Stenosi aortica a rapida insorgenza ed evoluzione nell'adulto. Correlazioni clinico-emodinamiche.

Translated title of the contribution: Rapid onset aortic stenosis and clinical course in adults. Clinico-hemodynamic correlations

M. C. Figliomeni, F. Orzan, P. Presbitero, V. Fontana, G. Defilippi, D. Malara, A. Brusca

Research output: Contribution to journalArticle

Abstract

In 8 patients aged 41-66 years, a second left heart catheterisation done 27-98 months after the first study, demonstrated a pressure gradient across the aortic valve, that had not previously existed, or had been trivial. No significant change of the cardiac output had occurred. All but 1 patient were hypertensive. The etiology was rheumatic in 4, degenerative in 4. Electrocardiographic, radiographic, and echocardiographic evolution could not separate the patients with a gradient greater than or equal to 70 mmHg from those whose gradient was less than or equal to 40 mmHg. The intensity of the aortic component of the second heart sound, however, decreased in all former patients, and in only 1 of the latter. Aortic valvular stenosis can arise and rapidly develop in adult patients. Concomitant rheumatic mitral valve disease, coronary artery disease and hypertension can mask and/or modify symptoms, signs and laboratory findings. Changes of the aortic component of the second sound may suggest its occurrence.

Translated title of the contributionRapid onset aortic stenosis and clinical course in adults. Clinico-hemodynamic correlations
Original languageItalian
Pages (from-to)849-852
Number of pages4
JournalCardiologia
Volume36
Issue number11
Publication statusPublished - Nov 1991

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Figliomeni, M. C., Orzan, F., Presbitero, P., Fontana, V., Defilippi, G., Malara, D., & Brusca, A. (1991). Stenosi aortica a rapida insorgenza ed evoluzione nell'adulto. Correlazioni clinico-emodinamiche. Cardiologia, 36(11), 849-852.