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Revista Médica Electrónica
On-line version ISSN 1684-1824
Abstract
ARREDONDO-BRUCE, Alfredo and ARREDONDO-RUBIDO, Alfredo. Assessment of clinical-ultrasonographic relationship in aortic stenosis. Rev.Med.Electrón. [online]. 2023, vol.45, n.4, pp. 547-560. Epub Aug 31, 2023. ISSN 1684-1824.
Introduction:
The exponential increase of aortic stenosis incidence in relation to age, as well as the presence of risk factors such as metabolic syndrome, predispose to aortic calcification as a manifestation of a generalized cardiovascular disease.
Objective:
To identify the incongruences existing between clinical manifestations and the echocardiographic study in patients with severe aortic valvular stenosis.
Materials and methods:
An analytical-descriptive study was carried out in a sample of 50 patients clinically and echo-graphically diagnosed of severe aortic stenosis.
Results:
A predominance of elder white women with a history of anginous pain and dyspnea was found, accompanied of intense meso-systolic murmur in aortic focus, and a second weak sound, and low blood tension figures with few ultrasonographic criteria of left ventricular hypertrophy and peak velocity, together with gradient and aortic area, which suggest a high-percent of severe stenosis, with valvular calcification and an elevated left ventricular elevation fraction, plus the presence of other valvular diseases.
Conclusions:
The study showed poor relationship between clinical and echocardiography manifestations.
Keywords : severe aortic stenosis; tricuspid regurgitation; elder people; angina pain; heart failure; elevated FEVI.