{"id":12083,"date":"2020-05-12T20:47:04","date_gmt":"2020-05-12T18:47:04","guid":{"rendered":"http:\/\/cienciagandia.webs.upv.es\/?p=12083"},"modified":"2020-05-12T20:48:03","modified_gmt":"2020-05-12T18:48:03","slug":"aritmia-i-covid-19-augmenta-el-risc","status":"publish","type":"post","link":"https:\/\/cienciagandia.webs.upv.es\/ca\/2020\/05\/aritmia-i-covid-19-augmenta-el-risc\/","title":{"rendered":"Ar\u00edtmia i COVID-19, augmenta el risc"},"content":{"rendered":"

La fibril\u00b7laci\u00f3 auricular (FA) consisteix en l’alteraci\u00f3 del ritme card\u00edac, tamb\u00e9 denominada ar\u00edtmia.<\/strong> Aquesta condici\u00f3 \u00e9s l’ar\u00edtmia card\u00edaca m\u00e9s comuna en la pr\u00e0ctica cl\u00ednica en l’\u00e0mbit global, ja que afecta m\u00e9s de 9 milions de persones en tot Europa i a aproximadament un mili\u00f3 de persones a Espanya. La seua prevalen\u00e7a \u00e9s d’1,5-2% en la poblaci\u00f3 general i s’incrementa amb l’edat, aconseguint fins a un 17% en la poblaci\u00f3 major de 80 anys, per la qual cosa s’estima que a causa de l’envelliment de la poblaci\u00f3, la seua prevalen\u00e7a es duplicar\u00e0 en els pr\u00f2xims 50 anys<\/strong>.<\/p>\n

En els \u00faltims anys, l’avan\u00e7 en el coneixement de la FA ha sigut notable, en introduir en la pr\u00e0ctica cl\u00ednica ter\u00e0pies que evolucionen r\u00e0pidament, com a nous f\u00e0rmacs antiar\u00edtmics i t\u00e8cniques d’ablaci\u00f3 amb cat\u00e8ter. No obstant aix\u00f2, el tractament de la FA continua mostrant limitacions i suposa un impacte econ\u00f2mic important per als sistemes sanitaris, que destinen aproximadament l’1% del pressupost sanitari global<\/strong> i m\u00e9s del 15% del pressupost dedicat a malalties cardiovasculars.<\/p>\n

\"\"<\/p>\n

Aquestes limitacions constitueixen la motivaci\u00f3 de l’activitat investigadora de Jos\u00e9 Joaqu\u00edn Rieta<\/a><\/strong> i el seu equip d’investigaci\u00f3<\/a> (Biomit.org), sempre orientada cap al benefici social, que aconsegueix gran repercussi\u00f3 amb l’obtenci\u00f3 d’avan\u00e7os nous de gran impacte cient\u00edfic com el desenvolupament de m\u00e8todes d’an\u00e0lisi electrocardiogr\u00e0fica capa\u00e7os de predir l’aparici\u00f3 de la FA amb dues hores d’antelaci\u00f3<\/a> obrint les portes a la ter\u00e0pia preventiva<\/strong>, i el desenvolupament <\/strong>de l’an\u00e0lisi d’indicadors electrocardiogr\u00e0fics<\/strong> que permet obtenir la predicci\u00f3 preoperat\u00f2ria del resultat de la cirurgia Coix-Maze de la FA.<\/p>\n

Actualment, Rieta lidera un projecte d’investigaci\u00f3 transnacional i multic\u00e8ntric en el qual participa personal investigador d’universitats nacionals<\/strong> (Campus de Gandia-Universitat Polit\u00e8cnica de Val\u00e8ncia<\/a> i Castella-La Manxa) i estrangeres<\/strong> (Regne Unit, It\u00e0lia i Su\u00e8cia), al costat de sis hospitals universitaris de la Comunitat Valenciana i Castella-La Manxa.<\/strong> \u00a0Amb aquest gran projecte s\u2019estableixen les bases per al desenvolupament de la ter\u00e0pia personalitzada de la malaltia<\/strong>, un avan\u00e7 significatiu que redueix els riscos dels pacients i disminueix els costos hospitalaris.<\/p>\n

Jos\u00e9 Joaqu\u00edn Rieta,<\/strong> investigador i docent al Campus de Gandia de la Universitat Polit\u00e8cnica de Val\u00e8ncia<\/a> en el camp de la telecomunicaci\u00f3 des de fa 25 anys \u00e9s expert en enginyeria biom\u00e8dica<\/strong>, principalment en l’an\u00e0lisi i processament de senyals de fibril\u00b7laci\u00f3 auricular, i un referent reconegut mundialment en aquesta mat\u00e8ria.<\/p>\n

Al llarg dels m\u00e9s de 20 anys com a investigador, la seua tasca ha aconseguit gran prestigi i rellev\u00e0ncia, posicionant el seu \u00edndex h<\/a> en un valor de 27. Jos\u00e9 J. Rieta<\/strong> ha publicat 17 llibres relacionats amb l’enginyeria biom\u00e8dica, al voltant de 80 articles en revistes cient\u00edfiques d’\u00e0mbit internacional, ha col\u00b7laborat amb personal investigador de tot el m\u00f3n i ha dirigit nombroses tesis doctorals i projectes d’investigaci\u00f3, que conformen un historial acad\u00e8mic docent i investigador extens que trobar\u00e0s resumit en el llibre \u201cEscola Polit\u00e8cnica Superior de Gandia, XXV anys (1994-2019)<\/a>\u201d, en el qual es dedica un cap\u00edtol a\u00a0 la seua traject\u00f2ria, igual que al treball d’altres docents i personal investigador del campus.<\/p>\n

PACIENTS CARDIOVASCULARS I COVID-19<\/strong><\/p>\n

\"\"<\/p>\n

Les persones malaltes de FA o una altra patologia cardiovascular tenen especial risc en la situaci\u00f3 actual de la malaltia COVID-19<\/strong>. Si b\u00e9 les persones amb malalties cardiovasculars (ECV), com hipertensi\u00f3 arterial, insufici\u00e8ncia card\u00edaca o cardiopatia isqu\u00e8mica, tenen les mateixes probabilitats de ser infectades i patir la malaltia COVID-19 que aquells que no pateixen una ECV, estudis molt recents han demostrat que la coexist\u00e8ncia d’aquestes malalties amb la infecci\u00f3 augmenta la mortalitat i la possibilitat de patir complicacions majors<\/strong>. Aix\u00ed, el 50% de pacients hospitalitzats amb COVID-19 tenien hipertensi\u00f3, el 44% d\u2019aquests que van ser ingressats en UCI patien ar\u00edtmies card\u00edaques i el 20% dels que van superar la malaltia van tenir dany card\u00edac causat per la inflamaci\u00f3 associada a patir COVID-19.<\/p>\n

At\u00e9s el risc que suposa el virus per aquestes persones malaltes, s’aconsella \u00a0seguir algunes recomanacions<\/a> espec\u00edfiques tals com evitar acudir a la consulta d’atenci\u00f3 prim\u00e0ria si no \u00e9s necessari, no abandonar la medicaci\u00f3 sense indicaci\u00f3 m\u00e8dica o mantenir rutines d\u2019<\/strong>autocura com l’autocontrol de la pressi\u00f3 arterial, freq\u00fc\u00e8ncia card\u00edaca, temperatura, freq\u00fc\u00e8ncia respirat\u00f2ria, saturaci\u00f3 d’O2, gluc\u00e8mia i pes.<\/p>\n

\n

Jos\u00e9 Joaqu\u00edn Rieta Ib\u00e1\u00f1ez<\/strong><\/a><\/p>\n

Expert en enginyeria biom\u00e8dica del Campus de Gandia<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

La fibril\u00b7laci\u00f3 auricular (FA) consisteix en l’alteraci\u00f3 del ritme card\u00edac, tamb\u00e9 denominada ar\u00edtmia. Aquesta condici\u00f3 \u00e9s l’ar\u00edtmia card\u00edaca m\u00e9s comuna en la pr\u00e0ctica cl\u00ednica en … Llegir m\u00e9s<\/a><\/p>\n","protected":false},"author":15,"featured_media":12066,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[248],"tags":[],"class_list":["post-12083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divulgacio","resize-featured-image"],"yoast_head":"\nAr\u00edtmia i COVID-19, augmenta el risc - Campus de Gandia Ciencia - UPV Universitat Polit\u00e8cnica de Val\u00e8ncia<\/title>\n<meta name=\"description\" content=\"Jos\u00e9 Joaqu\u00edn Rieta, investigador del Campus de Gandia UPV, lidera un projecte d'investigaci\u00f3 transnacional i multic\u00e8ntric sobre la fibril\u00b7laci\u00f3 auricular.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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