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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  170. Современная наркологическая клиника и наркологический диспансер работают с похожими проблемами: алкоголизма, наркомании, зависимости, запоя, ломки, интоксикации, отравлении алкоголем, употребления наркотиков, лекарственной перегрузки и расстройства нервной системы. Но лечение в клинике и лечение в диспансере отличаются по скорости обращения, приватности, условиям, работе специалистов, возможности вызова нарколога на дому, участию родственников, уровню комфорта, формату наблюдения и маршруту реабилитации. Если человеку нужна капельница, вывод из запоя, экстренное вмешательство, консультация нарколога, прием психиатра, помощь психолога или лечение зависимости без лишней огласки, частный центр часто оказывается удобнее. Если требуется справка, учет, официальное наблюдение, направление для суда или длительное сопровождение, диспансер может быть подходящим вариантом.
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  171. Honestly informative, the writer covers the ground without showing off, and a look at mosslightemporium reflected the same humility, content that respects the reader rather than trying to dazzle them is something I always appreciate and rarely come across in this corner of the internet today across the topics I usually read.

  172. Liked that the post landed without needing to manufacture controversy or take a contrarian stance for attention, and a stop at bondhorizon continued that grounded approach, content that earns attention through quality rather than provocation is the kind that builds long term trust rather than burning it on quick wins.

  175. Honestly thank you to whoever wrote this because it scratched an itch I had not quite been able to articulate, and a stop at lunarbaygoods kept that satisfying feeling going, the kind of writing that meets unspoken needs is special and this site clearly has writers who understand their readers more than most do today.

  176. A relief to read something where I did not have to fact check every claim mentally, and a look at sunriftgoods continued that reliable feeling, sites where I can lower my guard and trust the content are rare and this one is earning that trust paragraph by paragraph through consistent careful work behind the scenes.

  177. Bookmark folder created specifically for this site, and a look at bondcapital confirmed the dedicated folder was the right call, dedicated folders for individual sites are a level of organisation I rarely deploy and this site has earned that level of dedicated tracking based on the consistency I have seen so far across sessions.

  178. Decided to write a short note to the author if there is contact info anywhere, and a stop at bondstable extended that intention, the urge to thank the writer directly is a strong signal of content quality and this site has triggered that urge in me today which is a fairly rare event for my reading.

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  181. Honestly impressed by the consistency of voice across what I have read so far, and a quick visit to willowforgeemporium continued that consistent feel, when a site reads like one careful person rather than a committee the experience is more rewarding for the reader who notices these subtle editorial details over time.

  182. Главная задача при любом обращении, связанном с длительным употреблением спиртных напитков, — оперативное очищение организма от продуктов распада этанола и других токсических веществ, восстановление работы жизненно важных органов и систем. Капельница от запоя на дому – безопасный способ снять абстинентный синдром и очистить кровь от токсинов, благодаря чему организм быстрее справится с отравлением и восстановит свои функции. В нашем московском центре наркологии работает круглосуточная служба экстренной наркологической помощи: врач-нарколог приедет по указанному адресу в Москве анонимно, проведет осмотр и поставит инфузионную капельницу, подобрав оптимальный состав с учетом тяжести состояния, хронических заболеваний и данных анамнеза. Своевременное обращение к опытным специалистам позволяет избежать серьезных осложнений и негативных последствий запоя, таких как нарушение сердечного ритма, скачки артериального давления, судороги, сильные боли в области сердца, острый панкреатит или развитие алкогольного психоза. Если нужна срочная помощь, не откладывайте — капельница способна быстро стабилизировать состояние и запустить правильную схему восстановления.
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  183. Came back to this twice now in the same week which is unusual for me, and a look at integrabond suggested I will keep coming back, the kind of post that earns repeated visits rather than one and done reading is the gold standard for content quality and this site clearly hit that standard.

  184. A clear cut above the usual noise on the subject, and a look at premiumshoppingzone only made that gap wider in my view, the kind of place that earns its visitors through quality rather than through aggressive marketing or sponsored placements which is increasingly the only way most sites stay afloat across the modern web.

  188. Time spent here today felt productive in the way that good reading sessions sometimes do, and a stop at createbetteroutcomes 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.

  190. Now feeling the post has earned a proper recommendation rather than a casual mention, and a stop at smartbuyingcorner reinforced the recommendation strength, the difference between mentioning and recommending is a small editorial distinction I observe in my own conversations and this site has earned the upgraded recommendation level from me confidently today.

  193. Felt the writer was being honest with the reader which is rare enough that I want to acknowledge it, and a look at stablegroundbond continued that honest feel, content built on actual knowledge rather than aggregated summaries is something I value highly and rarely come across in regular searches on the open internet these days.

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  196. Came in tired from a long day and the writing held my attention anyway, and a stop at emberstoneboutique kept that going, content that can engage a fatigued reader is doing something right because most online reading happens in suboptimal conditions like that one and quality content adapts to it without complaint.

  199. The structure of the post made it easy to follow without losing track of where I was, and a look at assurancebonded kept the same logical flow going, this site clearly understands that organisation is half the battle in keeping readers engaged from the first line to the last across any kind of post.

  200. Bookmarking this for later, the kind of resource I want to keep nearby, and a quick look at confluencebond confirmed the rest of the site is worth the same treatment, definitely going into my reference folder for the next time the topic comes up at work or in conversation with someone who asks.

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