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The classic always has something extra

Heart valve diseases

LETTER TO THE EDITOR

Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil

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Keywords: Heart valve diseases/diagnostic.

Going through the publications of the Arquivos Brasileiros de Cardiologia (Brazilian Archives of Cardiology), we identified 19 original articles on valvular disease, 12 of which (63.0%) were about interventions (surgical or percutaneous)1-3 and 7 (37.0%) were "clinical", about diverse subjects4,5.

We selected some examples of recent references1-5. None of them analyzed the clinical peculiarity of the valvular disease. The inexhaustible clinical facet of symptoms and physical examination in valvulopathy has been disregarded in times of technological sophistication, impairing the basis for decision-making over old challenges at the bedside, including the etiopathogenic diagnosis of rheumatic disease, integration of clinical propedeutics and the analysis of natural evolution.

The impact of the merit of the classic must continue to be the target of scientific interest in the new frontiers of Cardiology knowledge.

References

  • 1. Guaragna JCV, Bodanese LC, Bueno FL, Goldani MA. Proposta de escore de risco pré-operatório para pacientes candidatos à cirurgia cardíaca valvar. Arq Bras Cardiol. 2010; 94 (4): 541-8.
  • 2. Cardoso LF, Ayres CV, Bento AM, Tarasoutchi F, Vieira ML, Grinberg M. Resultados imediatos e tardios da valvoplastia mitral percutânea em pacientes com estenose mitral. Arq Bras Cardiol. 2010; 94 (3): 406-13.
  • 3. Perin MA, Brito Jr. FS, Almeida BO, Pereira MAM, Abizaid A, Tarasoutchi F, et al. Substituição valvar aórtica percutânea para o tratamento da estenose aórtica: experiência inicial no Brasil. Arq Bras Cardiol. 2009; 93 (3): 299-306.
  • 4. Spina GS, Tarasoutchi F, Sampaio RO, Vieira MLC, Strunz C, Laurindo FR, et al. Perfil neuro-hormonal de pacientes reumáticos com insuficiência aórtica crônica importante. Arq Bras Cardiol. 2009; 92 (2): 150-6.
  • 5. Elias N, Tarasoutchi F, Spina GS, Sampaio RO, Pomerantzeff PMA, Laurindo FR, et al. Fibrose miocárdica e remodelamento ventricular na insuficiência aórtica crônica importante. Arq Bras Cardiol. 2009; 92 (1): 63-7.
  • The classic always has something extra

    Max Grinberg; Maria Cecilia Solimene
  • Publication Dates

    • Publication in this collection
      04 Feb 2011
    • Date of issue
      Jan 2011

    History

    • Received
      22 Apr 2010
    • Accepted
      06 July 2010
    • Reviewed
      28 June 2010
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