{"id":87364,"date":"2018-03-10T00:12:09","date_gmt":"2018-03-10T00:12:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/criterios-para-iniciar-el-tratamiento-farmacologico-en-pacientes-hipertensos-esenciales\/"},"modified":"2018-03-10T00:12:09","modified_gmt":"2018-03-10T00:12:09","slug":"criterios-para-iniciar-el-tratamiento-farmacologico-en-pacientes-hipertensos-esenciales","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/criterios-para-iniciar-el-tratamiento-farmacologico-en-pacientes-hipertensos-esenciales\/","title":{"rendered":"Criterios para iniciar el tratamiento farmacologico en pacientes hipertensos esenciales."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Guillermo Garcia Garralon <\/strong><\/h2>\n<p>1-introduccion: existe una relaci\u00f3n continua entre la pa y el riesgo de desarrollar alguna de sus complicaciones. El tratamiento farmacologico de la hta reduce la mortalidad cerebrovascular. La decisi\u00f3n de tratar o no tratar farmacologicamente no deberia depender s\u00f3lo de las cifras de pa. Considerar el riesgo absoluto global de desarrollar enfermedad coronaria. 2-objetivos: conocer la evoluci\u00f3n global y el grado de control alcanzado tras 3 meses de seguimiento seg\u00fan el protocolo oms\/ish 93.- Conocer los mismos cambios tras 6 meses de seguimiento.- Determinar las caracteristicas clinicas que se asocian a la iniciacion del tratamiento farmacologico durante los 6 meses de seguimiento.-Determinar si la decisi\u00f3n de tratar farmacol\u00f3gicamente incluye a los pacientes de alto riesgo seg\u00fan el ecocardiograma.-Analizar los efectos del jnc vi y oms 99 sobre la muestra. 3- material y metodos. seguimiento en atenci\u00f3n primaria desde junio 1998 hasta marzo 2000. N:160 pacientes. Inclusi\u00f3n de hipertensos esenciales de reciente diagn\u00f3stico. realizaci\u00f3n de exploraci\u00f3n fisica, bioquimica y ecocardiografia a inicio y al 6\u00c2\u00ba mes. Toma de presi\u00f3n inicial, al 3\u00c2\u00ba y 6\u00c2\u00ba mes. Tratamiento con diur\u00e9tico si procedia seg\u00fan protocolo. Estadistica descriptiva y anal\u00edtica (an\u00e1lisis unviariante y multivariante). 4.- Principales resultados: -el riesgo cardiovascular global se redujo en el total  de la muestra, a los 3 meses solamente el 23,2% tenia su pa controlada, y a los 6 meses el 27,1%. Recibi\u00f3 tto a los 3 meses con farmaco el 28% y a los 6 meses un 17% mas. Fueron predictores de recibir tto farmacol\u00f3gico los sujetos con m\u00e1s edad, con una mayor pad e indice de masa ventricular izquierda, con remodelados concentricos e hipertrofias del vi y con un riesgo cardiovascular absoluto mayor, se dej\u00f3 sin tto con farmaco al 35,7% de las hipertrofias exc\u00e9ntricas, y al 33,3% de las hipertrofias conc\u00e9ntricas. Las recomendaciones del jnc vi aplicadas de entrada<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Criterios para iniciar el tratamiento farmacologico en pacientes hipertensos esenciales.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Criterios para iniciar el tratamiento farmacologico en pacientes hipertensos esenciales. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Guillermo Garcia Garralon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/11\/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>Manuel Luque Otero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Herrera povedo Jos\u00e9 Luis <\/li>\n<li>Luis Sanchez jimenez (vocal)<\/li>\n<li>nieves Martell claros (vocal)<\/li>\n<li>angel Gil de Miguel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Guillermo Garcia Garralon 1-introduccion: existe una relaci\u00f3n continua entre la pa y el riesgo de desarrollar alguna [&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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