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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  138. A piece that read as if the writer was thinking carefully rather than just typing fluently, and a look at woodcovemerchantgallery continued that considered quality, the difference between fluent typing and careful thinking shows up in writing and this site reads as the product of thought rather than just the product of language fluency apparently.

  139. Quiet confidence runs through the whole post, no need to shout to make the points stick, and a stop at glyjay carried that same restrained voice forward, content that respects the reader by trusting its own substance rather than dressing it up in theatrical language is what I look for online and rarely actually find these days.

  140. Now feeling something close to gratitude for the fact this site exists, and a look at daisyharborcommercegallery extended that gratitude, the rare site that produces this kind of response is the rare site worth defending in conversations about whether the modern internet is still capable of producing genuinely valuable independent content for serious adults.

  141. Now considering carefully how to share this site with the right audience rather than broadcasting widely, and a look at hoxfix extended that careful sharing impulse, content worth sharing carefully rather than spamming is content that has earned a higher kind of recommendation and this site has earned that careful shareability throughout pieces.

  143. The clarity here is something I really appreciate, especially compared to sites that pile on jargon for no reason, and a look at tildeserene was the same, simple direct sentences that actually deliver information instead of dancing around the point for paragraphs at a time which wastes reader patience.

  147. В этой статье рассматриваются актуальные вопросы, связанные с развитием медицинской науки и её внедрением в повседневную практику. Особое внимание уделено вопросам профилактики, ранней диагностики и использованию технологий для улучшения здоровья человека.
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  150. Generally I am cautious about recommending sites on first encounter but this one warrants the exception, and a look at solacevelour reinforced the exception making, the rare site that justifies breaking my normal cautious approach is the rare site worth flagging early and this one has prompted exactly that early flagging response from me.

  152. Now adding this to a short list of sites I would defend in a conversation about the modern web, and a look at hiltgable reinforced that defence list, the few sites that serve as evidence the web can still produce good things are precious and this one has clearly joined that small list of exemplary sites.

  153. Quietly enthusiastic about this site after the past few hours of reading, and a stop at shorevolume extended that enthusiasm, the calibration of enthusiasm to evidence is something I try to maintain and this site has earned a calibrated quiet enthusiasm rather than the loud excitement that usually fades within a day or two of finding something.

  154. Reading this fit naturally into my afternoon walk because I was reading on my phone, and a stop at timbertrailmerchantgallery continued well in that walking format, content that survives mobile reading without becoming awkward is content with format flexibility and this site has clearly thought about how it reads across different devices today.

  155. Big thanks to whoever wrote this, you saved me a lot of time hunting for the same info on other sites, and a stop at waveharbormerchantgallery only added more useful detail without going off topic, that kind of focus is honestly hard to come across these days when most posts wander everywhere.

  156. Comfortable read, finished it without realising how much time had passed, and a look at skiffvantage pulled me into more pages the same way, the absence of friction in good content lets time disappear and that is one of the highest compliments I can pay any piece of writing I find online during a regular search session.

  157. Started imagining how I would explain the topic to someone else after reading, and a look at glyjay gave me more material for that imagined explanation, content that improves my own ability to discuss a topic is content that has actually transferred knowledge rather than just decorating my screen for a few minutes.

  159. Strong recommendation, anyone interested in this topic owes themselves a visit, and a stop at daisyharborcommercegallery extends that recommendation across more of the site, this is the kind of resource that makes me more optimistic about the state of the open web than I usually am these days actually for once which is genuinely refreshing.

  162. Now thinking I want more sites built on this kind of editorial foundation, and a stop at shoretunic extended that wish into a broader hope, sites built on substance and care rather than on metrics and growth are the kind of sites I want to see more of and this one is a small example worth supporting.

  163. Closed several other tabs to focus on this one as I read, and a stop at simbasienna held my undivided attention the same way, content that earns full focus in an attention environment full of competing pulls is content doing something genuinely well and the team behind it deserves recognition for that achievement consistently.

  165. Genuine reaction is that this site clicked with how I like to read, and a look at embermeadowmerchantgallery kept that comfortable fit going, sometimes you find a place online whose editorial decisions just align with your preferences and when that happens it is worth recognising and supporting through repeat engagement consistently going forward.

  166. Текст посвящён распространённым мифам о зависимости и их развенчанию. Мы предоставим научно обоснованную информацию и дадим рекомендации по выбору эффективного способа борьбы с зависимым поведением.
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  167. Better than the average post on this subject by some distance, and a look at hazeherb reinforced that, you can tell within the first paragraph that the writer here actually cares about the topic rather than just covering it for the sake of having something to publish that week or that day.

  168. Honestly thank you to whoever wrote this because it scratched an itch I had not quite been able to articulate, and a stop at trumpetsixth 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.

  169. Comfortable in tone and substantive in content, that is a hard combination to land, and a look at vinylvessel kept that pairing alive across more material, this is what good editorial direction looks like in practice and the team here clearly has someone keeping a steady hand on the wheel across what they decide to publish.

  171. Came away with some new perspectives I had not considered before, and after koalaglade those ideas felt more complete, the kind of content that stays with you a little while after reading rather than slipping out the moment you switch tabs and move on with your day to whatever comes next.

  173. Liked the way the post balanced confidence and humility, and a stop at fiabush maintained the same balance, knowing when to assert and when to acknowledge uncertainty is a sign of mature thinking and the writers here have clearly developed that calibration through what I assume is years of careful work on their craft.

  174. Felt the writer respected me as a reader without making a show of doing so, and a look at mossharborcommercegallery continued that quiet respect, this is the kind of small but meaningful detail that separates the sites I bookmark from the ones I close after a single skim and never return to again no matter how interesting the headline.

  176. Strong recommendation from me, anyone curious about the topic should make time for this, and a look at sloganturban only sharpens that recommendation further, the kind of resource that holds up against careful scrutiny rather than crumbling at the first critical question is rare and worth pointing other people toward when the topic comes up.

  179. Публикация посвящена жизненным историям людей, успешно справившихся с зависимостью. Мы покажем, что выход есть, и он начинается с первого шага — принятия проблемы и желания измениться.
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  180. Felt this in a way I cannot quite explain, the topic just hit different here, and a stop at hoxhem continued in that vein, sometimes you find a site whose perspective lines up with how you have been thinking and reading their work feels like a small relief which I appreciated more than I expected.

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  183. Came away with some new perspectives I had not considered before, and after timbertrailmerchantgallery those ideas felt more complete, the kind of content that stays with you a little while after reading rather than slipping out the moment you switch tabs and move on with your day to whatever comes next.

  184. Skipped the social share buttons but might come back to actually use one later, and a stop at solacevelour extended that share urge, content that triggers genuine sharing impulses rather than performative ones is content that has actually moved me and not many posts in a typical week do that for me actually.

  186. Approaching this site through a casual link click and being surprised by what I found, and a look at tweedvolume extended the surprise, the rare experience of stumbling into excellent independent content rather than predictable mediocrity is one of the actual remaining pleasures of casual web browsing and this site provided it cleanly.

  187. Really nice to see things explained without overcomplicating the topic, the words flow naturally and stay easy to follow, and a short visit to velvetbrookmerchantgallery only added to that experience because the same simple approach is used across the rest of the page too without any change in tone.

  188. Closed it feeling slightly more competent in the topic than I started, and a stop at shorevolume reinforced that competence boost, real learning is rare in casual online reading but it does happen sometimes and this site managed to make it happen for me today which is genuinely worth pausing to acknowledge.

  189. Now adjusting my expectations upward for the topic based on this post, and a stop at arobell continued that bar raising effect, content that resets what I think is possible on a subject is doing real work in shaping my standards and this site is providing those bar raising experiences at a notable rate during sessions.

  190. Bookmark added without hesitation after finishing, and a look at hiltgem confirmed I should bookmark the homepage too rather than just this page, the rare site that earns category level trust rather than just single article approval is the kind I want to rely on across many different topics over time.

  191. Without comparing too aggressively to other sources this one stands out for the right reasons, and a look at saddleswamp continued that distinctive quality, content that distinguishes itself through substance rather than style tricks is content with lasting differentiation and this site has clearly chosen substance based differentiation as its core editorial strategy.

  193. A piece that took its time without dragging, and a look at frostridgemerchantgallery kept the same patient pace, the difference between unhurried and slow is a fine editorial distinction and this site has clearly found the unhurried side without slipping into the slow side which would have lost me as a reader quickly otherwise.

  195. Now realising the post has been quietly doing important work in my mind for the past hour, and a stop at daisyharborcommercegallery extended that quiet processing, content that continues to do work after I close the tab is content with afterlife in the mind and this site is producing those long lived effects at a meaningful rate.

  199. Glad I clicked through from where I did because this turned out to be worth the time spent, and after nyxsip I had a fuller picture, the kind of content that earns its visitors through delivering value rather than chasing them through aggressive advertising or constant pop ups appearing everywhere on the screen lately.

  200. Reading this in a moment of low energy still kept my attention, and a stop at waveharbormerchantgallery continued that engagement under suboptimal conditions, content that survives the reader being tired is content with extra reserves of pull and this site has the kind of writing that holds up even when I am not at my reading best.

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