{"id":88703,"date":"2001-02-02T00:00:00","date_gmt":"2001-02-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-del-dano-miocardico-en-el-postoperatorio-inmediato-de-pacientes-sometidos-a-la-revascularizacion-miocardica-con-bypass-cardiopulmonar-y-clampaje-aortico\/"},"modified":"2001-02-02T00:00:00","modified_gmt":"2001-02-02T00:00:00","slug":"valoracion-del-dano-miocardico-en-el-postoperatorio-inmediato-de-pacientes-sometidos-a-la-revascularizacion-miocardica-con-bypass-cardiopulmonar-y-clampaje-aortico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-del-dano-miocardico-en-el-postoperatorio-inmediato-de-pacientes-sometidos-a-la-revascularizacion-miocardica-con-bypass-cardiopulmonar-y-clampaje-aortico\/","title":{"rendered":"Valoraci\u00f3n del da\u00f1o mioc\u00e1rdico en el postoperatorio inmediato de pacientes sometidos a la revascularizaci\u00f3n mioc\u00e1rdica con bypass cardiopulmonar y clampaje a\u00f3rtico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pedro Alados Arboledas <\/strong><\/h2>\n<p>Introduccion  en los pacientes intervenidos de cirug\u00eda coronaria existen dos posibles causas de da\u00f1o mioc\u00e1rdico: el derivado de la utilizaci\u00f3n de cec junto a la isquemia tras el clampaje a\u00f3rtico con posterior reperfusi\u00f3n y la aparici\u00f3n de un iam perioperatorio.  hip\u00f3tesis y obejtivos  estudiar si la fracci\u00f3n soluble de la mol\u00e9cula de adhesi\u00f3n intercelular (s-icam) puede ser un marcador bioqu\u00edmico \u00fatil en la valoraci\u00f3n del da\u00f1o mioc\u00e1rdico que aparece tras la cirug\u00eda coronaria.  matrial y m\u00e9todos  entre abril de 1998 y enero de 1999 se estudiaron 51 pacientes con edad media de 63,75 + &#8211; 7,13 a\u00f1os, 45 hombres y 6 mujeres. El 78,4% era hipertensos, 60,8% hiperlip\u00e9micos, 58,8% habi\u00e1n tendio iam previo a la cirug\u00eda, 54,9% eran fumadores y un 39,2% diab\u00e9ticos. El 80% ten\u00edan una afectaci\u00f3n severa a tres vasos. Las variables de estudio fueron: hemodin\u00e1micas, respiratorias, gasom\u00e9tricas y bioquimicas (ck, ck-mb, troponina i, mioglobina, il-6  y s-icam). Los tiempos de estudio fueron: tras inducci\u00f3n anest\u00e9sica, a los 15 minutos tras reperfusi\u00f3n, 1,4,12,24 y 48 horas tras la cirug\u00eda.  resultados  la mortalidad fue de 6 pacientes 11,76% y la incidencia de complicaciones hemodin\u00e1micas fue de 10 pacientes 19,6%. En el an\u00e1lisis multivariante la existencia de un grado funcional nyha iii\/iv, malos lechos distales en el estudio angiogr\u00e1fico y de epoc, fueron variables preoperatorias predictoras de moratilidad. La sao2, io2 y el pha a la lelgada a uci y el exceso de bases junto con la paco2 a las 12 horas de cirug\u00eda fueron las variables respiratorias y gasom\u00e9tricas predictoras de moratalidad. La utilizaci\u00f3n de 3 \u00f3 m\u00e1s inotropos junto con la temperatura perif\u00e9rica a las 48 horas fueron tambi\u00e9n variables que se asociaron a una mayor mortalidad.  Por \u00faltimo, la troponina i a las 48 horas junto con el s-icam a los 15 minutos de reperfusi\u00f3n y a las 48 horas fueron las variables bioqu\u00edmicas que se mostraron pred<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n del da\u00f1o mioc\u00e1rdico en el postoperatorio inmediato de pacientes sometidos a la revascularizaci\u00f3n mioc\u00e1rdica con bypass cardiopulmonar y clampaje a\u00f3rtico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n del da\u00f1o mioc\u00e1rdico en el postoperatorio inmediato de pacientes sometidos a la revascularizaci\u00f3n mioc\u00e1rdica con bypass cardiopulmonar y clampaje a\u00f3rtico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pedro Alados Arboledas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/02\/2001<\/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 Concha Ru\u00edz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Pera madrazo <\/li>\n<li>Jos\u00e9 lu\u00eds Pomar moya-prats (vocal)<\/li>\n<li>Manuel Gonz\u00e1lez eguaras (vocal)<\/li>\n<li> Montero agudo Jos\u00e9 a. (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pedro Alados Arboledas Introduccion en los pacientes intervenidos de cirug\u00eda coronaria existen dos posibles causas de da\u00f1o [&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":[9,141,2189,973,156,1601],"tags":[2043,1165,2286,33434,184960,184959],"class_list":["post-88703","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","category-cordoba","category-patologia","category-patologia-cardiovascular","tag-carlos-pera-madrazo","tag-jose-luis-pomar-moya-prats","tag-manuel-concha-ruiz","tag-manuel-gonzalez-eguaras","tag-montero-agudo-jose-a","tag-pedro-alados-arboledas"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88703","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=88703"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88703\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}