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Published on: February 4, 2021
Perspectives on Heyde's Syndrome and Calcific Aortic Valve Disease
Ramy Abdelmaseih1, Ravi Thakker2, Randa Abdelmasih1
1University of Central Florida College of Medicine, Graduate Medical Education, Orlando, FL; Department of Internal Medicine, HCA/Ocala Regional Medical Center, Ocala, FL.
Insights
Heyde's syndrome links calcified aortic stenosis, gastrointestinal bleeding from arteriovenous malformations, and von Willebrand syndrome. This review highlights diagnosis and management of this rare condition, particularly in the elderly.
Area of Science:
- Cardiology
- Gastroenterology
- Hematology
Background:
- Heyde's syndrome is a rare multisystem disorder.
- It involves calcified aortic stenosis, GI bleeding from arteriovenous malformations (AVMs), and acquired von Willebrand syndrome (AVWS).
Observation:
- The association between aortic stenosis and GI AVMs is noted, but the incidence of Heyde's syndrome is debated.
- The condition is more prevalent in the elderly population.
Findings:
- This review presents a case study to illustrate the diagnosis and management of Heyde's syndrome.
- It also provides a general overview of calcific aortic valve disease (CAVD) prevalence, etiology, diagnosis, and management.
Implications:
- Highlights the importance of recognizing Heyde's syndrome in elderly patients with relevant symptoms.
- Emphasizes the need for further research into the controversial pathogenesis and management strategies.
- Provides a comprehensive resource for clinicians managing patients with CAVD and associated GI bleeding.
Abstract:
Heyde's syndrome is a multisystem disorder describing the association between calcified aortic stenosis, gastrointestinal tract bleeding from arteriovenous malformations, and acquired von Willebrand syndrome. Several studies have reported an increase in prevalence of gastrointestinal arteriovenous malformation in patients with aortic stenosis and vice versa; however, the incidence of Heyde's syndrome remains controversial. In general, the syndrome is prevalent in the elderly population. The pathogenesis and management remain controversial as well. Our review, provides a unique case to highlight the diagnosis and management of Heyde's syndrome while also briefly describing the prevalence, etiology, diagnosis, and management of calcific aortic valve disease in general.
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