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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  154. Right — been using this thing for something like five months now and it’s stuck on my phone, reckon I’d chuck my thoughts in since someone asked me last week. Am UK based, mainly stick to footie and the horses, small stakes, for context.

    The reason I started using it was genuinely embarrassing — I could never work out what an e/w return would be when the place terms changed. Basically I’d wing it and then be surprised. Now type the odds in first, every time, even a straight one-selection punt.

    The single bet calculator is the one I’m on daily — type in your stake, the odds and it spits out profit and total return with no faffing, fractional or decimal, doesn’t matter. There’s also the multiples — acca and treble maths, lucky 15s, patents and yankees, which is where I’d always got it wrong. If you fancy a poke about, it’s here single horse bet calculator and there’s no login wall, which I appreciated.

    The thing that actually changed how I bet was the nerdier bits. There’s an probability thing which shows you how much the bookie’s taking, and a kelly staking tool — I run quarter kelly as the full version is terrifying. The dutching one is decent when I’m splitting a race.

    Couple of gripes. The interface feels pretty plain — zero frills, it’s clearly function over form. On mobile it’s usable although the lucky 63 breakdown make you pinch and zoom. And no app, it’s browser only — doesn’t bother me just flagging it.

    Anyway. Doesn’t cost anything, not plastered in adverts, does the job. Anyone who even now does the maths on paper, have a look — saved me a load of “wait, that’s it?” moments.

  156. So — been using this thing for something like five months now and it’s basically bookmarked at this point, reckon I’d chuck my thoughts in since a mate asked me last week. Am in the UK, generally do football and horses, a fiver here and there, for context.

    The reason I started using it was honestly pretty stupid — I couldn’t ever get my head round what an ew return would be when the place terms changed. I’d just guess and then be surprised. Now stick my stake in before every slip, even a simple single bet.

    Their single bet calculator is the part I use most — you put in your stake, the odds and it spits out returns straight away, either odds format. Same tool covers the bigger stuff — doubles and trebles returns, lucky 15 and lucky 63, yankees, honestly that’s where I always lose track. If you want a look, it’s here betfred lucky 15 calculator and it’s free with no account nonsense.

    The thing that really shifted things for me were the nerdier bits. The probability thing which shows you what margin’s baked in, and a kelly tool — I use half kelly as the full version is far too aggressive. The dutching one is handy too when I’m spreading across selections.

    Couple of gripes. Its design is very functional, let’s say — not much frills, it’s clearly function over form. On my phone it’s usable though the acca grid are a squeeze. Also there’s no app, it’s a website and that’s it — doesn’t bother me but you asked.

    Right, that’s me. Doesn’t cost anything, barely any ads, does what it says. If you still adds it up in their head, try it — saved me a load of dumb bets I’d have regretted.

  157. Solid value for anyone willing to read carefully, and a look at vixaroline extends that value across the rest of the site, this is the kind of place that rewards return visits rather than offering everything in a single splashy post and then leaving readers nothing to come back for later which is unfortunately common.

  158. Bookmark folder created specifically for this site, and a look at discoverprofessionalgrowth 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.

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  177. So — been on this thing for something like four months now and it’s stuck on my phone, so thought I’d chuck my thoughts in since someone asked me the other day. Am in the UK, mostly bet football and racing, small stakes, for context.

    The reason I started using it was honestly a bit daft — I could never get my head round what an each way return would be with 1/5 odds a place. I’d just guess and then be surprised. Now I type the odds in before every slip, even the boring singles.

    The single bet calculator tool is the one I’m on daily — type in your stake, the odds and it shows profit and total return straight away, fractions or decimals. There’s also the multiples — acca and treble maths, a lucky 15, a yankee, and that’s where I always lose track. If you fancy a poke about, it’s here accum calculator — free, no signup.

    One thing that really shifted things for me is the nerdier bits. There’s an probability converter and it makes obvious how much the bookie’s taking, and a kelly criterion calculator — I run quarter kelly as the full version is far too aggressive. The dutch tool gets used a fair bit if I’m spreading across selections.

    Not all sunshine though. Its design is very functional, let’s say — not much polish, which honestly I don’t mind but some will. Phone-wise it’s fine though the lucky 63 breakdown make you pinch and zoom. There’s no proper app, just the site — doesn’t bother me but worth saying.

    Anyway. Doesn’t cost anything, not plastered in adverts, does the job. If you still adds it up in their head, try it — saves me a fair few “wait, that’s it?” moments.

  178. So — been using this thing for something like four months now and it’s basically bookmarked at this point, so figured I’d say something since a lad on another thread asked me last week. Am in the UK, mostly stick to footie and the horses, nothing mad, just so you know where I’m coming from.

    The reason I started using it was actually embarrassing — I couldn’t ever figure out what an e/w return actually came to once you get five places instead of three. I used to just guess and get a shock. Now I punch the numbers in before every slip, even the boring singles.

    The single bet calculator tool is the bit I open most — you put in your stake, the odds and it shows returns straight away, either odds format. Same tool covers the multiples — acca and treble returns, lucky 15 and lucky 63, a yankee, and that’s where most people I know mess it up. If you want a look, it’s over at lucky 63 rechner and it’s free with no account nonsense.

    What genuinely made a difference were the geekier bits. The implied probability converter which shows you how much the bookie’s taking, and a kelly criterion calculator — I use half kelly since full stakes are a quick route to a dead bankroll. The dutching one is handy too if I’m spreading across selections.

    Not all sunshine though. The design feels pretty plain — no polish, which honestly I don’t mind but some will. Phone-wise it’s fine although the bigger tables are a squeeze. And no proper app, it’s a website and that’s it — doesn’t bother me but worth saying.

    Anyway. Doesn’t cost anything, no ads shoved in your face, works. Anyone who honestly does the maths on paper, give it a go — saves me a load of “wait, that’s it?” moments.

  181. Reading this confirmed that the topic deserves more careful attention than it usually gets, and a stop at rasecurities extended that elevated framing, content that raises the appropriate weight of a subject without being preachy about it is serving a quiet but important editorial function for the broader cultural conversation about it.

  182. Right — have been messing about with this thing for maybe five months now and it’s stuck on my phone, so thought I’d chuck my thoughts in since a mate asked me the other day. I’m based in the UK, mostly do football and horses, small stakes, just so you know where I’m coming from.

    What got me on it was genuinely pretty stupid — I could never work out what an ew payout actually was with 1/5 odds a place. I used to just guess and then be surprised. Now stick my stake in before every slip, even the boring singles.

    Their single bet calculator tool is the one I’m on daily — you put in stake and odds and it shows the return straight away, either odds format. There’s also the multiples — trebles returns, lucky 15 and lucky 63, a yankee, and that’s where I’d always lose track. If you fancy a poke about, it lives at yankee calculator and it’s free with no account nonsense.

    One thing that genuinely shifted things for me were the more serious extras. There’s an implied probability converter which shows you what margin’s baked in, plus a kelly criterion tool — I stick to fractional kelly since full stakes are far too aggressive. The dutch tool gets used a fair bit when I’m covering two or three runners.

    Not all sunshine though. Its interface looks a bit basic — zero frills, it’s clearly function over form. Phone-wise it’s fine although the acca grid make you pinch and zoom. There’s nothing on the app store, it’s browser only — slight shame but you asked.

    Right, that’s me. Free, no ads shoved in your face, does the job. If you still does the maths on paper, have a look — saves me a load of arguments with the bookie.

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