Valvular Heart Disease Emergencies: A Comprehensive Review Focusing on the Initial Approach in the Emergency Department.

IF 2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia Pub Date : 2023-06-19 eCollection Date: 2023-01-01 DOI:10.36660/abc.20220707

Tarso Augusto Duenhas Accorsi, Milena Ribeiro Paixão, José Leão de Souza Júnior, Marcus Vinicius Burato Gaz, Ricardo Galesso Cardoso, Karen Francine Köhler, Karine De Amicis Lima, Flavio Tarasoutchi

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引用次数: 0

Abstract

Valvular heart disease (VHD) is an increasing health problem worldwide. Patients with VHD may experience several cardiovascular-related emergencies. The management of these patients is a challenge in the emergency department, especially when the previous heart condition is unknown. Specific recommendations for the initial management are currently poor. This integrative review proposes an evidence-based three-step approach from bedside VHD suspicion to the initial treatment of the emergencies. The first step is the suspicion of underlying valvular condition based on signs and symptoms. The second step comprises the attempt to confirm the diagnosis and assessment of VHD severity with complementary tests. Finally, the third step addresses the diagnosis and treatment options for heart failure, atrial fibrillation, valvular thrombosis, acute rheumatic fever, and infective endocarditis. In addition, several images of complementary tests and summary tables are provided for physician support.

Abstract Image

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瓣膜性心脏病急诊：对急诊科初步方法的综合回顾。

瓣膜性心脏病（VHD）是一个日益严重的世界性健康问题。VHD患者可能会经历一些心血管相关的紧急情况。这些病人的管理是急诊科的一个挑战，特别是当以前的心脏状况是未知的。目前关于初期管理的具体建议很少。这一综合综述提出了一种基于证据的三步方法，从床边VHD怀疑到紧急情况的初始治疗。第一步是根据体征和症状怀疑潜在的瓣膜状况。第二步包括尝试通过补充测试确认VHD的诊断和评估严重程度。最后，第三步讨论心力衰竭、心房颤动、瓣膜血栓形成、急性风湿热和感染性心内膜炎的诊断和治疗方案。此外，还提供了一些补充检查的图像和汇总表，以供医生支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arquivos Brasileiros de Cardiologia 医学-心血管系统

CiteScore

3.70

自引率

30.80%

发文量

234

审稿时长

3-8 weeks

期刊介绍： With more than 70 years of existence, Arquivos Brasileiros de Cardiologia is the main channel for the dissemination of Brazilian scientific research on cardiovascular sciences. Published in two languages and indexed in major international databases, all scientific contributions are peer-reviewed and reviewed by editorial board members selected among the most reputable researchers in Brazil and abroad. The manuscripts are reviewed according to their relevance and originality, scientific accuracy and level of importance for the advancement of science. With an average time of nine months between the initial submission and the effective publication of the manuscripts, and less than seven months until they are published on PubMed, Arquivos Brasileiros de Cardiologia can ensure the quick inclusion of the researchers’ papers in the international literature.