{"id":89542,"date":"2018-03-10T00:14:41","date_gmt":"2018-03-10T00:14:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/perfil-clinico-y-pronostico-de-la-miocardiopata%c2%ada-hipertrofica-del-adulto\/"},"modified":"2018-03-10T00:14:41","modified_gmt":"2018-03-10T00:14:41","slug":"perfil-clinico-y-pronostico-de-la-miocardiopata%c2%ada-hipertrofica-del-adulto","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/perfil-clinico-y-pronostico-de-la-miocardiopata%c2%ada-hipertrofica-del-adulto\/","title":{"rendered":"Perfil clinico y pron\u00f3stico de la miocardiopat\u00edahipertr\u00f3fica del adulto."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Romero Farina Jorge  Guillermo <\/strong><\/h2>\n<p>Objetivos.1) analizar la evoluci\u00f3n clinica y ecocardiografica de los pacientes con miocardiopat\u00eda hipertr\u00f3fica 2) evaluar las complicaciones y comparar la mortalidad con la de la la poblaci\u00f3n general.3) valorar las variables pron\u00f3sticas derivadas de la clinica y de las exploraciones complementarias.  m\u00e9todo. Se estudiaron 119 pacientes (60 mujeres [edad media 52 a\u00f1os, 1 a 80 a\u00f1os]) consecutivamente entre los a\u00f1os 1989 y 1999 diagnosticados mediante ecocardiograma en el hospital universitari vall d\u00c2\u00bfhebron(barcelona). de estos, 73 tenian un mh obstructiva y 46 no obstructiva, y 20 estaban asintom\u00e1ticos. El seguimiento medio fue de 9,9 a\u00f1os(1 a 32 a\u00f1os) y las variables pron\u00f3sticas incluidas fueron: cl\u00ednicas, electrocardi\u00f3graficas, del holter de 24 horas, del ecocardiograma-doppler, de la prueba de esfuerzo, del spet mioc\u00e1rdico de perfusi\u00f3n, y de la ventriculograf\u00eda radiosiot\u00f3pica.  resultados. Durante el seguimiento observamos un incremento del n\u00famero de pacientes sintom\u00e1ticos. La mayor\u00eda(n=88, p=0,000) estaba en clase funcional ii-iii-iv de la new york heart association, 48 pacientes con angina de grado ii-iii-iv(p=0,000), y 40 pacientes con fibrilaci\u00f3n auricular (p=0,000). en un 15% de los pacientes con mh no obstructiva en el primer registro eta pas\u00f3 a ser obstructiva en el \u00faltimo registro. Tambi\u00e9n se observ\u00f3 un incremento el n\u00famero de pacientes con insuficiencia mitral( el 80 frente al 66%; p=0,01) y en su severidad(p=0,038) durante el seguimiento. Siete pacientes fallecieron de causa cardiovascular y 31 presentaron complicaciones severas (7 muertes, 15 s\u00edncopes, 4 angina grado iv, 3 disnea clase funcional iv y 2 infarto). La mortalidad anual fue del 0.6% y la frecuencia de complicaciones severas annual fue del 2.6%.  la presencia de un grosor de tabique intervenctricular &gt; 25 mm(p=0.04), la presencia de insuficiencia mitral(p=0.001) y un gradiente dinamico &gt;50 mmhg(p=0.02) fueron predictores de mort<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Perfil clinico y pron\u00f3stico de la miocardiopat\u00edahipertr\u00f3fica del adulto.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Perfil clinico y pron\u00f3stico de la miocardiopat\u00edahipertr\u00f3fica del adulto. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Romero Farina Jorge  Guillermo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/03\/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>Jaume Candell Riera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jordi Soler soler <\/li>\n<li>jordi Magri\u00f1a ballara (vocal)<\/li>\n<li>enrique Galve basilio (vocal)<\/li>\n<li>joan Castell conesa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Romero Farina Jorge Guillermo Objetivos.1) analizar la evoluci\u00f3n clinica y ecocardiografica de los pacientes con miocardiopat\u00eda hipertr\u00f3fica [&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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