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La estenosis aórtica es una estenosis aórtica
Blase A Carabello1, Walter J Paulus
1Baylor College of Medicine, Department of Medicine and Veterans Affairs Medical Center, Houston, TX, USA.
Lancet (London, England)
|February 24, 2009
Resumen
La estenosis aórtica, una enfermedad común de las válvulas cardíacas en las poblaciones de edad avanzada, es fatal si no se trata, pero manejable con una intervención oportuna. Los nuevos tratamientos ofrecen esperanza a los pacientes.
Área de la Ciencia:
- Cardiología Cardiología.
- Geriatría La geriatría es la especialidad de la geriatría.
- Enfermedad Valvular del Corazón.
Sus antecedentes:
- La estenosis aórtica es la enfermedad valvular cardíaca más común en los países desarrollados.
- Es una manifestación del envejecimiento, que aumenta en prevalencia con el envejecimiento de la población.
- La estenosis aórtica grave sintomática es fatal si no se trata, pero se puede tratar con alivio mecánico.
Objetivo del estudio:
- Revisar el manejo de la estenosis aórtica en todas las severidades de la enfermedad.
- Para discutir el impacto de los nuevos tratamientos percutáneos.
- Para abordar las controversias y la promesa en el cuidado de pacientes con estenosis aórtica.
Principales métodos:
- Revisión de la literatura sobre el manejo de la estenosis aórtica.
- Discusión de las estrategias de tratamiento actuales y emergentes.
- Análisis de los resultados clínicos y manejo del paciente.
Principales resultados:
- La estenosis aórtica severa sintomática no tratada conduce a la mortalidad universal.
- El alivio mecánico oportuno de la estenosis se asocia con una esperanza de vida típica.
- Los nuevos tratamientos percutáneos presentan desafíos y oportunidades.
Conclusiones:
- Las estrategias de manejo de la estenosis aórtica varían según la gravedad de la enfermedad.
- Las intervenciones percutáneas están transformando el tratamiento de la estenosis aórtica.
- Se necesita más investigación para optimizar la atención al paciente y los resultados.
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