Manter, conservar, trocar

Grinberg, Max; Pommerantzeff, Pablo M.

doi:10.1590/s0066-782x2006001600028

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…The "R" -replace a valve by a prosthesis -is the third therapeutic method after many years of clinical surveillance on damaged valves (first option), and when there is no recognized chance of repair (second option), the initial 'P' in pray 15 .…”

Section: Kneelingmentioning

confidence: 99%

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Decisão mecânica ou biológica?

Grinberg¹

2006

Arq. Bras. Cardiol.

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Clarification: in the development of this text, the terms "cardiology" and "cardiologist" also comprise cardiac surgery and the cardiovascular surgeon. I. Bedside reading bookHighlight: "The study of Medicine begins with the patient, continues with the patient, and ends with the patient..." (William Bart Osler -1849-1919.Highly pedagogical medical books -the patient collection -are edited by the bedside; title pages are precisely the faces of patients. There are chapters so revealing of the human being that the text seems to be written in the patient-author's own handwriting; some of them become bedside books in light of the empathy involved in the doctor-patient relationship.With due permission, we reproduce an extract of a book about prosthesis-dependency that started to be written more than thirty years ago by a person with aortic valvopathy. Currently, he is living with his fourth prosthesis and says that quality of life "between operations" has always been excellent: A recent research noted that, for the aortic position, the bioprosthesis was considered superior to the mechanical prosthesis (80% versus 70%) as to the endpoint of degree of satisfaction with prosthesis-dependency. Data included the patient's desire to maintain the same type of valvar prosthesis in an eventual reoperation 3

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Section: Kneelingmentioning

confidence: 99%

“…The good experience is the recovery of lost, modified, or avoided activities along the natural history of the cardiac disease that the valvopathy patient expects to maintain by the benefits of a prosthesis-dependency 15 . It will be original for that patient, but at the same time, a copy of so many others from the professional cardiologist's point of view.…”

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confidence: 99%

Decisão mecânica ou biológica?

Grinberg¹

2006

Arq. Bras. Cardiol.

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“…It is the practice! We strive for the hemodynamic correction of severe valve disease when there is the clinical expression of discomfort that limits the quality of life of patients with valvular diseases [3][4][5][6] . It is the state of the art!…”

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confidence: 99%