Átrio Esquerdo indexado, tão bom e tão pouco valorizado…

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http://circimaging.ahajournals.org/content/9/10/e005156

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Conclusion

The present study in patients with asymptomatic AS demonstrate that patients with no LA dilatation and normal E/e′ ratio are characterized by lower hemodynamic burden at rest and during exercise despite severe AS. Conversely, when LA dilatation is apparent, especially when E/e′ also is increased, the hemodynamic burden on the pulmonary circulation is increased especially with exercise. LA dilatation seems to be a morphophysiological sign of the hemodynamic consequence of AS.

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Até quando o assunto é Estenose Aórtica, quem determina o prognóstico é o volume indexado do AE.

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