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Estenosis mitral degenerativa: necesidad no satisfecha de intervenciones percutáneas
Karan Sud1, Shikhar Agarwal1, Akhil Parashar1
1From Departments of Cardiovascular Medicine (K.S., S.A., M.Q.R., K.P., D.M., L.L.R., A.K., E.M.T., S.R.K.), Internal Medicine (A.P.), and Thoracic and Cardiovascular Surgery (S.L.M., A.M.G.), Cleveland Clinic, OH.
Circulation
|May 5, 2016
Resumen
La estenosis mitral degenerativa (EMD), causada por la calcificación anular mitral, afecta a pacientes de edad avanzada. Se necesitan nuevos tratamientos percutáneos para las personas de alto riesgo que no pueden someterse a cirugía.
Área de la Ciencia:
- Cardiología
- Enfermedad Valvular del Corazón
Sus antecedentes:
- La estenosis mitral degenerativa (EMD) surge de la calcificación anular mitral severa.
- El aumento de la esperanza de vida lleva a más pacientes de edad avanzada con comorbilidades y alto riesgo quirúrgico.
Objetivo del estudio:
- Revisar la epidemiología, el diagnóstico y el tratamiento de la estenosis mitral degenerativa.
- Para resaltar la necesidad de enfoques percutáneos alternativos para pacientes con EMD inoperables o de alto riesgo.
Principales métodos:
- Revisión de la literatura de los datos actuales sobre estenosis mitral degenerativa.
- Análisis de las consideraciones de diagnóstico y estrategias terapéuticas.
Principales resultados:
- La EMD es una preocupación creciente en las naciones desarrolladas, especialmente entre los ancianos.
- El tratamiento médico es el tratamiento primario, pero las opciones quirúrgicas están limitadas por la calcificación extensa y las comorbilidades del paciente.
Conclusiones:
- Existe una necesidad crítica de opciones innovadoras de tratamiento percutáneo para la estenosis mitral degenerativa.
- El tratamiento actual se centra en el manejo médico, retrasando la cirugía hasta que los síntomas sean graves.
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