{"id":92356,"date":"2018-03-11T10:11:19","date_gmt":"2018-03-11T10:11:19","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/biomarcadores-pronosticos-en-el-sa%c2%adndrome-coronario-agudo\/"},"modified":"2018-03-11T10:11:19","modified_gmt":"2018-03-11T10:11:19","slug":"biomarcadores-pronosticos-en-el-sa%c2%adndrome-coronario-agudo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/biomarcadores-pronosticos-en-el-sa%c2%adndrome-coronario-agudo\/","title":{"rendered":"Biomarcadores pron\u00f3sticos en el s\u00edndrome coronario agudo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Cabrerizo Garc\u00eda <\/strong><\/h2>\n<p>La cardiopat\u00eda isqu\u00e9mica constituye la primera causa de mortalidad en la poblaci\u00f3n espa\u00f1ola, suponiendo el 30,7% del total. La estratificaci\u00f3n de los pacientes que sufren un evento coronario agudo es importante de cara al tratamiento y pron\u00f3stico. Para ello, empleamos scores y pruebas espec\u00edficas, en ocasiones no disponibles en todos los \u00e1mbitos. En todo paciente con est\u00e1s caracter\u00edsticas, tenemos al alcance determinaciones anal\u00edticas b\u00e1sicas  que nos pueden orientar, complementar el pron\u00f3stico y ayudar a decidir en el tratamiento. En su mayor\u00eda reactantes de fase aguda, relacionadas con la inflamaci\u00f3n o con las alteraciones hemorreol\u00f3gicas que acompa\u00f1a al proceso ateroscler\u00f3tico desde su inicio hasta los episodio agudos. Estos son las cifras de hemoglobina, la leucocitosis, la hiperglucemia de estr\u00e9s, la funci\u00f3n renal, la hiperfibrinogenemia o las alteraciones i\u00f3nicas. para ello realizamos un estudio descriptivo, observacional, de cohortes prospectivo, recogiendo estos par\u00e1metros en 559 pacientes con s\u00edndrome coronario agudo con y sin elevaci\u00f3n del segmento st de alto riesgo, dentro de las primeras tres horas del ingreso. Tras un seguimiento de seis meses analizamos su relaci\u00f3n mediante un an\u00e1lisis multivariable con la mortalidad y eventos cardiovasculares (angor-postinfarto, re-infarto e insuficiencia card\u00edaca). Observamos que todos ellos guardaban, en mayor o menor medida, relaci\u00f3n con el pron\u00f3stico, con una mayor significaci\u00f3n para la insuficiencia renal < 60 ml\/min medida con el \u00edndice de cockcroft, el recuento leucocitario > 10.000 cell\/mm3 o la hiperglucemia > 160mg\/dl al ingreso, tanto en diab\u00e9ticos como en no diab\u00e9ticos, independientemente de otras variables.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Biomarcadores pron\u00f3sticos en el s\u00edndrome coronario agudo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Biomarcadores pron\u00f3sticos en el s\u00edndrome coronario agudo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Cabrerizo Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/03\/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>Bego\u00f1a Zalba Etayo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Cia gomez <\/li>\n<li>Francisco Ru\u00edz ru\u00edz (vocal)<\/li>\n<li>c. Miguel Sanchez polo (vocal)<\/li>\n<li>Miguel angel Torralba cabeza (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Cabrerizo Garc\u00eda La cardiopat\u00eda isqu\u00e9mica constituye la primera causa de mortalidad en la poblaci\u00f3n espa\u00f1ola, [&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":[932,12132,139,13610],"tags":[29083,54328,133346,191065,133345,7863],"class_list":["post-92356","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-cuidados-intensivos","category-medicina-interna","category-zaragoza","tag-begona-zalba-etayo","tag-c-miguel-sanchez-polo","tag-francisco-ruiz-ruiz","tag-jose-luis-cabrerizo-garcia","tag-miguel-angel-torralba-cabeza","tag-pedro-cia-gomez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/92356","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=92356"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/92356\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=92356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=92356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=92356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}