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Anales de Medicina Interna
versão impressa ISSN 0212-7199
Resumo
RUIZ RUIZ, F. J. et al. Asymptomatic aortic valve stenosis and sudden death. An. Med. Interna (Madrid) [online]. 2003, vol.20, n.10, pp.37-39. ISSN 0212-7199.
Dyspnea, angor and syncope are the most characteristic symptoms in stenosis aortic valve disease. Sudden death, as part of natural history of symptomatic stenosis aortic valve, is well know. On the other hand, sudden death in asymptomatic stenosis aortic valve is rarer. Different guidelines recommend a conservative management of these patients. We present here the case of a 58 year old woman, previously healthy, who arrived at Hospital because of sudden dyspnea at rest. The patient was diagnosed of pulmonary edema and died two hours later. Necropsy showed a stenosis aortica valve with a valve area of less than 0.8 cm2. We make a short review in medical literature about the incidence of sudden death in asymptomatic stenosis aortic valve, the risk groups and their management.
Palavras-chave : Sudden death; Stenosis aortic valve; Asymptomatic; Risk.