{"id":98544,"date":"2010-12-01T00:00:00","date_gmt":"2010-12-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hipertension-arterial-y-sindrome-de-apnea-sueno\/"},"modified":"2010-12-01T00:00:00","modified_gmt":"2010-12-01T00:00:00","slug":"hipertension-arterial-y-sindrome-de-apnea-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/malaga\/hipertension-arterial-y-sindrome-de-apnea-sueno\/","title":{"rendered":"Hipertension arterial y sindrome de apnea sue\u00f1o"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Javier Soto Hurtado <\/strong><\/h2>\n<p>En este trabajo hemos querido estudiar la interrelaci\u00f3n entre hipertensi\u00f3n arterial (hta) y el s\u00edndrome de apnea-hipopnea de sue\u00f1o (sahs) en unas poblaci\u00f3n de pacientes remitidos al servicio de neumolog\u00eda, contando con la colaboraci\u00f3n de la unidad de hipertertensi\u00f3n arterial, ambos del hospital carlos haya de m\u00e1laga. Para ello, se valoraron las posibles diferencias entre pacientes hipertensos y normotensos con y sin s\u00edndrome de apnea de sue\u00f1o evaluando el perfil cardiometab\u00f3lico, los valores de presi\u00f3n arterial medidas tanto de forma \u00abcasual\u00bb como mediante registro ambulatorio durante 24 horas; la valoraci\u00f3n polisomnogr\u00e1fica de sujetos normotensos y pacientes hipertensos con y sin sahs y por \u00faltimo se analizaron los factores de riesgo que pudieran asociarse a la presencia de sahs en nuestra muestra de hipertensos. Las conclusiones fueron: 1) la presencia del s\u00edndrome de apnea-hipopnea del sue\u00f1o (sahs) en el paciente hipertenso se asocia a un mayor deterioro en el perfil de riesgo vascular en relaci\u00f3n con los sujetos hipertensos sin sahs. 2) en esos pacientes, en relaci\u00f3n a los hipertensos sin sahs, se observan cifras significativamente mas elevadas de \u00edndice de masa corporal, presi\u00f3n arterial casual y valores de mapa en 24 horas. Igualmente, se encuentran perfiles significativamente m\u00e1s altos de \u00abnon dipper\u00bb o \u00abriser\u00bb; as\u00ed como mayor preValencia de tabaquismo, obesidad y diabetes tipo 2. Adem\u00e1s se observa tendencia a presentar mayores niveles den glucemia, hematocrito y colesterol ldl, y menores de colesterol hdl. 4) los pacientes hipertensos sahs respecto a los normotensos presentan mayor preValencia de diabetes y dislipemia, as\u00ed como de obesidad. 5) el s\u00edndrome metab\u00f3lico se muestra como un factor claramente predisponente para el desarrollo y mantenimiento del sahs. La presencia del mismo se asocia a un mayor deterioro en el perfil de riesgo vascular en los hipertensos con sahs. 6) mediante an\u00e1lisis multivariante los factores que se encontraron mas asociados con el desarrollo del sahs fueron la obesidad, el tabaquismo y el sexo masculino. Sugerimos por tanto, que se puedan tratar de factores predisponentes a la aparici\u00f3n del sahs. 7) aplicando las tablas de estratificaci\u00f3n de riesgo cardiovascular establecida por la esh-esc (european society of hypertension-european society of cardiology), un porcentaje alto de los hipertensos con sahs pueden tener mayor riesgo de padecer un evento cardiovascular dentro de los siguientes diez a\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hipertension arterial y sindrome de apnea sue\u00f1o<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hipertension arterial y sindrome de apnea sue\u00f1o <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Javier Soto Hurtado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/01\/2010<\/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>Salvador Gonzalez Baron<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: marc stefan Dawid milner <\/li>\n<li>Francisco Miralles lozano (vocal)<\/li>\n<li>Jos\u00e9 Luis Rodicio diaz (vocal)<\/li>\n<li>pablo Gomez fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Javier Soto Hurtado En este trabajo hemos querido estudiar la interrelaci\u00f3n entre hipertensi\u00f3n arterial (hta) y [&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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