{"id":90136,"date":"2001-12-05T00:00:00","date_gmt":"2001-12-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-y-aplicacion-del-estudio-de-perfusion-miocardica-con-talio-201-tras-estres-farmacologico-con-adenosina-trifosfato-en-el-diagnostico-y-valoracion-pronostica-de-la-enfermedad-coronaria\/"},"modified":"2001-12-05T00:00:00","modified_gmt":"2001-12-05T00:00:00","slug":"utilidad-y-aplicacion-del-estudio-de-perfusion-miocardica-con-talio-201-tras-estres-farmacologico-con-adenosina-trifosfato-en-el-diagnostico-y-valoracion-pronostica-de-la-enfermedad-coronaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-y-aplicacion-del-estudio-de-perfusion-miocardica-con-talio-201-tras-estres-farmacologico-con-adenosina-trifosfato-en-el-diagnostico-y-valoracion-pronostica-de-la-enfermedad-coronaria\/","title":{"rendered":"Utilidad y aplicaci\u00f3n del estudio de perfusion miocardica con talio-201 tras estr\u00e9s farmacologico con adenosina trifosfato en el diagnostico y valoracion pronostica de la enfermedad coronaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Bravo Delgado M. Nieves <\/strong><\/h2>\n<p>La adenosina trifosfato (atp) es un producto del tejido mioc\u00e1rdico precursor de la adenosina endogena. Aunque algunos autores encuentran reacciones adversas y una precisi\u00f3n diagn\u00f3stica en estudios de perfusi\u00f3n mioc\u00e1rdica con atp similares a la adenosina, no existe ning\u00fan trabajo que analice la capacidad pronostica del atp.  objetivos: evaluar la seguridad, rendimiento diagnostico y aplicabilidad del estudio de perfusi\u00f3n mioc\u00e1rdica con atp como marcador de riesgo de eventos cardiacos en pacientes con sospecha o diagn\u00f3stico de cardiopatia isqu\u00e9mica.  metodos: un total de 150 pacientes (91 varones, edad:65+-10) con angina o ecg sugestivo de infarto de miocardio previo se estudiaron mediante estr\u00e9s farmacologico con atp. Fueron seguidos hasta un tiempo m\u00e1ximo de 4,5 a\u00f1os. se analiz\u00f3 la supervivencia libre de evento (muerte, infarto no fatal, revascularizaci\u00f3n, ingreso por angina o insuficiencia cardiaca). Los defectos de perfusi\u00f3n se clasificaron en : leves o ausentes, moderados o severos o fijos. El indice pulmon\/corazon (ipc) se obtuvo dividiendo la captacion pulmonar de 201 t1 por la cardiaca en cuentas medias\/pixel. El ipc se dividi\u00f3n en &gt;0,5 \u00f3 &lt;-0,5. Se analizaron otras variables como: edad, sexo, indice de masa corporal, hta, habito tabaquico, diabetes mellitus, infarto de miocardio previo, colesterol total (ct), hdl, ldl,ct\/hdl, trigliceridos y fraccion de eyecci\u00f3n. Se hizo cateterismo cardiaco a un grupo de 39 por angina cronica estable grado iii\/iv, o criterios clinicos de revascularizaci\u00f3n o diagnostico dudoso.  resultados: los efectos adversos fueron escasos, leves y fugaces. Al aplicar la regresi\u00f3n de cox univariante, de todas las variables estudiadas las que se asociaron de forma significativa a un peor pron\u00f3stico fueron: sexo masculino, habito tabaquico, infarto de miocardio previo,conciente ct\/hdl &gt;5,defectos de perfusi\u00f3n moderados o severos o fijos, e ipc &gt;0,5. Al aplicar el modelo multiva<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad y aplicaci\u00f3n del estudio de perfusion miocardica con talio-201 tras estr\u00e9s farmacologico con adenosina trifosfato en el diagnostico y valoracion pronostica de la enfermedad coronaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad y aplicaci\u00f3n del estudio de perfusion miocardica con talio-201 tras estr\u00e9s farmacologico con adenosina trifosfato en el diagnostico y valoracion pronostica de la enfermedad coronaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Bravo Delgado M. Nieves <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/05\/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>Isabel Coma Canella<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Berrazueta fernandez Jos\u00e9 ramon <\/li>\n<li> Del rio ligorit alfonso (vocal)<\/li>\n<li>pilar Civeira murillo (vocal)<\/li>\n<li> Richter echevarria Jos\u00e9 angel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bravo Delgado M. Nieves La adenosina trifosfato (atp) es un producto del tejido mioc\u00e1rdico precursor de la [&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":[932,9,139,17749],"tags":[10627,187196,18216,81288,17764,68205],"class_list":["post-90136","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-navarra","tag-berrazueta-fernandez-jose-ramon","tag-bravo-delgado-m-nieves","tag-del-rio-ligorit-alfonso","tag-isabel-coma-canella","tag-pilar-civeira-murillo","tag-richter-echevarria-jose-angel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/90136","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=90136"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/90136\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=90136"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=90136"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=90136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}