Cardiologia Ambulatoriale - Outpatient Cardiology https://www.cardiologiaambulatoriale.eu/chronic-venous-insufficiency-epidemiology-pathophysiology-and-diagnosis/ Export date: Fri Mar 29 15:23:48 2024 / +0000 GMT |
Chronic venous insufficiency: epidemiology, pathophysiology and diagnosisInsufficienza venosa cronica: epidemiologia, fisiopatologia e diagnosi Antonio Cardinale 1; Francesco Paolo Calciano 2 1 Responsabile ambulatorio cardiologia territoriale, ASM Matera 2 Medico di medicina generale, Grassano (MT) Abstract La medicina dovrebbe essere un gioco di squadra, oggi sempre declamato ma poco realizzato. Andare al di là dell'individualismo, valido in ogni disciplina, lo è anche in ambito angiologico. La gestione della insufficienza venosa cronica (IVC) coinvolge diversi specialisti, dal medico di medicina generale (MMG), all'angiologo, al cardiologo, al nutrizionista, al ginecologo, al chirurgo vascolare per citarne alcuni. La prevalenza dell'IVC è elevata: un italiano su due è colpito da questa malattia. L'età media di chi la contrae è in genere sopra i 50 anni, e sono le donne a esserne maggiormente colpite. Parole chiave: Insufficienza venosa cronica; Trombosi venosa profonda; Ultrasonografia Doppler; Embolia polmonare. Abstract Medicine should be a team game, a phrase often declaimed but little practiced. In every discipline, and particularly in the field of angiology, it is necessary to go beyond the individualism. Several professional figures are involved in the management of chronic venous insufficiency (CVI): the general practitioner, the gynecologist, the cardiologist, the vascular surgeon and more. The prevalence of CVI is high: one in two Italians is affected by this disease. CVI occurs more frequently in people over age 50, and more often in women than in men. Clinical signs are related to the pathophysiology. CVI is a condition that occurs when the vascular wall and/or the valves in the leg veins work poorly, making it difficult for the blood to return to the heart from lower limbs. Increased capillary pressure secondary to valvular insufficiency or venous obstruction is the main pathophysiological mechanism of edema. In many patients suffering from CVI, edema is isolated or associated with other signs. The diagnosis of deep venous thrombosis (DVT) is underestimated. There are no specific signs or symptoms. Echo-color-Doppler ultrasonography, associated with the lower limb vein compression (CUS), is considered the gold standard for the diagnosis, particularly in patients with suspected pulmonary embolism. MEVec (venous hemodynamic map) is a software allowing to record hemodynamic disorders that are the basis of chronic venous insufficiency and to compare the results of CVI treatment. Timely initiation of medical therapy according to guidelines recommendations is critical to minimize complication of this disease. Key words: Chronic venous insufficiency; Deep venous thrombosis; Echo-Doppler ultrasonography; Pulmonary embolism. |
Post date: 2021-03-01 15:15:17 Post date GMT: 2021-03-01 15:15:17 Post modified date: 2021-09-10 18:41:45 Post modified date GMT: 2021-09-10 18:41:45 |
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