Associação entre sintomas, veias varicosas e refluxo na veia safena magna ao eco-Doppler

Abstract

Background: Chronic venous disease demands clinical assessment, quantification of hemodynamic effects, and definition of anatomic distribution before diagnostic and treatment decisions can be made. Methods: This is a prospective study conducted in 2015 with a sample of 1,384 patients (2,669 limbs) aged from 17 to 85 years, 1,227 of whom were female. The most common symptoms reported in response to the questionnaire were pain, tiredness, feelings of heaviness, burning, cramps, and tingling. Subsets were formed on the basis of number of limbs distributed by sex, body mass index, and age. After definition of subsets, Doppler ultrasonography was used to conduct examinations of the great saphenous vein (GSV) and patients were distributed into three clinical groups (I: symptoms present and varicose veins absent, II: symptoms absent and varicose veins present and III: symptoms present and varicose veins present). Statistical analysis employed the chi-square test or Fisher' s exact test to test for homogeneity between groups. When associations significant to 5% were detected, odds ratios were calculated. Results: For both sexes, the chance of GSV insufficiency was 11.2 times greater in group III. Among cases with morbid obesity, the chance was 9.1 times greater in the same group. Additionally, patients in this group with ages ranging from 30 to 50 years exhibited a 43.1 times greater chance of GSV insufficiency. Conclusions: Insufficiency of the GSV was significantly more frequent in group III, both overall and when considering only cases with morbid obesity, or cases in older age groups.

Clinical, ultrasonographic and histological findings in varicose vein surgery

“…18 In line with some other studies,18,19 we found altered reflux in the saphenofemoral junction in 81.8% of the limbs analyzed with GSV reflux in the thigh. Seidel et al 10 studied the association between CVI symptoms, visible varicose veins, and GSV reflux, grouping patients in three different groups (asymptomatic with varicose veins, symptomatic with no varicose veins, and symptomatic with varicose veins) and concluded that GSV reflux was more frequent in symptomatic patients with visible varicose veins, however they did not study the relevance of SFJ insufficiency on symptoms and on the level of varicose veins visible during the physical examination. Even though the presence of altered SFJ reflux is a relevant parameter for surgical recommendation 20 and predictor of CVI, 19 the presence of such reflux presented no correlation with the clinical classification of CVI (CEAP) in this study, i.e.…”

Uso do laser de 1.470 nm para o tratamento de insuficiência venosa superficial

“… 2 , 3 Clinical assessment to assess anatomic distribution and to quantify the hemodynamic effects is needed to define the severity of the disease, because of its impact in terms of reduced quality of life and the chronic and subjective nature of complaints and symptoms such as pain, feelings of heaviness, swelling, cramps, and others. 1 , 6 , 7…”

“…Essa alta prevalência está associada a envelhecimento, obesidade, história familiar, sexo feminino (5:1), mulheres caucasianas, uso de anticoncepcional oral, terapia de reposição hormonal e atividades laborais em ortostatismo 2 , 3 . O impacto na redução da qualidade de vida aliado a cronicidade e subjetividade de queixas e sintomas como dor, sensação de peso, inchaço, câimbras, entre outros necessita de avaliação clínica para estabelecer a sua distribuição anatômica e quantificar os efeitos hemodinâmicos para definir a gravidade da doença 1 , 6 , 7 .…”

Terapia compressiva: bota de Unna aplicada a lesões venosas: uma revisão integrativa da literatura

“…Once the disease establishes, it can progress to wounds of difficult healing, incapacities, and still recur in up to 66% by making the condition chronic (3) . Feeling of weight, pain and itching in the lower limbs (LL) (4) are often diagnosed clinical symptoms, and may be supplemented with Doppler-like imaging tests.…”