{"id":94983,"date":"2009-08-07T00:00:00","date_gmt":"2009-08-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cambios-hemodinamicos-cerebrales-en-el-sa%c2%adndrome-de-apneas-obstructivas-del-sueno-tras-tratamiento-con-presion-continua-positiva-en-la-va%c2%ada-aerea-superior\/"},"modified":"2009-08-07T00:00:00","modified_gmt":"2009-08-07T00:00:00","slug":"cambios-hemodinamicos-cerebrales-en-el-sa%c2%adndrome-de-apneas-obstructivas-del-sueno-tras-tratamiento-con-presion-continua-positiva-en-la-va%c2%ada-aerea-superior","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-clinica\/cambios-hemodinamicos-cerebrales-en-el-sa%c2%adndrome-de-apneas-obstructivas-del-sueno-tras-tratamiento-con-presion-continua-positiva-en-la-va%c2%ada-aerea-superior\/","title":{"rendered":"Cambios hemodin\u00e1micos cerebrales en el s\u00edndrome de apneas obstructivas del sue\u00f1o tras tratamiento con presi\u00f3n cont\u00ednua positiva en la v\u00edaa\u00e9rea superior"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pedro Enrique Jimenez  Caballero <\/strong><\/h2>\n<p>El s\u00edndrome de apneas obstructivas del sue\u00f1o es un factor de riesgo para la patolog\u00eda cerebrovascular. Uno de los mecanismos implicados es la alteraci\u00f3n de la hemodin\u00e1mica cerebral. Hemos realizado un estudio de cohortes prospectivo en el que se valora modificaci\u00f3n en el test de apnea a nivel de la arteria cerebral y basilar tras dos a\u00f1os de tratamiento con presi\u00f3n positiva continua en la v\u00eda a\u00e9rea superior. Se evidencia una mejor\u00eda significativa en el test de apnea a nivel de ambas arterias, junto con una disminuci\u00f3n de la velocidad media a nivel de la arteria cerebral media y un aumento del \u00edndice de pulsatilidad a nivel de la arteria basilar. Tambi\u00e9n se pone de manifiesto una disminuci\u00f3n de la tensi\u00f3n arterial diast\u00f3lica en apnea y de la frecuencia cardiaca basal. La mejor\u00eda en el test de apnea a nivel de la cerebral media es mayor en hipertensos que en normotensos, mientras que a nivel de la arteria basilar la mejor\u00eda en el test de apnea se correlaciona con la edad y el \u00edndice de masa corporal.  La alteraci\u00f3n de la hemodin\u00e1mica cerebral en pacientes con s\u00edndrome de apneas del sue\u00f1o mejora con presi\u00f3n positiva continua durante dos a\u00f1os siendo los mecanismos fisiopatol\u00f3gicos probablemente implicados una hiperactividad simp\u00e1tica y una disfunci\u00f3n endotelial. Se debe enfatizar en el diagn\u00f3stico y tratamiento precoz de los pacientes con este s\u00edndrome para disminuir la aparici\u00f3n de patolog\u00eda cerebrovascular.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cambios hemodin\u00e1micos cerebrales en el s\u00edndrome de apneas obstructivas del sue\u00f1o tras tratamiento con presi\u00f3n cont\u00ednua positiva en la v\u00edaa\u00e9rea superior<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cambios hemodin\u00e1micos cerebrales en el s\u00edndrome de apneas obstructivas del sue\u00f1o tras tratamiento con presi\u00f3n cont\u00ednua positiva en la v\u00edaa\u00e9rea superior <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pedro Enrique Jimenez  Caballero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/07\/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>Daniel Toranzo Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Luis Blazquez arroyo <\/li>\n<li>Jos\u00e9 Vivancos mora (vocal)<\/li>\n<li>alfonso Verd\u00fa p\u00e9rez (vocal)<\/li>\n<li>joaqu\u00edn Jord\u00e1n bueso (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pedro Enrique Jimenez Caballero El s\u00edndrome de apneas obstructivas del sue\u00f1o es un factor de riesgo para [&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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