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ACTUALIZAN LAS RECOMENDACIONES PARA EL ENFOQUE DE LA ESTENOSIS AORTICA

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La estenosis aórtica es la valvulopatía más frecuente en adultos. Se presenta una revisión de la fisiopatología, la clínica, los factores predictivos de evolución, con las novedades sobre el enfoque diagnóstico y las posibilidades terapéuticas.
Autor:
Jorge gustavo Allín
Columnista Experto de SIIC

Institución:
Hospital Británico de Buenos Aires

Artículos publicados por Jorge gustavo Allín
Coautores
P Sorensen* G Leiva* 
Medico Cardiologo, Hospital Británico de Buenos Aires, Buenos Aires, Argentina*
Recepción del artículo
29 de Mayo, 2010 		Aprobación
30 de Octubre, 2010
Primera edición
1 de Julio, 2011 		Segunda edición, ampliada y corregida
7 de Junio, 2021

ACTUALIZAN LAS RECOMENDACIONES PARA EL ENFOQUE DE LA ESTENOSIS AORTICA

Resumen
La estenosis aórtica es la valvulopatía más frecuente de la población adulta. En las últimas décadas, se ha puesto de manifiesto un incremento significativo de su prevalencia, y esto se relaciona principalmente con la mayor expectativa de vida poblacional. Este hecho impone actualmente un constante desafío para el abordaje clínico-quirúrgico de esta enfermedad, dado que el aumento de los riesgos en este grupo de pacientes está dado no sólo por su edad avanzada sino también por las importantes comorbilidades asociadas. El objetivo de este trabajo es revisar los fundamentos fisiopatológicos, las manifestaciones clínicas y los predictores evolutivos de esta enfermedad, así como realizar una actualización de los métodos diagnósticos utilizados en la detección y seguimiento de estos pacientes para, finalmente, realizar un análisis de las nuevas intervenciones terapéuticas aplicadas al manejo global de la estenosis aórtica.

Palabras clave
estenosis aórtica, tratamiento, diagnóstico, pronóstico, evolución


Artículo completo
(castellano)
Extensión:  +/-8.93 páginas impresas en papel A4
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Aortic stenosis. General concepts and update on new recommendations

Abstract
Aortic stenosis is the most frequent valve pathology in the adult population. Its prevalence has shown a significant growth in the last decades mainly due to an increase in life expectancy. This presents a constant challenge for its clinical and surgical handling, not only because of the higher risks implied by advanced age but also with respect to the occurrence of comorbid conditions.
The aim of this paper is in the first place to review its physiopathological basis, clinical manifestations and predictors of its evolution, secondly to update diagnostic methods used to detect and monitor these patients, and finally to analyze new therapeutic interventions applied to a comprehensive handling of aortic stenosis.

Key words
aortic stenosis, treatment, diagnosis, prognosis, evolution

Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Cardiología, Medicina Interna
Relacionadas: Atención Primaria, Cirugía, Cuidados Intensivos, Diagnóstico por Imágenes, Emergentología, Geriatría, Medicina Familiar



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Jorge Gustavo Allín, CP1425, Agüero 1510 7° A, Buenos Aires, Argentina
Bibliografía del artículo
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