{"id":85275,"date":"2018-03-10T00:09:41","date_gmt":"2018-03-10T00:09:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/identificacion-precoz-y-profilaxis-de-las-complicaciones-hipertensivas-en-el-embarazo\/"},"modified":"2018-03-10T00:09:41","modified_gmt":"2018-03-10T00:09:41","slug":"identificacion-precoz-y-profilaxis-de-las-complicaciones-hipertensivas-en-el-embarazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/identificacion-precoz-y-profilaxis-de-las-complicaciones-hipertensivas-en-el-embarazo\/","title":{"rendered":"Identificaci\u00f3n precoz y profilaxis de las complicaciones hipertensivas en el embarazo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Diana Elva Ayala Garc\u00eda <\/strong><\/h2>\n<p>En primer lugar hemos examinado prospectivamente si el tolerance-hyperbaric test, prueba diagn\u00f3stica consistente en establecer intervalos de tolerancia para la variabilidad circadiana de la presi\u00f3n arterial (pa) como umbral de referencia, y entonces calcular el \u00edndice hiperb\u00e1rico mediante la comparaci\u00f3n de la serie de pa de una paciente con esos intervalos, porporciona alta sensibilidad para la identificaci\u00f3n precoz de mujeres que desarrollar\u00e1n hipertensi\u00f3n gestacional o preeclampsia.  para ello analizamos un total de 1494 series de pa monitorizadas autom\u00e1ticamente durante 48 horas cada 4 semanas en 124 gestantes sanas, 55 que desarrollaron hipertensi\u00f3n gestacional, y 23 que desarrollaron preeclampsia. La sensibilidad de la prueba diagn\u00f3stica fue del 94% en el primer trimestre, aumentando al 99% en el tercer trimestre. Los valores predictivo positivo y negativo fueron superiores al 97% en todos los trimestres. Adem\u00e1s, la utilizaci\u00f3n de este test permiti\u00f3, en promedio, la identificaci\u00f3n de hipertensi\u00f3n gestacional o preeclampsia 23 semanas antes de la confirmaci\u00f3n cl\u00ednica de la enfermedad. esta nueva prueba, ahora validada prospectivamente, respresenta un test reproducible, no invasivo y de alta sensibilidad para la identificaci\u00f3n precoz de hipertensi\u00f3n gestacionaly preeclampsia.  por otra parte, desarrollamos un ensayo cl\u00ednico que investig\u00f3 los efectos de la aspirina (asa) a baja dosis sobre la pa n embarazadas con riesgo de desarrollar hipertensi\u00f3n gestacional o preeclampsia. Este ensayo cl\u00ednico doble-ciego, aleatorizado y controlado se llev\u00f3 a acabo en 200 embarazadas.  la pa de cada voluntaria fue nonitorizada durante 48 horas cada 4 semanas desde el d\u00eda de su inclusi\u00f3n en el estudio hasta el d\u00eda del parto, as\u00ed como en el puerperio ( 6 a 8 semanas despu\u00e9s del parto).  las gestantes fueron asignadas aleatoriamente a uno de entre 6 grupos, en funci\u00f3n del tratamiento recibido (placebo, 100 voluntarias: \u00f3<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Identificaci\u00f3n precoz y profilaxis de las complicaciones hipertensivas en el embarazo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Identificaci\u00f3n precoz y profilaxis de las complicaciones hipertensivas en el embarazo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Diana Elva Ayala Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/06\/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> Hermida Dom\u00ednguez Ramon Carmelo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Iglesias diz <\/li>\n<li>vicente Lahera julia (vocal)<\/li>\n<li>Rafael Marin iranzo (vocal)<\/li>\n<li>Carlos Calvo gomez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Diana Elva Ayala Garc\u00eda En primer lugar hemos examinado prospectivamente si el tolerance-hyperbaric test, prueba diagn\u00f3stica consistente [&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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