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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  122. Reading this in segments because the day was busy, and the post survived the fragmented attention well, and a stop at northfieldcraft held up similarly under interrupted reading, content that can withstand modern distracted reading patterns rather than requiring a perfect block of focused time is increasingly the kind I prefer.

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  125. Вывод из запоя — это медицинский процесс, направленный на безопасное прерывание длительного употребления алкоголя, очищение организма от токсинов, восстановление физического состояния человека и снижение риска опасных осложнений. Если зависимый продолжает пить несколько дней, недель или даже месяцев, нарушается работа нервной, сердечно-сосудистой, пищеварительной и выделительной системы, страдают внутренние органы, ухудшается сон, появляется страх, головные боли, тошнота и выраженный абстинентный синдром. В такой ситуации важно не ждать, а вызвать врача, чтобы получить профессиональную помощь быстро, анонимно и под контролем специалистов.
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  126. I have figured out some points through your blog post post. One other point I would like to say is that there are several games on the market designed specifically for preschool age little ones. They include things like pattern acknowledgement, colors, creatures, and designs. These commonly focus on familiarization rather than memorization. This helps to keep little ones engaged without feeling like they are studying. Thanks

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  135. Длительное употребление алкоголя в больших количествах приводит к сильной интоксикации организма. В результате развивается алкогольная зависимость, которая проявляется в желании продолжать пить. Запой становится причиной множества осложнений: от повышения артериального давления, печеночной недостаточности и нарушений работы сердца до галлюцинаций и белой горячки. Многие выбирают профессиональное лечение, чтобы избежать негативных последствий.
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  153. Главный принцип профессиональной наркологической помощи — не просто вывести человека из запоя, а стабилизировать организм, предупредить осложнения сердечно-сосудистой системы, печени, почек, головного мозга и нервного баланса. При длительного употребления алкоголя организм теряет жидкость, калий, витамины, нарушается водно-электролитный обмен, повышается нагрузка на сердце, поджелудочную железу и печень. Поэтому лечение запоя должно проводиться индивидуально, с использованием инфузионной терапии, лекарственной поддержки, контроля показателей и рекомендаций для дальнейшего восстановления.
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  165. Вывод из запоя — это медицинский процесс, направленный на безопасное прерывание длительного употребления алкоголя, очищение организма от токсинов, восстановление физического состояния человека и снижение риска опасных осложнений. Если зависимый продолжает пить несколько дней, недель, месяцев или даже года, нарушается работа нервной, сердечно-сосудистой, пищеварительной и выделительной системы, страдают внутренние органы, ухудшается сон, появляются страх, тремор, тошнота, головная боль, слабость и выраженный абстинентный синдром. В такой ситуации важно не ждать, а вызвать врача или нарколога, чтобы получить профессиональное лечение быстро, анонимно и под контролем специалистов.
    Подробнее тут – вывод из запоя на дому

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  174. Первый и самый необходимый шаг к трезвой жизни — вывести человека из запоя. Вывод из запоя в стационаре — это эффективное и безопасное решение, позволяющее избежать тяжелых последствий алкогольной интоксикации. В отличие от домашней капельницы, лечение в клинике обеспечивает круглосуточный медицинский контроль, полную диагностику и комплексную терапию. Наркологическая клиника в Балашихе предлагает вывод из запоя и реабилитацию на условиях абсолютной анонимности. Лечение алкоголизма в стационаре начинается с детоксикации, которая снимает абстинентный синдром и очищает организм от токсинов. Далее подключается психотерапия, кодирование и реабилитация. В нашем реабилитационном центре созданы все условия для полного выздоровления даже в самых сложных случаях, включая пивной и женский алкоголизм. Очень важно не медлить: каждый час в запое наносит непоправимый ущерб здоровью, и мы готовы оказать экстренную помощь 24/7.
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  193. Длительное употребление алкоголя в больших количествах приводит к сильной интоксикации организма. В результате развивается алкогольная зависимость, которая проявляется в желании продолжать пить. Запой становится причиной множества осложнений: от повышения артериального давления, печеночной недостаточности и нарушений работы сердца до галлюцинаций и белой горячки. Многие выбирают профессиональное лечение, чтобы избежать негативных последствий.
    Получить дополнительные сведения – врач вывод из запоя геленджик

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    Подробнее тут – капельница от запоя вызов

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