Protocolo de diagnóstico y tratamiento de la valvulopatía aórtica

  1. Longás Tejero, M.A.
  2. Santa Cruz Hernández, J.
  3. Guerra Torres, X.E.
  4. Araoz Illanes, R.
  5. Díaz Carretero, L.
Revue:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Année de publication: 2017

Serie: 12

Número: 40

Pages: 2400-2407

Type: Article

DOI: 10.1016/J.MED.2017.09.006 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado

Objectifs de Développement Durable

Résumé

Abstract Clinical evaluation, baseline ECG, and chest x-ray (Rx) are mandatory in the initial diagnostic evaluation. Transthoracic echocardiography (TTE) is the main tool for diagnosis and follow-up. Other diagnostic techniques are also useful. Patients with severe symptomatic aortic stenosis should be involved, especially with aortic valve replacement surgery, and if the surgical risk is high, transcatheter aortic valve implantation (TAVI) may be an adequate alternative. Asymptomatic individuals will only be involved according to several factors predictive of onset of symptoms and adverse events. clinical evaluation, baseline ECG, and simple chest x-ray are also mandatory in the initial diagnostic evaluation. The ETT is the main diagnostic and monitoring tool. Acute severe aortic insufficiency (AI) should undergo urgent surgery. In chronic severe AI, when symptoms and/or systolic dysfunction of the left ventricle appear, aortic valve surgery must be performed; The asymptomatic patients will be operated according to several factors regarding left ventricular systolic size and function. Sometimes aortic root and ascending aorta surgery must be performed irrespective of the severity of the AI.

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