{"id":9213,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/repercusion-cardiaca-de-la-acromegalia-estudio-anatomofuncional-por-ecocardiografia-doppler\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"repercusion-cardiaca-de-la-acromegalia-estudio-anatomofuncional-por-ecocardiografia-doppler","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/repercusion-cardiaca-de-la-acromegalia-estudio-anatomofuncional-por-ecocardiografia-doppler\/","title":{"rendered":"Repercusion cardiaca de la acromegalia: estudio anatomofuncional por ecocardiografia-doppler."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Alberto Garcia Lledo <\/strong><\/h2>\n<p>La acromegalia se debe a la hipersecrecion de hormona del crecimiento (gh) por un tumor hipofisiario. Se asocia a un incremento de la morbilidad y mortalidad cardiovasculares, especialmente hipertension arterial (hta) secundaria. Sin embargo, por la escasa incidencia de la enfermedad, y los diferentes metodos seguidos en los trabajos prospectivos que demuestren mejoria de ellas cuando se logra el control de la hipersecrecion hormonal.  para aclarar estos puntos reunimos una muestra de 33 acromegalicos sin otras causas de enfermedad cardiovascular. Su corazon fue estudiado por ecocardiografia-doppler. Se midieron los diametros y espesores ventriculares, la masa y el gasto cardiaco y los parametros de llenado ventricular izquierdo. Se compararon con dos grupos de control, hipertensos esenciales y sanos. Los acromegalicos fueron tratados durante un a\u00f1o con el objetivo de mantener niveles normales de gh, tras lo cual se repitio el estudio.  concluimos que: 1) en ausencia de otras causas posibles, la acromegalia se asocia a una alta preValencia de hipertrofia ventricular excentrica, con indice cardiaco incrementado y datos de llenado ventricular izquierdo normales o levemente alterados. La clinica mas frecuente es la disnea, asociada a datos de peor llenado ventricular. 2) la hta aparece en el 27% de los casos, especialmente en los de enfermedad mas prolongada. El aumento de la precarga y del indice cardiaco en fases tempranas de la enfermedad parecen ser causas de esa hta.  al parecer, modifica las caracteristicas del corazon de los hipertensos, de forma que la hipertrofia se hace mayor y concentrica, y se agrava la disfuncion diastolica.  3) a medida que la enfermedad activa se prolonga, la hipertrofia se agrava y los parametros de llenado ventricular se deterioran. El control de la hipersecrecion hormonal se acompa\u00f1a de regresion de la hipertrofia y probablemente normaliza el aumento de gasto.  4) creemos recomendable el trat<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Repercusion cardiaca de la acromegalia: estudio anatomofuncional por ecocardiografia-doppler.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Repercusion cardiaca de la acromegalia: estudio anatomofuncional por ecocardiografia-doppler. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Alberto Garcia Lledo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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 Moya Mur<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Melchor Alvarez De Mon Soto <\/li>\n<li>Jos\u00e9 Antonio Sobrino Daza (vocal)<\/li>\n<li>Luis Antonio Alonso Pulpon Rivera (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Maroto  Montero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Alberto Garcia Lledo La acromegalia se debe a la hipersecrecion de hormona del crecimiento (gh) por [&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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