio uniforme en el diagn\u00f3stico del iam (lo que algunos autores denominan como caos diagn\u00f3stico), la sociedad europea de cardiolog\u00eda y el colegio americano de cardiolog\u00eda redefinieron dicho diagn\u00f3stico de manera que consideran que tambi\u00e9n como iam peque\u00f1as \u00e1reas de necrosis, de manera que asumen que existe da\u00f1o mioc\u00e1rdico cuando la medida de las concentraciones de los biomarcadores troponina i y ckmh masa est\u00e9n por encima del percentil 99th del grupo de referencia sano considerando un coeficiente de variaci\u00f3n inferior o igual a 10%.  objetivos: en lo que se refiere a los objetivos de este estudio, nos planteamos unos objetivos primarios y otros secundarios. Formando parte de los objetivos primarios se encuentra el hecho de conocer la validez y utilidad de determinadas pruebas bioqu\u00edmicas entre las que se encuentra la troponina i para el diagn\u00f3stico del iam (y tambi\u00e9n para el diagn\u00f3stico conjunto de iam+\u00e1ngor) en cutro intervalos de tiempo distintos: al inicio del dolor precordial, a las 6-8 horas del dolor, a las 24 horas del dolor y al alta del paciente. Con esto se pretende construir para l\u00e1 pr\u00e1ctica cl\u00ednica \u00e1rboles de decisi\u00f3n cl\u00ednica y gu\u00edas de pr\u00e1ctica cl\u00ednica. En cuanto a los objetivos secundarios, nos planteamos valorar el perfil de las variables predictoras cl\u00ednicas epidemiol\u00f3gicas que se asocien al diagn\u00f3stico del iam (y tambi\u00e9n al diagn\u00f3stico conjunto de iam+\u00e1ngor).  material y metodos: el estudio fue realizado en el area de salud n\u00famero 17 de la comunidad Valenciana que cuenta con un total de 194.975 habitantes. el periodo estudiado comprendi\u00f3 desde noviembre del 2001 hasta enero del 2002 sumando un total de 14 meses. El tama\u00f1o muestral del estudio sigui\u00f3 los criterios de la escuela de medicina basada en la evidencia, de forma que se recogieron 63 pacientes con iam y 54 pacientes sin iam (n117). En cuanto al dise\u00f1o del estudio, se\u00f1alar que se trata<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validacion de la troponina i en el diagnostico de infarto agudo de miocardio<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validacion de la troponina i en el diagnostico de infarto agudo de miocardio <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Fabregat Reolid Ana Mar\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/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>Jaime Merino Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Cabrera de leon <\/li>\n<li>Jos\u00e9 Abellan aleman (vocal)<\/li>\n<li>salvador Pita fernandez (vocal)<\/li>\n<li>radhames Hernandez mejia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fabregat Reolid Ana Mar\u00eda Introduccion: debido a la falta de criterio uniforme en el diagn\u00f3stico del iam [&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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