{"id":93258,"date":"2009-12-05T00:00:00","date_gmt":"2009-12-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cumplimiento-de-objetivos-terapeuticos-en-pacientes-de-lato-riesgo-cardiovascular-influencia-de-la-lpa\/"},"modified":"2009-12-05T00:00:00","modified_gmt":"2009-12-05T00:00:00","slug":"cumplimiento-de-objetivos-terapeuticos-en-pacientes-de-lato-riesgo-cardiovascular-influencia-de-la-lpa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia\/cumplimiento-de-objetivos-terapeuticos-en-pacientes-de-lato-riesgo-cardiovascular-influencia-de-la-lpa\/","title":{"rendered":"Cumplimiento de objetivos terapeuticos en pacientes de lato riesgo cardiovascular.influencia de la lp(a)."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Teresa Arrobas Velilla <\/strong><\/h2>\n<p>La lipoprote\u00edna (a) es una lipoprote\u00edna esf\u00e9rica, rica en \u00e9steres de colesterol y fosfol\u00edpidos con una apolipoprote\u00edna a asemej\u00e1ndose estructuralmente a la mol\u00e9cula de ldl. Los niveles elevados de lipoprote\u00edna (a) se asocian con ataques card\u00edacos, apoplej\u00edas, estrechamiento de las arterias y reestenosis de vasos despu\u00e9s de haber establecido quir\u00fargicamente un puente coronario.  El hecho de que la concentraci\u00f3n de lp(a) no puede modificarse con los hipolipemiantes habituales influye en el cumplimiento terap\u00e9utico de los pacientes ya que el porcentaje de colesterol transportado por la lp(a) ser\u00e1 inmodificable, y este puede llegar a concentraciones de hasta 80-90 mg\/dl. objetivos: estudiar si los niveles de lp(a) influyen en la consecuci\u00f3n de los objetivos  terap\u00e9uticos y en caso afirmativo analizar las posibles alternativas. pacientes y m\u00e9todos: se seleccion\u00f3 a una poblaci\u00f3n de 100 pacientes intervenidos de by-pass aortocoronario. Todos los pacientes fueron pesados, tallados, se les tom\u00f3 la presi\u00f3n arterial y el per\u00edmetro de cintura, se les determin\u00f3 un hemograma, coagulaci\u00f3n, perfil tiroideo, bioqu\u00edmica general y un perfil de riesgo cardiovascular.  resultados: dividimos a los pacientes en funci\u00f3n de la concentraci\u00f3n de lp(a) al a\u00f1o de seguimiento. Seg\u00fan los valores de lp(a) el cumplimiento es del 46.55% para lp(a) < 30 mg\/dl  y del 35.75% para lp (a) > 30 mg\/dl.  Si aplicamos el ldl corregido  (cldl menos clp(a) ) el cumplimiento en el grupo de mayor riesgo se incrementa en un 39,89%, pasando al 75,60%. \t conclusiones: confirmamos que la consecuci\u00f3n de los objetivos terap\u00e9uticos de los pacientes puede ser mejorado con un seguimiento de los mismos de manera m\u00e1s intensiva y que \u00e9sta se ve influenciada por la elevaci\u00f3n de las concentraciones de lp(a) con lo que se confirma un cumplimiento mas bajo en aquellos pacientes con mayor riesgo en funci\u00f3n de sus concentraciones de lp(a).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cumplimiento de objetivos terapeuticos en pacientes de lato riesgo cardiovascular.influencia de la lp(a).<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cumplimiento de objetivos terapeuticos en pacientes de lato riesgo cardiovascular.influencia de la lp(a). <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Teresa Arrobas Velilla <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/05\/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>Fernando Fabiani Romero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Carlos Pedro-botet montoya <\/li>\n<li>Antonio Barco s\u00e1nchez (vocal)<\/li>\n<li>v\u00edctor S\u00e1nchez margalet (vocal)<\/li>\n<li>Antonio Aznar martin (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Teresa Arrobas Velilla La lipoprote\u00edna (a) es una lipoprote\u00edna esf\u00e9rica, rica en \u00e9steres de colesterol y fosfol\u00edpidos [&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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