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La concentración de calcio iónico se asocia a la presencia de fibrilación auricular post operatoria en pacientes llevados a revascularización miocardica

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dc.contributor.advisorMontes Romero, Felix Ramón
dc.contributor.advisorRincón Franco, Ismael E.
dc.creatorBeltran Melgarejo, Javier
dc.creatorQuintero, Oscar
dc.creator.degreeEspecialista en Anestesia Cardiotorácica
dc.date.accessioned2016-08-01T15:43:07Z
dc.date.available2016-08-01T15:43:07Z
dc.date.created2016-06-10
dc.date.issued2016
dc.descriptionObjetivo. Determinar en un grupo de pacientes llevados a revascularización miocárdica si existió asociación entre la presencia de niveles de calcio iónico inferiores a 1,1 en las 24 horas del post operatorio y la ocurrencia de fibrilación auricular post operatoria. Metodología. Estudio observacional, analítico de casos y controles, en donde de manera consecutiva se incluyeron 110 sujetos (57 en el grupo de casos con presencia de fibrilación auricular post operatoria y 54 en el grupo de controles sin evidencia de fibrilación auricular) estos sujetos fueron llevados a revascularización miocárdica en la Fundación Cardioinfantil en los años 2010 a 2015. Resultados. Hubo 13 casos de fibrilación auricular post operatoria en pacientes con niveles de calcio iónico inferiores a 1,1 mmol/l en las primeras 24 horas del post operatorio OR: 0,5, IC (0,2-1,2) p: 0,1. Sin determinarse asociación por limitaciones del estudio, sin embargo un 29% de los pacientes con fibrilación auricular tuvieron niveles de calcio inferiores a 1,1 mmol/l en las primeras 24 horas del post operatorio, este valor aumenta a 31% cuando se analizan por separado los valores de calcio obtenidos a las 12 horas. Conclusiones. Aunque no se logró determinar asociación entre la fibrilación auricular post operatoria y las concentraciones de calcio iónico, de manera exploratoria se pudo establecer que un 29% de los pacientes con fibrilación auricular tuvieron concentraciones de calcio iónico inferiores a 1,1 mmol/l, este valor aumenta a 31% cuando se analizan los niveles de calcio iónico por separado.spa
dc.description.abstractObjective. Determined in a group of patients undergoing coronary artery bypass graft if there was significant association between the presence of ionized calcium levels below 1.1 at 24 hours postoperative and the occurrence of postoperative atrial fibrillation. Methodology. Observational, analytical study of cases and controls, consecutive 110 subjects were included (57 in the group of cases with postoperative atrial fibrillation and 54 in the control group without evidence of atrial fibrillation) these subjects were taken to CABG in Fundación Cardioinfantil – IC in the years 2010-2015. Results. There were 13 cases of postoperative atrial fibrillation in patients with ionized calcium levels below 1.1 mmol / l in the first 24 hours of postoperative OR 0.5, CI (0.2-1.2) p: 0 ,1. There was no association for study limitations, however 29% of patients with atrial fibrillation had calcium levels below 1.1 mmol / l in the first 24 hours postoperative, this value increases to 31% when analyzed by separate calcium values obtained at 12 hours. Conclusions. Although it was not possible to determine association between postoperative atrial fibrillation and the concentrations of ionized calcium, exploratory way it was established that 29% of patients with atrial fibrillation had concentrations below 1.1 mmol / l calcium ion, this value increases to 31% when ionized calcium levels are analyzed separately.eng
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dc.identifier.doihttps://doi.org/10.48713/10336_12274
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/12274
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Anestesia Cardiotorácicaspa
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dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectCalciospa
dc.subjectFibrilacion auricularspa
dc.subjectRevascularizacion miocardicaspa
dc.subject.ddcEnfermedades
dc.subject.decsCanales de Calciospa
dc.subject.decsFibrilación Atrialspa
dc.subject.decsRevascularización Miocárdicaspa
dc.subject.keywordCalciumeng
dc.subject.keywordAtrial fibrillationeng
dc.subject.keywordMyocardial bypass graftingeng
dc.titleLa concentración de calcio iónico se asocia a la presencia de fibrilación auricular post operatoria en pacientes llevados a revascularización miocardicaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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