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Mujer y cardiopatía aguda: estudio descriptivo del perfil antropométrico y clínico en una región objetivo uno de la Unión Europea
Women and the acute heart disease: descriptive study of the anthropometric and clinical profile in an objetive one region of the European Union

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Gallego Curto, Elena (2018) Mujer y cardiopatía aguda: estudio descriptivo del perfil antropométrico y clínico en una región objetivo uno de la Unión Europea. [Thesis]

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Abstract

El interés fundamental de esta Tesis Doctoral radica en la trascendencia de la mortalidad generada por las Enfermedades Cardiovasculares (ECV) en la mujer. Las enfermedades no trasmisibles ocasionan más de la mitad de todas las muertes en el mundo, entre ellas, las ECV y en particular la Cardiopatía Isquémica (CI), son las más mortíferas, ocupando el primer lugar entre las causas de muerte a nivel mundial, según los últimos datos de la Organización Mundial de la Salud. Estas tasas van progresivamente en descenso, de forma menos marcada en los países y zonas menos desarrolladas. Las principales entidades a nivel gubernamental y sanitario reconocen este hecho y su trascendencia sociodemográfica, emitiendo programas y medidas encaminadas a reducir la morbimortalidad por esta causa, fundamentalmente estas van dirigidas al desarrollo e implementación de sólidos planes que enfatizan la prevención y el acceso al tratamiento igualitario a nivel mundial. Se está logrando acabar con el mito que relaciona a las ECV con el hombre. La salud de la mujer, más expuesta socialmente, presenta unas tasas brutas de ECV a nivel mundial más bajas que en el hombre, pero le ocasiona una mayor tasa de mortalidad, no en vano, la primera causa de mortalidad en España en la mujer son las ECV, mientras que en el hombres es el cáncer. El curso clínico de la ECV en la mujer, viene determinado por la aparición fundamentalmente en la postmenopausia, por tanto una década más tarde que en el varón, lo que conlleva mayor presencia de comorbilidades al diagnóstico. El dolor torácico es el síntoma principal, pero suele presentar mayor tasa de síntomas atípicos o prodrómicos, que ocasionan un mayor retraso en el diagnóstico por no ser identificado correctamente por la paciente o el sanitario, y frecuentemente son confundidos con síntomas psicológicos de ansiedad o depresión. Históricamente recibe menos terapia médica y es sometida a menor número de intervencionismo coronario...

Resumen (otros idiomas)

The fundamental interest of this Doctoral Thesis lies in the transcendence of the mortality generated by Cardiovascular Diseases (CVD) in women. Noncommunicable diseases account for more than half of all deaths in the world, including CVD, and in particular ischemic heart disease (IC), the most deadly, accounting for the leading cause of death globally, according to the latest data from the World Health Organization. These rates are steadily declining, less markedly in less developed countries and areas. The main entities at the governmental and health levels recognize this fact and its sociodemographic transcendence, issuing programs and measures aimed at reducing morbidity and mortality for this cause, fundamentally these are directed to the development and implementation of solid plans that emphasize prevention and access to treatment worldwide. It is managing to end the myth that relates CVD to man. Women's health, which is more socially exposed, has lower global CVD rates than men, but causes a higher mortality rate, not surprisingly, the first cause of mortality in Spain in women is ECV, whereas in men it is cancer. The clinical course of CVD in women is determined by the appearance mainly in postmenopause, a decade later than in men, which leads to a greater presence of comorbidities at diagnosis. Chest pain is the main symptom, but usually has higher rate of atypical symptoms or prodromal, causing further delay in diagnosis for not being properly identified by the patient or health, and are often confused with psychological symptoms of anxiety or depression. Historically women receive less medical therapy and are subjected to fewer coronary interventions. The absence of visible lesions in coronary angiography is more common than in men; in addition, it usually presents with more complications derived from the acute cardiac process and the revascularization technique. On the other hand, women have been less represented in clinical studies and therefore less studied. During the last few years great advances have been made by scientific and health societies and a greater interest and recognition of the subject at scientific level has been described. The Autonomous Community of Extremadura, with a GDP (Gross Domestic Product) below the European average, is currently the only Spanish region considered as an area of the EU (European Union), this economic condition, determined by its sociodemographic peculiarities, based on a wide geographic dispersion, a high index of rurality and a progressive aging of the population, makes that Extremadura is subsidiary of aid from European Funds for the development. The good use and distribution of these, belongs to Regional Authorities, is a path to development, self-sufficiency as an autonomous community and therefore a better quality of life.

Item Type:Thesis
Additional Information:

Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Anatomía y Embriología Humanas, leída el 28/06/2017

Directors:
DirectorsDirector email
Cabañas Armesilla, María Dolores
Barca Durán, Francisco Javier
Uncontrolled Keywords:Mujer, Cardiopatía aguda, Cardiopatía isquémica aguda, Riesgo cardiovascular, Zona de convergencia europea, Ecocardiografía, Antropometría, Agua corporal, Somatotipo
Palabras clave (otros idiomas):Women, Acute cardiomyopathy, Acute ischemic heart disease, Cardiovascular risk, European convergence zone, Echocardiography, Anthropometry, Body water, Somatotype
Subjects:Medical sciences > Medicine > Cardiovascular system
ID Code:46933
Deposited On:19 Mar 2018 12:00
Last Modified:19 Mar 2018 12:00

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