Escores de risco nas intervenções em valvopatia

Abstract

The risk scores used as assistance agents in valve diseases are validated worldwide; however, the data are not homogeneous. The epidemiological characteristics of each population require local validation of these risk tools. The percutaneous valve replacement, which is a reality in valvular diseases (especially aortic stenosis), is indicated for patients with high or prohibitive surgical risk. Studies with this new treatment strategy use risk scores as criteria for inclusion and there are few studies that use such tools as predictors of risk.The risk scores, after due validation in their relevant populations, are combined with clinical practice (individualization of conduct) in the definition of the conduct to be adopted in the clinical practice of valvular heart disease.

Escores de risco nas cirurgias cardíacas valvares

“…We read with interest two manuscripts recently published in the Point-of-View session of this journal 1,2 , which discuss the importance of risk scores when indicating heart valve surgery.…”

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Dear Editor,We read with interest two manuscripts recently published in the Point-of-View session of this journal 1,2 , which discuss the importance of risk scores when indicating heart valve surgery.The scores most frequently used to quantify the risk of death in patients undergoing heart valve surgery in our country were developed in populations with different characteristics from that of our country, thus determining limitation of its use, and this has already been demonstrated. The European System for Cardiac Operative Risk Evaluation (EuroSCORE) is probably the most widely known score.

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Das modificações, os porquês e os significados das ocupações após a cirurgia cardíaca

“…The indication for surgical intervention occurs after the precise diagnosis of the anatomy and functionality of the region and the study on the natural course of the disease, and after the clinical evaluation, such as physical examination and anamnesis (Tarasoutchi et al, 2011;Casalino & Tarassoutchi, 2012).…”

Validação do EuroSCORE em valvopatas submetidos à cirurgia cardíaca

“…A expertise da equipe, somada às evidências literárias são exigidas para maximizar o resultado necessário e possível (medicina de excelência) 2,3 .…”