{"id":98604,"date":"2018-03-11T10:19:25","date_gmt":"2018-03-11T10:19:25","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-global-de-la-cardiomiopata%c2%ada-cirrotica-y-su-evolucion-despues-del-trasplante-hepatico\/"},"modified":"2018-03-11T10:19:25","modified_gmt":"2018-03-11T10:19:25","slug":"valoracion-global-de-la-cardiomiopata%c2%ada-cirrotica-y-su-evolucion-despues-del-trasplante-hepatico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-global-de-la-cardiomiopata%c2%ada-cirrotica-y-su-evolucion-despues-del-trasplante-hepatico\/","title":{"rendered":"Valoraci\u00f3n global de la cardiomiopat\u00edacirr\u00f3tica y su evoluci\u00f3n despu\u00e9s del trasplante hep\u00e1tico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vanesa Bernal Monterde <\/strong><\/h2>\n<p>Hip\u00f3tesis 1.\tEn el paciente afecto de una hepatopat\u00eda en fase de ch existen unos cambios hemodin\u00e1micos y cardiol\u00f3gicos, que se caracterizan principalmente por la presencia de s\u00edndrome hiperdin\u00e1mico y disfunci\u00f3n diast\u00f3lica en reposo. Estas alteraciones se correlacionar\u00e1n con el estadio de la hepatopat\u00eda. 2.\tLa substituci\u00f3n del h\u00edgado cirr\u00f3tico por uno sano comportar\u00e1 una normalizaci\u00f3n de las alteraciones hemodin\u00e1micas y cardiol\u00f3gicas.  objetivos 1.\tDeterminar la preValencia, el grado y las caracter\u00edsticas del trastorno cardiaco en la ch mediante estudio hemodin\u00e1mico de coraz\u00f3n derecho, ecocardiograma y determinaci\u00f3n de nt-probnp y cistatina c. 2.\tDeterminar la preValencia, el grado y las caracter\u00edsticas del trastorno cardiaco en los pacientes trasplantados hep\u00e1ticos. 3.\tAveriguar si el trastorno cardiaco es reversible y desaparece tras el th comparando el estudio ecocardiogr\u00e1fico y los valores de ntprobnp y cistatina c. 4.\tInvestigar si dichas alteraciones cardiacas se correlacionan con el grado de insuficiencia hep\u00e1tica. 5.\tInvestigar si la presencia de s\u00edndrome hiperdin\u00e1mico comporta un mayor trastorno cardiaco. 6.\tEvaluar la utilidad del nt-probnp y la cistatina c en la cardiomiopat\u00eda cirr\u00f3tica  conclusiones 1.\tUn alto porcentaje de pacientes cirr\u00f3ticos presenta alteraciones en la funci\u00f3n y en la estructura cardiaca, definidas mediante estudio hemodin\u00e1mico, ecocardiograma y niveles de nt-probnp. 2.\tEstas alteraciones cardiacas se correlacionan con el grado de deterioro hep\u00e1tico, definido por la clasificaci\u00f3n de child y el \u00edndice meld. 3.\tUn alto porcentaje de pacientes trasplantados hep\u00e1ticos presenta alteraciones en la funci\u00f3n y en la estructura cardiaca, existiendo un empeoramiento respecto a los valores basales previos al trasplante hep\u00e1tico. 4.\tLos pacientes con s\u00edndrome hiperdin\u00e1mico presentan una cirrosis m\u00e1s avanzada con un mayor \u00edndice cardiaco y un mayor desarrollo de hipertrofia ventricular izquierda. 5.\tLos niveles de nt-probnp se correlacionan con la clase child, el \u00edndice cardiaco y el \u00edndice de masa ventricular izquierda. 6.\tLos niveles de nt-probnp presentan una especificidad elevada para el diagn\u00f3stico de insuficiencia cardiaca de alto gasto cardiaco. 7.\tLos niveles de cistatina c se correlacionan con la clase child, la creatinina s\u00e9rica y la fracci\u00f3n de acortamiento ventricular izquierdo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n global de la cardiomiopat\u00edacirr\u00f3tica y su evoluci\u00f3n despu\u00e9s del trasplante hep\u00e1tico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n global de la cardiomiopat\u00edacirr\u00f3tica y su evoluci\u00f3n despu\u00e9s del trasplante hep\u00e1tico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vanesa Bernal Monterde <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/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>Isaac Pascual Calleja<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Casasnovas lenguas <\/li>\n<li>pedro Luis S\u00e1nchez fern\u00e1ndez (vocal)<\/li>\n<li>Juan Arenas ruiz tapiador (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vanesa Bernal Monterde Hip\u00f3tesis 1. En el paciente afecto de una hepatopat\u00eda en fase de ch existen [&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":[9,491,139,13610],"tags":[201579,115653,191276,118358,201578],"class_list":["post-98604","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-gastroenterologia","category-medicina-interna","category-zaragoza","tag-isaac-pascual-calleja","tag-jose-antonio-casasnovas-lenguas","tag-juan-arenas-ruiz-tapiador","tag-pedro-luis-sanchez-fernandez","tag-vanesa-bernal-monterde"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/98604","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=98604"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/98604\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=98604"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=98604"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=98604"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}