{"id":90760,"date":"2018-03-11T10:09:18","date_gmt":"2018-03-11T10:09:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prevalencia-y-pronostico-de-alteraciones-del-metabolismo-hidrocarbonado-no-conocidas-en-pacientes-sometidos-a-intervencionismo-coronario-percutaneo\/"},"modified":"2018-03-11T10:09:18","modified_gmt":"2018-03-11T10:09:18","slug":"prevalencia-y-pronostico-de-alteraciones-del-metabolismo-hidrocarbonado-no-conocidas-en-pacientes-sometidos-a-intervencionismo-coronario-percutaneo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/endocrinologia\/prevalencia-y-pronostico-de-alteraciones-del-metabolismo-hidrocarbonado-no-conocidas-en-pacientes-sometidos-a-intervencionismo-coronario-percutaneo\/","title":{"rendered":"PreValencia y pron\u00f3stico de alteraciones del metabolismo hidrocarbonado no conocidas en pacientes sometidos a intervencionismo coronario percut\u00e1neo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alejandro Isidoro P\u00e9rez Cabeza <\/strong><\/h2>\n<p>Las gu\u00edas de pr\u00e1ctica cl\u00ednica recomiendan la realizaci\u00f3n de una sobrecarga oral de glucosa (sog) en pacientes con enfermedad cardiovascular establecida. Desconocemos su utilidad en pacientes sometidos a intervencionismo coronario percut\u00e1neo. Se llev\u00f3 a cabo un estudio prospectivo de cohortes, incluyendo a 245 pacientes sometidos a icp en el hospital virgen de la victoria entre el 5 de mayo de 2.005 y el 11 de diciembre de 2.007. Se excluyeron a diab\u00e9ticos conocidos. Seg\u00fan la sog durante el ingreso el 34% ten\u00eda intolerancia a hidratos de carbono y el 28% eran diab\u00e9ticos. Se realiz\u00f3 una 2\u00aa sog al mes, siendo baja la concordancia (k=0,28; p=0,008). La clucemia en ayunas (or 1,039; ic 95%: 1,006-1,074 p=0,020), el sexo femenino (or 6,757; ic 95%: 1,125-40,000 p=0,037) y el per\u00edmetro de cintura (or 1,106; ic 95%. 1,017-1,202 p=0,018) fueron factores predictores independientes de sog anormal. Tras un seguimiento cl\u00ednico medio de 18+\/10 meses no hubo diferencias significativas en la supervivencia libre de eventos cardiovasculares seg\u00fan la sog, tal vez por la baja incidencia de eventos. La diabetes de novo diagnosticada por la sog fue un factor predictor independiente de la afectaci\u00f3n de segmentos coronarios proximales (or 4,646; ic 95% 1,074-20,100 p=0,040) y de una puntuaci\u00f3n superior a 4 en el duke jeopardy score (or 2,314; ic 95% 1,027-5,215 p=0,043). El test m\u00e1s adecuado para identificar a sujetos que iniciaron tratamiento con hipoglucemiantes fue la sog realizada al mes. (Abc de curva roc. 0,942; ic 95% 0,885-1,000 p=0,001).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>PreValencia y pron\u00f3stico de alteraciones del metabolismo hidrocarbonado no conocidas en pacientes sometidos a intervencionismo coronario percut\u00e1neo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 PreValencia y pron\u00f3stico de alteraciones del metabolismo hidrocarbonado no conocidas en pacientes sometidos a intervencionismo coronario percut\u00e1neo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alejandro Isidoro P\u00e9rez Cabeza <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/12\/2008<\/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>Eduardo Deteresa Galvan<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Fern\u00e1ndez aviles <\/li>\n<li>Manuel Anguita s\u00e1nchez (vocal)<\/li>\n<li>eduardo Olalla mercad\u00e9 (vocal)<\/li>\n<li>Miguel \u00e1ngel S\u00e1nchez chaparro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alejandro Isidoro P\u00e9rez Cabeza Las gu\u00edas de pr\u00e1ctica cl\u00ednica recomiendan la realizaci\u00f3n de una sobrecarga oral de [&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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