{"id":89909,"date":"2018-03-10T00:15:14","date_gmt":"2018-03-10T00:15:14","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-determinantes-del-pronostico-de-la-insuficiencia-mitral-cronica-valor-predictivo-del-indice-de-estres-telediastolico-volumen-telediastolico\/"},"modified":"2018-03-10T00:15:14","modified_gmt":"2018-03-10T00:15:14","slug":"factores-determinantes-del-pronostico-de-la-insuficiencia-mitral-cronica-valor-predictivo-del-indice-de-estres-telediastolico-volumen-telediastolico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-determinantes-del-pronostico-de-la-insuficiencia-mitral-cronica-valor-predictivo-del-indice-de-estres-telediastolico-volumen-telediastolico\/","title":{"rendered":"\u00abfactores determinantes del pronostico de la insuficiencia mitral cronica. valor predictivo del indice de estr\u00e9s telediastolico\/volumen telediastolico\u00bb"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pilar Ardura Rodriguez <\/strong><\/h2>\n<p>Objetivos: este estudio fue realizado para determinar los factores pronosticos a largo plazo en la insuficiencia mitral cronica-i.M.C-. Tambien para estimar el valor predictivo del indice estr\u00e9s telediastolico\/volumen telediastolico-etd\/vtd- como otro parametro de informacion pronostica a largo plazo en la i.M.C. antecedentes: la i.M.C. Causa una sobrecarga volumetrica diastolica, y por lo tanto provoca una alteraci\u00f3n de la elastancia a largo plazo del ventriculo izquierdo. Metodo: es un estudio prospectivo que utiliza parametros clinicos y hemodinamicos para calcular, desde el punto de vista estadistico, que factores pueden ser significativos del pronostico a largo plazo en la i.M.C. Resultados: entre enero de 1970 y enero de 1996,93 pacientes consecutivos con i.M.C. Fueron seguidos durante un tiempo medio de 147 meses, maximo 323 meses y minimo 12 dias. La edad media fue de 45+-15 a\u00f1os. el 47,3% eran mujeres. El 41,7% fueron sometidos a cirugia valvular mitral. las variables predictivas de supervivencia a largo plazo en el analisis univariado fueron: grupo quirurgico: edad (p&lt;0,014), capacidad funcional (p&lt;0,000), estr\u00e9s telesistolico\/volumen telesit\u00f3lico(p&lt;0,0113). En el grupo con tratamiento medico tenemos las siguientes variables significativas: edad (p&lt;0,001), capacidad funcional (p&lt;0,000), fraccion de eyeccion (p&lt;0,001). en el analisis multivariante (regresion logistica de cox) en el grupo con tratamiento medico eran significativas la capacidad funcional (p&lt;0,000), la presion sistolica en la arteria pulmonar (p&lt;0,004), fraccion de eyeccion (p&lt;0,006) y estr\u00e9s telediastolico\/volumen telediastolico (p&lt;0,013). En el grupo quirurgico ninguna variable fue significativa. Conclusiones:nuestra conclusiones son que la edad, capacidad funcional y los parametros de funcion ventricular izquierda son \u00fatiles en la evaluaci\u00f3n, a largo plazo de la i.M.C.Y que el estr\u00e9s telediastolico\/volumen telediast\u00f3lico podri<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abfactores determinantes del pronostico de la insuficiencia mitral cronica. valor predictivo del indice de estr\u00e9s telediastolico\/volumen telediastolico\u00bb<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abfactores determinantes del pronostico de la insuficiencia mitral cronica. valor predictivo del indice de estr\u00e9s telediastolico\/volumen telediastolico\u00bb <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pilar Ardura Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/04\/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> Rodriguez Llorian Andr\u00e9s Corsino<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Arribas castrillo Jos\u00e9 manuel <\/li>\n<li>candido Martin luengo (vocal)<\/li>\n<li>arturo Cortina llosa (vocal)<\/li>\n<li> Rodriguez garcia Miguel angel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pilar Ardura Rodriguez Objetivos: este estudio fue realizado para determinar los factores pronosticos a largo plazo en [&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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