Última revisão: 23 Mai 2021
Última atualização: 28 Abr 2020

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • dispneia
  • dor torácica
  • síncope
  • sopro sistólico de ejeção
  • B2 hipofonética e única
  • parvus e tardus carotídeo

Outros fatores diagnósticos

  • desdobramento paradoxal de B2
  • fenômeno de Gallavardin
  • sangramento

Fatores de risco

  • idade >60 anos
  • valva aórtica bicúspide congênita
  • doença reumática cardíaca
  • doença renal crônica
  • radioterapia
  • níveis altos de colesterol de lipoproteína de baixa densidade (LDL)
  • hiperlipoproteinemia

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • ecocardiografia transtorácica (incluindo Doppler)
  • eletrocardiograma (ECG)

Investigações a serem consideradas

  • ressonância nuclear magnética (RNM) cardíaca
  • cateterismo cardíaco
  • teste ergométrico com ECG
  • ecocardiografia de estresse com dobutamina

Algoritmo de tratamento

Colaboradores

Assistant Professor of Medicine

Emory University School of Medicine

Atlanta

GA

Declarações

GLK declares that he has no competing interests.

Professor of Medicine

Division of Cardiology

Emory University School of Medicine

Atlanta

GA

Declarações

VB is a co-investigator in the PARTNER trial, and he has served as a consultant for Edwards Lifesciences and Abbott Vascular.

Professor of Medicine, Pediatrics, and Public Health

Emory University School of Medicine

Atlanta

GA

Declarações

RMP declares that she has no competing interests.

Dr Girish L. Kalra, Dr Vasilis Babaliaros, and Dr Ruth M. Parker would like to gratefully acknowledge Dr David Liff, a previous contributor to this topic.

Declarações

DL declares that he has no competing interests.

RevisoresVER TUDO

Professor of Medicine

Emory University School of Medicine

Atlanta

GA

Declarações

PB declares that he has no competing interests.

Consultant Cardiologist and Honorary Senior Lecturer

Imperial College Healthcare NHS Trust

Hammersmith Hospital

London

UK

Declarações

GM has been supported by Edwards Lifesciences (manufacturer of the Edwards Sapien Transcatheter Valve) for attending cardiology conferences. Both Edwards Lifesciences and Medtronic (manufacturer of the CoreValve Transcatheter Valve) are contributing to an educational course on the transcatheter and surgical treatments of aortic and mitral valve disease. Edwards Lifesciences are supporting a research project on transcatheter treatment of aortic valve disease.

Consultant

Cardiology Center

University Hospital Geneva

Geneva

Switzerland

Declarações

JMS declares that he has no competing interests.

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