{"id":8519,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/taquicardias-incesantes-por-reentrada-atrioventricular-electrofisiologia-y-tratamiento-mediante-ablacion-con-cateter-y-radiofrecuencia\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"taquicardias-incesantes-por-reentrada-atrioventricular-electrofisiologia-y-tratamiento-mediante-ablacion-con-cateter-y-radiofrecuencia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/taquicardias-incesantes-por-reentrada-atrioventricular-electrofisiologia-y-tratamiento-mediante-ablacion-con-cateter-y-radiofrecuencia\/","title":{"rendered":"Taquicardias incesantes por reentrada atrioventricular. electrofisiolog\u00eda y tratamiento mediante ablacion con cateter y radiofrecuencia."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Grande Ruiz <\/strong><\/h2>\n<p>Las taquicardias supraventriculares incesantes (permanentes o persistentes) de tipo primario constituyen un sindrome clinico-electrocardiografico poco frecuente en el que los ventriculos, de forma constante o casi constante son estimulados a frecuencias rapidas. El origen y mecanismo es variable siendo el mas frecuente el basado en una reentrada atrioventricular.  electrocardiograficamente el intervalo pr es menor que el rp. Clinicamente los pacientes (p) desarrollan cardiomegalia y signos de disfuncion ventricular izquierda (taquicardiomiopatia). El objetivo de esta tesis es analizar la experiencia del laboratorio de electrofisiolog\u00eda clinica cardiaca de la fundacion jimenez diaz en p con taquicardia incesante por reentrada atrioventricular (tirav) en sus aspectos clinicos, electrofisologicos y terapeuticos. Material y metodos. Se han estudiado 14 p (7 varones) con tirav, edad media de 28+-21 a\u00f1os (9-69). Los p habian recibido una media de 2,7+-1,2 farmacos antiarritmicos. Se han realizado ecocardiograma, ecg de esfuerzo, monitorizacion continua de ecg y estudio electrofisiologico basal. En 6 p se ha realizado ablacion con cateter por radiofrecuencia del haz anomalo. Resultados. Los p con tirav desarrollan la arritmia en las primeras decadas de la vida (19+-20 a\u00f1os). En el 69% de los casos existen disfuncion ventricular izquierdala insuficiencia cardiaca (ic) es la primera manifestacion en el 29% de los p en los p con antecedentes de ic la edad de diagnostico de la taquicardia esmenor que en los que carecen de tal antecedente (3,0+-2,6 vs 23,5+-18 a\u00f1os, p=0,03). El 71% de los p presento palpitaciones el 21% sincopes y el 21% fibrilacion auricular paroxistica. En el ecg todos los p tenian un rp pr, ondas p negativas en cara inferior y precordiales izquierdas. Tres p (21%) tenian el eje del qrs desviado hacia la izquierda. Una p tenia preexcitacion anterograda intermitente en ritmo sinusal. El brazo retrogrado del circuito fue<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Taquicardias incesantes por reentrada atrioventricular. electrofisiolog\u00eda y tratamiento mediante ablacion con cateter y radiofrecuencia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Taquicardias incesantes por reentrada atrioventricular. electrofisiolog\u00eda y tratamiento mediante ablacion con cateter y radiofrecuencia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Grande Ruiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Jeronimo Farre Muncharaz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Manuel Oya Otero <\/li>\n<li>Jes\u00fas Almendral Garrote (vocal)<\/li>\n<li>Roberto Garcia Civera (vocal)<\/li>\n<li>Concepcion Moro Serrano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Grande Ruiz Las taquicardias supraventriculares incesantes (permanentes o persistentes) de tipo primario constituyen un sindrome clinico-electrocardiografico [&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":[29832,29835,29833,29834,2097,11906],"class_list":["post-8519","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","tag-angel-grande-ruiz","tag-concepcion-moro-serrano","tag-jeronimo-farre-muncharaz","tag-jesus-almendral-garrote","tag-manuel-oya-otero","tag-roberto-garcia-civera"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/8519","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=8519"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/8519\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=8519"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=8519"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=8519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}