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

Abstract

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.

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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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 .…”