{"id":88860,"date":"2018-03-10T00:13:55","date_gmt":"2018-03-10T00:13:55","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ecocardiografa%c2%ada-con-dobutamina-enla-valoracion-de-isquemia-y-viabilidad-miocardica-en-la-ciruga%c2%ada-de-revascularizacion-coronaria\/"},"modified":"2018-03-10T00:13:55","modified_gmt":"2018-03-10T00:13:55","slug":"ecocardiografa%c2%ada-con-dobutamina-enla-valoracion-de-isquemia-y-viabilidad-miocardica-en-la-ciruga%c2%ada-de-revascularizacion-coronaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ecocardiografa%c2%ada-con-dobutamina-enla-valoracion-de-isquemia-y-viabilidad-miocardica-en-la-ciruga%c2%ada-de-revascularizacion-coronaria\/","title":{"rendered":"Ecocardiograf\u00edacon dobutamina enla valoraci\u00f3n de isquemia y viabilidad mioc\u00e1rdica en la cirugia de revascularizaci\u00f3n coronaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  P\u00e9rez Bosc\u00e1 Jos\u00e9 Leandro <\/strong><\/h2>\n<p>La ecocardiograf\u00eda condobutamina (eco-dob) es un m\u00e9todo diagn\u00f3stico cuya utilidad en la detecci\u00f3n  de isquemia mioc\u00e1rdica y en la detecci\u00f3n de viabilidad mioc\u00e1rdica ha sido bien documentada. Sin embargo, su utilidad en pacientes revascularizados quir\u00fargicas ha sido poco estudiada.  objetivos  determinar la utilidad de la ecocardiograf\u00eda con dobutamina para la:  1- detecci\u00f3n y localizaci\u00f3n de isquemia residual en pacientes revascularizados quir\u00fargicamente comparando los resultados con \u00e9sta t\u00e9cnica con los obtenidos en la prueba de esfuerzo convencional.  2- detecci\u00f3n de miocardio viable, as\u00ed como el valor predictivo de cada uno de los patrones de respuesta del miocardio disfuncionante a la dobutamina  3- estudiar mediante la ecocardiografia con dobutamina los cambios producidos en el ventr\u00edculo izquierdo tras la revascularizaci\u00f3n quir\u00fargica.  conclusiones  1- la eco-dob es un m\u00e9todo diagn\u00f3stico \u00fatil y seguro para la identificaci\u00f3n y localizaci\u00f3n de isquemia enpacientes intervenidos de revascularizaci\u00f3n quir\u00fargica.  2- la eco-dob tiene mayor sensibilidad para el diagn\u00f3stico de isquemia que la prueba de esfuerzo convencional realizada de forma rutinaria a los 6 meses de la cirug\u00eda de revascularizaci\u00f3n.  3- la eco-dob realizada antes de la cirug\u00eda de revascularizaci\u00f3n ha mostrado buenos resultados en la identificaci\u00f3n de miocardio viable.  4- el patr\u00f3n m\u00e1s espc\u00edfico en la identificaci\u00f3n de miocardio viable ha sido la respuesta de tipo bif\u00e1sico.  5- la eco-dob preoperatoria predijo la viabilidad con mayor especificidad en los segmentos acin\u00e9ticos y discin\u00e9ticos que en los hipocin\u00e9ticos.  6- la de mostraci\u00f3n de reserva contr\u00e1ctil postoperatoria mediante eco-dob proporcion\u00f3 mayor especificidad en la predicci\u00f3n de viabilidad cuando se compara con los resultados obtenidos en reposo.  7- un mayor porcentaje de segmentos viables en pacientes con disfunci\u00f3n izquierda en el estudio preoperato<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ecocardiograf\u00edacon dobutamina enla valoraci\u00f3n de isquemia y viabilidad mioc\u00e1rdica en la cirugia de revascularizaci\u00f3n coronaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ecocardiograf\u00edacon dobutamina enla valoraci\u00f3n de isquemia y viabilidad mioc\u00e1rdica en la cirugia de revascularizaci\u00f3n coronaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  P\u00e9rez Bosc\u00e1 Jos\u00e9 Leandro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/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> Velasco Rami Jos\u00e9 A.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Lopez merino <\/li>\n<li> Cruz fern\u00e1ndez Jos\u00e9 M\u00aa (vocal)<\/li>\n<li> Mart\u00ednez le\u00f3n Juan  b. (vocal)<\/li>\n<li>vicente Bertomeu Martinez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de P\u00e9rez Bosc\u00e1 Jos\u00e9 Leandro La ecocardiograf\u00eda condobutamina (eco-dob) es un m\u00e9todo diagn\u00f3stico cuya utilidad en la detecci\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":[932,9,141,2189,1550,139],"tags":[185211,103997,185209,185210,12065,11497],"class_list":["post-88860","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","category-cirugia-vascular","category-medicina-interna","tag-cruz-fernandez-jose-ma","tag-Martinez-leon-juan-b","tag-perez-bosca-jose-leandro","tag-velasco-rami-jose-a","tag-vicente-bertomeu-Martinez","tag-vicente-lopez-merino"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88860","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=88860"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88860\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}