{"id":99858,"date":"2018-03-11T10:21:05","date_gmt":"2018-03-11T10:21:05","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/perfil-actual-de-la-insuficiencia-carda%c2%adaca-aguda-en-pacientes-hospitalizados-pronostico-a-largo-plazo-y-determinantes-cla%c2%adnicos\/"},"modified":"2018-03-11T10:21:05","modified_gmt":"2018-03-11T10:21:05","slug":"perfil-actual-de-la-insuficiencia-carda%c2%adaca-aguda-en-pacientes-hospitalizados-pronostico-a-largo-plazo-y-determinantes-cla%c2%adnicos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/perfil-actual-de-la-insuficiencia-carda%c2%adaca-aguda-en-pacientes-hospitalizados-pronostico-a-largo-plazo-y-determinantes-cla%c2%adnicos\/","title":{"rendered":"Perfil actual de la insuficiencia card\u00edaca aguda en pacientes hospitalizados pron\u00f3stico a largo plazo y determinantes cl\u00ednicos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Bel\u00e9n Redondo Bermejo <\/strong><\/h2>\n<p>Antecedentes: desde el punto de vista epidemiol\u00f3gico, la insuficiencia cardiaca se ha convertido en un problema prioritario de salud p\u00fablica. El reto epidemiol\u00f3gico que se plantea es conocer mejor el perfil de la poblaci\u00f3n de insuficiencia cardiaca en funci\u00f3n de la regi\u00f3n en la que habite y poder establecer planes y estrategias de tratamiento integrado en unidades multidisciplinarias de insuficiencia cardiaca. m\u00e9todos y objetivos: estudio observacional prospectivo de una cohorte de 415 pacientes dados de alta de cardiolog\u00eda por ic aguda, entre 2002-04, seguidos durante 2,9[1,1-3,9] a\u00f1os. Se analizaron variables cl\u00ednicas, ecg, anal\u00edticas y ecocardiogr\u00e1ficas, con el objetivo de conocer su perfil cl\u00ednico, pron\u00f3stico y los determinantes cl\u00ednicos predictores de una peor evoluci\u00f3n. conclusiones:  -nuestra poblaci\u00f3n mostr\u00f3 una edad media alta (72 a\u00f1os, 37% &gt;75 a\u00f1os), con una baja proporci\u00f3n de mujeres (39%) y un perfil cl\u00ednico de alto riesgo, determinado por una alta preValencia de factores de riesgo y comorbilidad asociada (41% dm, 31% hta, 30% dislip\u00e9micos, 37% tabaquismo, 15% ictus, 7% arteriopat\u00eda perif\u00e9rica, 21% eran bronc\u00f3patas, 33% fa, 46% anemia y 58% de disfunci\u00f3n renal). Se encontraban en clases funcionales avanzadas (73% nyha ii\/iii) y elevada proporci\u00f3n de ingresos por ic de novo (68%). La cardiopat\u00eda isqu\u00e9mica fue la principal causa y desencadenante (43%). Presentaban una fevi deteriorada (mediana del 35%), sin determinar un peor pron\u00f3stico. El 24,1% presentaron un bloqueo completo de rama (bc<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Perfil actual de la insuficiencia card\u00edaca aguda en pacientes hospitalizados pron\u00f3stico a largo plazo y determinantes cl\u00ednicos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Perfil actual de la insuficiencia card\u00edaca aguda en pacientes hospitalizados pron\u00f3stico a largo plazo y determinantes cl\u00ednicos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Bel\u00e9n Redondo Bermejo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/03\/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>Mar\u00eda no Valdes Chavarri<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Antonio Ruiperez abizanda <\/li>\n<li>eulalia Roig minguell (vocal)<\/li>\n<li>vicente Bertomeu Martinez (vocal)<\/li>\n<li>Manuel Anguita sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bel\u00e9n Redondo Bermejo Antecedentes: desde el punto de vista epidemiol\u00f3gico, la insuficiencia cardiaca se ha convertido en [&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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