Angiografia e cateterismo cardiaco valori e limiti - Cuorediverona.it

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Lo studio emodinamico nelle cardiopatie valvolari dovrebbe essere oggi limitato alla coronarografia (ove indicata) , e/o alla migliore definizione di quesiti specifici rimasti dubbi con le metodiche non invasive
ACC/AHA task force guidelines on coronary angiography in patients with valvular heart disease 1. Before valve surgery (including ( including infective endocarditis) endocarditis) or mitral balloon commissurotomy in patients with: with I Chest pain Other objective evidence of ischemia Decreased LV systolic function History of CAD Coronary risk factors (including ( including advanced age) age 2. Patients with apparently mild to moderate valvular heart disease but with: with: I Progressive (class II or greater) greater) angina Objective evidence of ischemia Decreased LV systolic function Overt congestive heart failure 3. Patients undergoing catheterization to confirm the severity of valve lesions before valve surgery without preexisting evidence of CAD, multiple coronary risk factors, factors, or advanced age IIb 4. Young patients undergoing nonemergent valve surgery when no further hemodynamic assessment by catheterization is deemed necessary and no coronary risk factors, factors, no history of CAD, and no evidence of ischemia are present III 5. Asymptomatic patients with valvular heart disease when valve surgery or balloon commissurotomy is not being considered III 6. Patients having emergency valve surgery for acute valve regurgitation, regurgitation aortic root disease, disease, or infective endocarditis when there are no coronary risk factors, factors, angina, objective evidence of ischemia, ischemia evidence of coronary embolization, embolization, LV systolic dysfunction, dysfunction, or age
Page 1 and 2: LA DIAGNOSTICA CARDIOLOGICA NELLE C
Page 3: Calcolo dell’area di un orifizio
Page 6 and 7: Fonti di errore nel calcolo delle a
Page 8 and 9: Vantaggi dello studio emodinamico
Page 13: Valutazione emodinamica nella steno
Page 20: Valutazione emodinamica nella steno

Angiografia e cateterismo cardiaco valori e limiti - Cuorediverona.it

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