Cos’è una stenosi della valvola aortica? Con questo termine si indica in medicina ed in particolare in cardiologia un restringimento della valvola aortica, punto di congiunzione fondamentale tra l’aorta ed il cuore: tale restringimento che può essere più o meno grave, impedisce alla valvola di aprirsi completamente, il che ostacola il flusso di sangue dal cuore all’aorta e al resto dell’organismo, aumentando il rischio di incappare in un accidente cardiovascolare. Quando questa valvola è eccessivamente ostruita, limitata, il cuore deve lavorare più intensamente per pompare il sangue all’organismo, il che alla lunga può portare ad un indebolimento del muscolo cardiaco. Per tale motivo una stenosi grave solitamente comporta l’intervento chirurgico di sostituzione della valvola. Scopriamone cause e sintomi.
I sintomi della stenosi valvolare aortica
Una stenosi della valvola aortica può variare da lieve a grave. I sintomi in genere si sviluppano quando il restringimento è grave e possono essere i seguenti:
- Dolore al torace (angina) o senso di oppressione
- Sensazione di svenimento o svenimento sotto sforzo
- Mancanza di respiro, soprattutto durante uno sforzo
- Fatica, soprattutto nei periodi di maggiore attività
- Palpitazioni cardiache
- Soffio al cuore
Gli effetti di un indebolimento del cuore successivi ad una stenosi possono portare ad insufficienza cardiaca. Tra i sintomi di questa troviamo: affaticamento, mancanza di respiro e caviglie e piedi gonfi.
Essenzialmente però una stenosi può essere asintomatica o comunque non destare disturbi di sorta fino a che non si ha una complicanza. In genere tale condizione è scoperta con visite di routine, magari in conseguenza dello sviluppo di un soffio al cuore (suono cardiaco anormale) non precedentemente evidenziato. La stenosi della valvola aortica può essere congenita e quindi a seconda dell’entità, i sintomi di affaticamento o dolore al petto potrebbero essere riscontrati anche nei bambini molto piccoli.
Le cause
Numerose le cause di stenosi aortica. Le più comuni sono:
-
Difetto cardiaco congenito
Avere una valvola aortica congenitamente anormale richiede una valutazione regolare da parte di un medico: può non sviluppare disturbi fino all’età adulta o mai. Dipende dalla severità del difetto, ma una sorveglianza attiva è sempre opportuna. Altrimenti occorre intervenire sin nell’infanzia con un intervento cardochirurgico.
-
Calcificazione della valvola aortica
Con il passare degli anni le valvole cardiache possono accumulare depositi di calcio, minerale in circolo nel sangue. Abitualmente non provocano disturbi o complicanze, ma in alcuni pazienti, specie in quelli con anomalie congenite della valvola (come in una valvola aortica bicuspide) possono provocare un irrigidimento dei lembi con conseguente stenosi: è più comune negli uomini di età superiore a 65 anni e nelle donne di età superiore a 75.
-
Febbre reumatica
Una complicanza dell’infezione del mal di gola, la febbre reumatica, può causare la formazione di tessuto cicatriziale sulla valvola aortica. Il tessuto cicatriziale può restringere la valvola aortica e portare a stenosi. Il tessuto cicatriziale può anche creare una superficie ruvida su cui depositi di calcio si raccolgono più facilmente contribuendo a sviluppare una stenosi valvolare aortica più tardi nella vita.
La febbre reumatica può danneggiare più di una valvola cardiaca, e in più di un modo. Una valvola cardiaca danneggiata non può aprire completamente o chiudere completamente.
Leggi anche:
Soffio al cuore, cause e sintomi
I benefici dell’olio d’oliva per il cuore
Le dieci regole per proteggere il cuore
Fonte: Mayo Clinic
Foto: Thinkstock
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After reading several posts back to back the consistent voice across them is impressive, and a stop at dyleko continued that voice consistency, sites that maintain a single coherent voice across many pieces by potentially many writers represent serious editorial discipline and this one has clearly developed the institutional consistency needed for that.
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Better than the average post on this subject by some distance, and a look at siskastencil reinforced that, you can tell within the first paragraph that the writer here actually cares about the topic rather than just covering it for the sake of having something to publish that week or that day.
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Just wanted to drop a quick note saying this was a useful read on a topic I have been circling, no fluff, and a stop at carobburlap added a few extra points that fit the same simple style which makes the whole site feel coherent rather than thrown together by many different writers with different goals.
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Genuinely useful read, the points are practical and easy to apply right away, and a quick look at alpinecobble confirmed that this site is consistent in that approach, looking forward to digging through the rest of it when I get the chance to sit down properly later in the week or this weekend.
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Now adjusting my mental list of reliable sites for this topic, and a stop at brackenglaze reinforced the adjustment, the small ongoing curation work of maintaining trusted sources is one of the actual practical activities of careful reading and this site has earned a permanent place on my list for this particular subject.
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Reading this slowly because the writing rewards a slower pace, and a stop at seacoveartisanexchange did the same, the pace at which I read content is something I now use as a quality signal and writing that earns a slower pace earns my attention as a reader looking for substance these days.
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