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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  165. Felt like the post had been edited rather than just drafted and published, and a stop at bondedvisions suggested the same care across the site, the difference between edited and unedited content is enormous for the reader and this site has clearly invested in the editing pass that most blogs skip entirely which really does show up.

  167. Did not expect much when I clicked through but ended up reading the whole thing carefully, and a stop at unitycatalyst kept that engagement going, sometimes the unassuming sites turn out to deliver more than the flashy ones which is something I have learned to look out for over time online lately and across topics.

  168. Now adding this to a list of sites I want to see flourish, and a stop at trustcoregroup 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.

  170. Granted I am giving this site more credit than I usually give new finds, and a look at focusunlocksprogress continued earning that credit, the calibration of how much trust to extend after limited exposure is something I do carefully and this site has earned more trust on shorter exposure than most due to consistent quality across.

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  175. Appreciated that the writer trusted the reader to follow along without constant restating of earlier points, and a look at bondedcapitalist continued that respect for the reader, treating an audience as capable adults rather than as people to be hand held through every paragraph is something I notice and value highly across the open internet today.

  176. Now appreciating the way the post avoided the temptation to be longer than necessary, and a look at directionclarifiesaction continued that lean approach, content with the discipline to stop when finished rather than padding for length is content that respects both itself and its readers and this site has that disciplined editorial culture clearly throughout.

  177. выездная наркологическая служба оперативно приедет по указанному адресу, имея при себе все необходимое оборудование и медикаменты, в том числе для оказания неотложной помощи.
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  178. Refreshing change from the usual sites covering this topic, no clickbait and no padding, and a stop at progressflowsforward confirmed the difference, this place clearly has its own voice rather than copying the formulas everyone else uses to chase clicks online which is becoming increasingly rare these days across nearly every popular subject.

  179. Now feeling confident enough in this site to use it as a reference point for evaluating others on the same topic, and a look at claritycreatesflow continued the comparison friendly quality, sites that serve as quality benchmarks for their topic are precious and this one has clearly become a benchmark for me on this particular subject area.

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  185. My professional context would benefit from having this kind of resource available, and a look at directionaldrive extended the professional applicability, the rare site that contributes meaningfully to professional work rather than just personal interest is content with multiplied value and this one is providing that professional utility consistently across multiple pieces.

  186. Now feeling mildly impressed in a way I do not quite remember feeling about a blog in a while, and a stop at growthcraft extended that mild impression, content that produces specific positive emotional responses rather than just neutral information transfer is content with extra dimensions and this site has those extra dimensions clearly.

  187. Sets a higher bar than most of what shows up in search results for this topic, and a look at visionforward did not lower that bar at all, in fact it confirmed the impression, this is the kind of consistency that earns a place in regular rotation for serious readers instead of casual scrollers passing through.

  188. Liked the way the post got out of its own way, and a stop at focusalignment extended that invisible craft, the best writing you barely notice while reading because it is doing its work without drawing attention to itself and this site has clearly mastered that disappearing act across the pieces I have read.

  189. Honest assessment is that this is one of the better short reads I have had this week, and a look at ideascreatepathways reinforced that, the bar for short content is low because most of it sacrifices substance for brevity but this site manages both at once which is harder than it sounds for most writers attempting it.

  190. Top tier post, the kind that makes you want to share the link with friends working in the same area, and a stop at stonebridgecapital 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.

  192. Once you find a site like this the search for similar voices begins, and a look at actioncreatesvelocity extended the search energy, finding a high quality reference point makes the gap between it and adjacent sources visible in a way it was not before and this site has provided that high reference point across multiple recent visits.

  195. Probably going to mention this site in a write up I am working on later this month, and a stop at trustcircle provided more material for that potential mention, content worth referencing in my own published work rather than just personal reading is content with the highest endorsement level and this site has earned that endorsement.

  199. Generally my comment to other readers about new sites is to wait and see but for this one I would jump to recommend now, and a look at unitykeystone reinforced that early recommendation, the speed at which a site earns my recommendation is itself a quality signal and this one has earned mine quickly clearly.

  200. Now feeling slightly more committed to my own careful reading practices having read this, and a stop at bondedalliance reinforced that commitment, content that models the kind of attention it deserves is content that calibrates the reader and this site has clearly raised my own bar for what to bring to good writing today.

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