Stenosi aortica: sintomi e cause

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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.

stenosi valvola aortica sintomi cause

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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  162. Доброго времени суток Муж просто потерял себя Родственники не знают что делать Таблетки не помогают Короче, врачи приехали и поставили систему — капельница от запоя на дому срочно Приехали через 40 минут В общем, телефон и цены тут — капельница от запоя воронеж капельница от запоя воронеж Звоните прямо сейчас Перешлите тем кто в такой же ситуации

  163. Appreciate that you did not pad this with fluff to hit a word count, the post says what it needs to say and stops, and a look at nudgelynx did the same, brevity here feels intentional not lazy which is a distinction many writers miss completely sometimes when they are working under deadlines.

  164. Thanks for taking the time to write this, it is clear that some thought went into how each point would land, and after I went through cartvilo I had a better grip on the topic, real value without the usual marketing noise people have to put up with online when searching for answers.

  165. My usual pattern is to skim and bounce but this site has reset that pattern temporarily, and a stop at lullneon maintained the slower reading mode, content that changes how I read is content with structural influence and this site has clearly nudged my reading behaviour toward something better at least for the duration of these visits.

  166. A particular kind of restraint shows up in the writing, and a look at nickelpearl maintained the same restraint across pages, knowing what not to say is just as important as knowing what to say and this site has clearly developed strong instincts on both sides of that editorial line throughout pieces I have read.

  167. Good post, the kind that respects the reader by getting to the point quickly without skipping the details that matter, and a short look at chordaria confirmed that approach is consistent across the site which is rare to find online these days, definitely a place I will return to soon.

  169. Now leaving a small mental note to recommend this when the topic comes up in conversation, and a look at byrdbrig extended that recommend ready feeling, content that arms me with shareable references for likely future conversations is content with social value and this site is providing that conversational ammunition consistently for me lately.

  170. Picked this for a morning recommendation in our company chat, and a look at directionalsystems suggested I will mention this site again later, recommending content into a workplace context is a small editorial act that requires confidence in the recommendation and this site is making me confident in those recommendations consistently here too.

  172. Felt a small spark of recognition when the post named something I had been struggling to articulate, and a look at buymixo produced more such moments, the rare service of giving readers language for fuzzy intuitions is one of the higher values that good writing can provide and this site offered several today instances.

  174. Solid information that lines up with what I have been hearing from other reliable sources, and after my visit to shopvato I was even more certain of that, this site checks out which is something I value highly when so many places online play loose with the facts to chase a quick click.

  175. Привет с Волги Голова раскалывается Организм просто отказывается работать Короче, нашел реально работающий способ — капельница от похмелья быстрый результат Вернулся к жизни В общем, телефон и цены тут — капельница от запоя телефон https://kapelnicza-ot-pokhmelya-samara-dxq.ru Капельница — это быстро и эффективно Перешлите тем кто в такой же ситуации

  176. Really appreciate the absence of stock photos that have nothing to do with the content, and a quick visit to momentumfollowsfocus maintained the same restraint, visual filler is a tell that the writing cannot stand on its own and the lack of it here suggests the team has confidence in their content quality alone.

  177. Refreshing to read something where the words actually mean something instead of filling space, and a stop at promparsley kept that going, the writing here trusts the reader to follow along without endless repetition or constant reminders of what was already said earlier in the post which I appreciate.

  178. Liked how the post handled an objection I was forming as I read, and a stop at javcab similarly anticipated where my thinking was going next, the rare writer who can predict reader concerns and address them in advance is doing something most online content fails to do despite that being basic editorial work.

  179. Closed the laptop after this and let the ideas settle for a few hours, and a stop at strategyforward similarly rewarded reflective time, content that benefits from sitting with rather than racing past is the kind I want more of and the kind that this site appears to consistently produce week after week here.

  180. During a reading session that included several other sources this one stood out, and a look at moveideasforwardnow continued the standout quality, the side by side comparison of sources during research is a useful exercise and this site has been winning those comparisons for me consistently across multiple research sessions during the last week.

  181. Вы получаете не просто разовую процедуру, а комплекс медицинской помощи. Врач нарколога может объяснить родственникам, как говорить с зависимым, что делать после капельницы, какие препараты принимать, когда необходимо лечение в клинике и почему кодирование алкоголизма или реабилитация часто становятся следующим этапом. Такой подход помогает не только вывести пациента из запоя, но и начать полноценное восстановление.
    Получить больше информации – вывод из запоя на дому в казани

  182. Top tier post, the kind that makes you want to share the link with friends working in the same area, and a stop at lovqaro only made me more confident in doing that, this site is one of the better resources I have seen on the topic recently across both new and older posts.

  183. Вывод из запоя в Сочи требуется, когда человек не может самостоятельно прекратить употребление алкоголя, испытывает тяжелое похмелья, признаки ломки, тревогу, бессонницу, рвоту, слабость, нарушение поведение и резкое ухудшение самочувствие. Даже если запой длится несколько дней, для здоровья сохраняется высокий риск осложнений: страдают сердце, печень, почки, нервного системы, психика и общее состояние организма.
    Выяснить больше – срочный вывод из запоя сочи

  185. Got something practical out of this that I can apply later this week, and a stop at astrebeige added more details to think about, this is exactly the kind of content I bookmark for future reference rather than the throwaway listicles that dominate most search results these days for almost any common topic.

  186. Now recognising that this site has earned a place in the small group of resources I treat as authoritative, and a stop at buildprogresswithintent confirmed that placement, the difference between resources I trust and resources I just consume is real and this site has clearly moved into the trusted category through consistent quality over time.

  187. Really like the way the post resists reaching for cliches that would have made it feel generic, and a quick visit to modrova kept that fresh feel going, original phrasing and unexpected metaphors are signs that the writer is actually thinking rather than just stitching together familiar phrases into the appearance of content.

  188. Time spent here today felt productive in the way that good reading sessions sometimes do, and a stop at qinzavo extended that productive feeling across the rest of the morning, the difference between productive reading and merely passing time is real and this site is consistently on the productive side for me lately.

  189. Воронеж, всем привет Ситуация адская Организм просто отказывается работать Короче, единственное что реально спасает — капельница от похмелья на дому срочно Поставили капельницу с солевым раствором В общем, телефон и цены тут — капельница от алкоголя воронеж https://kapelnicza-ot-pokhmelya-voronezh-itw.ru Не мучайтесь рассолами Перешлите тем кто в такой же ситуации

  190. Thanks for putting in the work to make this approachable, plenty of sites cover the same ground but most do it badly, and a quick visit to velzaro confirmed this one stands apart, simple language and useful examples without anyone trying to sell me anything along the way which I really appreciated.

  192. Now adding this to a list of sites I want to see flourish, and a stop at minimmoss reinforced that wish, the few sites I actively root for are sites that produce the kind of work I want more of in the world and this one has joined that small list based on what I have read so far.

  193. Worth marking the moment when reading this clicked into something useful for my own work, and a look at mauvepeach extended that practical click, content that connects to my actual life rather than just being interesting is content with the highest kind of value and this site is generating that connection at a high rate.

  194. Got pulled in by the headline and stayed because the content actually delivered on the promise, and a stop at byrdcipher kept that trust intact, when a site lives up to its own framing it earns the right to keep showing up in my browser tabs going forward indefinitely from here on out really.

  195. Люди подскажите Ситуация тяжёлая Дети боятся Скорая не приедет Короче, врачи приехали и поставили систему — капельница от запоя на дому срочно Приехали через 30 минут В общем, вся инфа по ссылке — капельница от алкоголя на дому воронеж недорого https://kapelnicza-ot-zapoya-voronezh-znf.ru Капельница — это реальный выход Перешлите тем кто в такой же ситуации

  196. Здорово, народ Отец не выходит из штопора Дети напуганы Нужна срочная помощь на дому Короче, единственное что вытащило из запоя — капельница от запоя на дому круглосуточно Через пару часов человек пришёл в себя В общем, телефон и цены тут — капельницы от запоя на дому воронеж капельницы от запоя на дому воронеж Звоните прямо сейчас Перешлите тем кто в такой же ситуации

  197. Came across this through a roundabout path and now it is on my regular rotation, and a stop at noonlinnet sealed that decision, the open web still produces serendipitous discoveries when you let the citations and references guide you rather than relying purely on algorithmic feeds for new content recommendations always.

  198. More original than the recycled takes I keep finding on the topic elsewhere, and a quick look at nudgeneedle confirmed it, the kind of site that has its own voice rather than echoing whatever is trending which makes it stand out as a refreshing change from the usual rotation of generic content I see daily.

  200. Will be passing this along to a few people who would benefit from the perspective shared here, and a stop at clingchee only added to what I will be sharing, this kind of generous content deserves to circulate widely rather than getting buried in some search engine algorithm tweak that pushes it down the rankings.

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