{"id":91712,"date":"2018-03-11T10:10:31","date_gmt":"2018-03-11T10:10:31","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-preoperatoria-de-la-funcion-sistolica-en-pacientes-con-insuficiencia-mitral-cronica-mediante-speckle-tracking\/"},"modified":"2018-03-11T10:10:31","modified_gmt":"2018-03-11T10:10:31","slug":"valoracion-preoperatoria-de-la-funcion-sistolica-en-pacientes-con-insuficiencia-mitral-cronica-mediante-speckle-tracking","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-preoperatoria-de-la-funcion-sistolica-en-pacientes-con-insuficiencia-mitral-cronica-mediante-speckle-tracking\/","title":{"rendered":"Valoraci\u00f3n preoperatoria de la funci\u00f3n sist\u00f3lica en pacientes con insuficiencia mitral cr\u00f3nica mediante speckle-tracking"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Alberto De Agustin Loeches <\/strong><\/h2>\n<p>Supone un reto importante para el cl\u00ednico detectar precozmente la alteraci\u00f3n de la funci\u00f3n contr\u00e1ctil del ventr\u00edculo izquierdo para prevenir el desarrollo de disfunci\u00f3n ventricular irreversible en pacientes con insuficiencia mitral severa.  Recientem ente ha surgido el estudio del \u00c2\u00bfstrain y strain rate\u00c2\u00bf mioc\u00e1rdico. Este m\u00e9todo analiza la deformaci\u00f3n del miocardio y no el desplazamiento del mismo. El speckle-tracking es un nuevo m\u00e9todo para el estudio del strain y el strain rate mioc\u00e1rdico no basa do en el doppler tisular, sino en el an\u00e1lisis de la escala de grises. Estudiamos 38 pacientes sometidos a sustituci\u00f3n valvular mitral por insuficiencia mitral. Se analiz\u00f3 el strain y el strain rate longitudinal y radial del septo interventricular (si v) basal y medio en modo 2d con la t\u00e9cnica speckle-tracking. Tambi\u00e9n se obtuvieron la dp\/dt, y el strain and strain rate obtenidos por dti. La fevi pre y posoperatoria se defini\u00f3 por eco-3d. El strain y el strain-rate longitudinales del septo interve ntricular obtenidos por speckle-tracking, fueron predictores de disminuci\u00f3n de la fevi >10  en el posoperatorio. La dimensiones del vi, la dp\/dt, y el strain and strain rate obtenidos por doppler tisular tambi\u00e9n fueron predictores pero su eficacia di agn\u00f3stica fue menor. Este nuevo m\u00e9todo podr\u00eda ser de utilidad para desenmascarar la disfunci\u00f3n ventricular latente en pacientes con insuficiencia mitral severa cr\u00f3nica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n preoperatoria de la funci\u00f3n sist\u00f3lica en pacientes con insuficiencia mitral cr\u00f3nica mediante speckle-tracking<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n preoperatoria de la funci\u00f3n sist\u00f3lica en pacientes con insuficiencia mitral cr\u00f3nica mediante speckle-tracking <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Alberto De Agustin Loeches <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/02\/2009<\/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>Jos\u00e9 Luis Zamorano G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Macaya Miguel <\/li>\n<li>Jos\u00e9 Antonio Casasnovas lenguas (vocal)<\/li>\n<li>Mar\u00eda  del mar Moreno yang\u00ed\u00bcela (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Cruz fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Alberto De Agustin Loeches Supone un reto importante para el cl\u00ednico detectar precozmente la alteraci\u00f3n 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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