{"id":83303,"date":"2000-10-02T00:00:00","date_gmt":"2000-10-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/monitoritzacio-ambulatoria-de-pressio-arterial10-anys-daexperiencia-en-un-centre-daatencio-primaria-1989-1999\/"},"modified":"2000-10-02T00:00:00","modified_gmt":"2000-10-02T00:00:00","slug":"monitoritzacio-ambulatoria-de-pressio-arterial10-anys-daexperiencia-en-un-centre-daatencio-primaria-1989-1999","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/monitoritzacio-ambulatoria-de-pressio-arterial10-anys-daexperiencia-en-un-centre-daatencio-primaria-1989-1999\/","title":{"rendered":"Monitoritzaci\u00f3 ambulat\u00f3ria de pressi\u00f3 arterial:10 anys d\u00c2\u00bfexperiencia en un centre d\u00c2\u00bfatenci\u00f3 primaria, 1989-1999."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ernest Vi\u00f1olas Bargallo <\/strong><\/h2>\n<p>Introducci\u00f3n: la monitorizaci\u00f3n ambulatoria de presi\u00f3n arterial (mapa) ha demostrado una buena correlaci\u00f3n con registros intraarteriales de presi\u00f3n arterial (pa). Las lecturas medias por mapa se correlacionan mucho mejor con la lesi\u00f3n de organos diana (hipertrofia ventricular izquierda, microalbuminuria, retinopatia) y con la regresi\u00f3n de la hipertrofia ventricular izquierda que no la pa de la consulta. Adem\u00e1s a mayor pa ambulatoria mayor riesgo de evento cardiovascular, con un valor predictivo superior a las pa de la consulta. De todas formas, la mapa todavia no tiene un papel clinico suficientemente establecido en atenci\u00f3n primaria, ambito donde no se ha generalizado su uso.  objetivos: valorar la utilidad de la mapa como aproximaci\u00f3n diagn\u00f3stica y en la toma de decisiones clinicas en el paciente hipertenso atendido en condiciones de pr\u00e1ctica clinica habitual. Describir modelos predictores para la hipertensi\u00f3n clinica aislada (hca), el control de la pa, la curva tensional noctura y su reproductibilidad, la frecuencia cardiaca, la poblacion normotensa y la variabilidad tensional.  dise\u00f1o: estudio retrospectivo y comparativo tras intervenci\u00f3n diagn\u00f3stica (mapa).  ambito: centro de atencion primaria urbano.  sujetos:muestreo a conveniencia de hipertensos y normotensos mayores de 14 a\u00f1os, con o sin tratamiento farmacol\u00f3gico, excluidos los que, por circunstancias biopsicosociales, su medico de familia desanconseja su inclusi\u00f3n. La muestra es de 634 registros mapa(574 pacientes).  medidas e intervenciones: despu\u00e9s de medir la pa en la consulta basal, con esfigmoman\u00f3metro de mercurio en 3 tomas consecutivas se practic\u00f3 un registro mapa de 24 horas (spacelabs 90202-90207). A 60 pacientes se les repitio la mapa. Reclutamiento entre 1989 y 1999. Seguimiento de una submuestra de pacientes con hca.  resultados:edad 50,8(16,6) a\u00f1os, 331(55,9%) mujeres, 516(87,2% hipertensos, pa consulta 150(22,7)\/89(13,6) mmhg,210(46,<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Monitoritzaci\u00f3 ambulat\u00f3ria de pressi\u00f3 arterial:10 anys d\u00c2\u00bfexperiencia en un centre d\u00c2\u00bfatenci\u00f3 primaria, 1989-1999.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Monitoritzaci\u00f3 ambulat\u00f3ria de pressi\u00f3 arterial:10 anys d\u00c2\u00bfexperiencia en un centre d\u00c2\u00bfatenci\u00f3 primaria, 1989-1999. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ernest Vi\u00f1olas Bargallo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/02\/2000<\/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>Miquel Vilardell Tarres<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Bosch gil josep angel <\/li>\n<li>concepcion Violan fors (vocal)<\/li>\n<li>amando Mart\u00edn zurro (vocal)<\/li>\n<li>eduardo Diogene fadini (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ernest Vi\u00f1olas Bargallo Introducci\u00f3n: la monitorizaci\u00f3n ambulatoria de presi\u00f3n arterial (mapa) ha demostrado una buena correlaci\u00f3n con 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