Protocolo de interpretación clínicade los hallazgos ecocardiográficos
- Martínez Monzonís, Amparo
- Abu Assi, Emad
- Raposeiras Roubín, Sergio
- Vega Fernández, J. M.
ISSN: 0304-5412
Ano de publicación: 2013
Serie: 11
Número: 41
Páxinas: 2479-2482
Tipo: Artigo
Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado
Resumo
Patients with symptomatic valvular heart disease have a low life expectancy. Surgical or percutaneous treatment, depending on the type of valvulopathy, improves life expectancy, patient prognosis and quality of life. To identify optimal timing of surgery is important. As it has been recommended by different guidelines for the management of patients with valvular heart disease, the occurrence of symptoms will determine the timing. As it is described in the Euro Heart Survey on valvular heart disease, in recent decades the incidence of valvulopathies among the elderly has been increasing. In the elderly patients, clinical assessment is difficult for two reasons: patients� tendency to downplay the symptomatology and the high comorbidities associated that may mimic symptoms of other heart diseases. In addition to clinical findings, echocardiography is the key technique to confirm the diagnosis of valvular heart disease and should include a comprehensive evaluation of all valves, looking for associated valve diseases and its symptomatology. The most appropriate echocardiographic technique to each type of valvular heart disease should be known, as well.
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