Sintomas e insatisfação: o contexto na qualidade de vida do portador de diferença valvar

Grinberg, Max

doi:10.1590/s0066-782x2007000100025

Cited by 4 publications

(3 citation statements)

References 14 publications

(13 reference statements)

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“…The elderly can be asymptomatic and dissatisfied with losses caused by complying with the physical restrictions, feel restrained in his or her independence for personal and professional decisions due to the perspective of a symptom at any time 6 . It is not unusual for the caregiver to inform that the meaning of life and the motivation of the elderly patient does not coincide with the one reported by the patient.…”

Section: Quality Of Life For the Elderlymentioning

confidence: 99%

Estenose aórtica no idoso: perspectiva brasileira

Grinberg¹,

Accorsi²

2009

Arq. Bras. Cardiol.

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Aortic valve stenosis / etnology; aged; Brazil.The brazilian cardiologist -more and more a geriatricianWith the predicted progression of the Brazilian demographic pyramid to the trapezoid shape due to the increase in the number of elderly individuals (Figure 1), the natural history of atherosclerotic aortic stenosis (AOS) tends to achieve a medical-social significance. The new brazilian elderlyScenario for 2025: 30 million elderly individuals, with a mean life expectation of 76 years with atherosclerotic AOS, around 50 cases for each cardiologist.It is a change in the profile of the Brazilian patient with valvulopathy, which traditionally associates valvular deficiency with "rheumatic young patient" and grieves over the consequences on the labor force of the nation 1 . This addition to the comorbidity of retired individuals will have an impact on the longevity maintenance policies and on the assistance&research&teaching involving raw materials such as the state-of-the-art, directive recommendations, multicenter study results, unique-patient values and the infra-structure provided by the health system.

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Section: Quality Of Life For the Elderlymentioning

confidence: 99%

Estenose aórtica no idoso: perspectiva brasileira

Grinberg¹,

Accorsi²

2009

Arq. Bras. Cardiol.

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“…In the natural history of valvular heart disease, the presence of symptoms correlates with the loss of myocardial adaptive capacity and thus, with a lower survival of patients 1 .…”

Section: Introductionmentioning

confidence: 99%

A inclusão do escore de risco na tomada de decisão em cardiopatia valvar

Casalino¹,

Grinberg²

2012

Arq. Bras. Cardiol.

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Clinical facts and numerical data support interpretations of quality of life and survival in patients with valvular heart disease. Such data are useful in decision making regarding the interruption of natural history and replacement by a hemodynamic post-correction history. Interdisciplinary competence and expertise are required to maximize the necessary and possible results. However, the ideal of recommendations to achieve the highest degree of therapeutic satisfaction by patients with valvular heart disease is influenced by a set of variables, related in part to the specifications of the patient, and part to the limitations of methods.The rationale of the risk score validated for multiple markers is the addition of quantitative accuracy to the clinical assessment based on the heterogeneity of individual experience and intuition. In this context, the use of risk scores to predict postoperative mortality are useful tools, easy to apply and that gives us objective data on the patient's situation. None of the available tools (EuroSCORE, STS score and Ambler Score) used in healthcare has been validated has in our population.

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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%