{"id":86947,"date":"2018-03-10T00:11:38","date_gmt":"2018-03-10T00:11:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/maracadores-de-hemostasia-y-evolucion-a-largo-plazo-de-pacientes-con-infarto-agudo-de-miocardio\/"},"modified":"2018-03-10T00:11:38","modified_gmt":"2018-03-10T00:11:38","slug":"maracadores-de-hemostasia-y-evolucion-a-largo-plazo-de-pacientes-con-infarto-agudo-de-miocardio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/maracadores-de-hemostasia-y-evolucion-a-largo-plazo-de-pacientes-con-infarto-agudo-de-miocardio\/","title":{"rendered":"Maracadores de hemostasia y evoluci\u00f3n a largo plazo de pacientes con infarto agudo de miocardio"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pascual Fern\u00e1ndez Abellan <\/strong><\/h2>\n<p>Una de las complicaciones m\u00e1s graves en el paciente infartado es la nueva lesi\u00f3n isqu\u00e9mica. El estado hemost\u00e1tico del paciente puede ser un factor pron\u00f3stico en esta situaci\u00f3n.  se estudi\u00f3 si ciertos par\u00e1metros de hemostasia son capaces de predecir la repetici\u00f3n de accidentes isqu\u00e9micos en supervivientes de un infarto, con criterios cl\u00ednicos de bajo riesgo. Se valor\u00f3 si los hallazgos son independientes de los factores de riesgo cardiovascular.  se incluyeron en el estudio pacientes consecutivos supervivientes de un primer infarto ingresados en un servicio de cardiolog\u00eda, durante un a\u00f1o. Todos ten\u00edan una prueba de esfuerzo de bajo riesgo.  se determin\u00f3 los factores de riesgo cardiovascular a los que se encontraban expuestos. Medici\u00f3n los siguientes par\u00e1metros de homostasia: fibrin\u00f3geno, t-pa antig\u00e9ncio, pai-1 antig\u00e9nico, factor von willebrand, factor risular, tfpi total y libre. Seguimiento cl\u00ednico durante un m\u00ednimo de cuatro a\u00f1os, valoraci\u00f3n como mala evoluci\u00f3n sufrir muerte s\u00fabita, reinfarto o \u00e1ngor inestable. Valoraci\u00f3n pron\u00f3stica uni y multivariante, con estimaci\u00f3n de riesgo relativo.  de los 55 pacientes estudiados 8 tuvieron evoluci\u00f3n desfavorable (1 muerte, 2 infartos y 5 \u00e1ngor inestable). El \u00fanico factor de riesgo cardiovascular que result\u00f3 predictivo fue la cifra de hdl-colesterol con rr; 0,8(0,6-0,9), p: 0,01 y como par\u00e1metro de hemostasia, el t-pa antig\u00e9nico, con rr: 1,2 (1-1,6), p de 0,05. En el estudio multivariante las dos variables positivas en el univariante mantuvieron su significaci\u00f3n estad\u00edstica.  observamos que el t-pa antig\u00e9nico es un marcador de pron\u00f3stico desfavorable en pacientes supervivientes de un infarto, dentro de los considerados de bajo riesgo, seg\u00fan criterios cardiol\u00f3gicos . El t-pa antig\u00e9nico no parece estar influenciado por los factores de riesgo cardiovascualar cl\u00e1sicos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Maracadores de hemostasia y evoluci\u00f3n a largo plazo de pacientes con infarto agudo de miocardio<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Maracadores de hemostasia y evoluci\u00f3n a largo plazo de pacientes con infarto agudo de miocardio <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pascual Fern\u00e1ndez Abellan <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/10\/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>Pascual Maraco Vera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Vicente Garc\u00eda <\/li>\n<li>Jos\u00e9 Antonio Ruiz ros (vocal)<\/li>\n<li>edelmiro Reagnon salvador (vocal)<\/li>\n<li>Juan Caturla such (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pascual Fern\u00e1ndez Abellan Una de las complicaciones m\u00e1s graves en el paciente infartado es la nueva lesi\u00f3n [&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":[932,9,218,139,37169],"tags":[182219,93792,31123,137314,182218,8242],"class_list":["post-86947","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-hematologia","category-medicina-interna","category-miguel-hernandez-de-elche","tag-edelmiro-reagnon-salvador","tag-jose-antonio-ruiz-ros","tag-juan-caturla-such","tag-pascual-fernandez-abellan","tag-pascual-maraco-vera","tag-vicente-vicente-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/86947","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=86947"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/86947\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=86947"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=86947"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=86947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}