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Soplos y otros ruidos cardíacos - Treatment

Nombres alternativos

Soplos o sonidos del tórax; Tonos o ruidos cardíacos anormales; Soplo inocente; Soplo cardíaco sistólico; Soplo cardíaco diastólico

Lo que se puede esperar en el consultorio médico:

El médico generalmente descubre un soplo cardíaco durante un examen físico. Usted puede o no haber sido consciente de su presencia. El examen físico incluye una evaluación minuciosa de los ruidos cardíacos.

El médico puede hacer las siguientes preguntas:

  • ¿Otros miembros de la familia han tenido soplos u otros ruidos cardíacos anormales?
  • ¿Hay antecedentes familiares de problemas cardíacos?
  • ¿Qué otros síntomas tiene? como:
    • coloración azulada de la piel ( cianosis)
    • dolor torácico
    • venas del cuello distendidas
    • desmayo (síncope)
    • hepatomegalia
    • cambios en los ruidos pulmonares
    • dificultad para respirar
    • hinchazón
    • aumento de peso

El médico con frecuencia puede identificar la válvula comprometida y si usted tiene regurgitación o estenosis durante el examen. La localización, calidad y duración del soplo son todos importantes. El médico puede solicitarle que se ponga en cuclillas, se ponga de pie o que contenga la respiración mientras ejerce presión o aprieta algo con las manos para auscultarle el corazón.

Entre los exámenes de diagnóstico para determinar la causa de un soplo u otro ruido cardíaco anormal "nuevo" están:

  • Reviewed last on: 6/5/2010
  • Issam Mikati, MD, Associate Professor of Medicine, Feinberg School of Medicine, Director, Northwestern Clinic Echocardiography Lab, Northwestern University, Chicago, IL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Otto CM, Bonow RO. Valvular heart disease. In: Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsever; 2007:chap 62.

Fang JC, O'Gara PT. The history and physical examination: an evidence-based approach. In: Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsever; 2007:chap 11.

Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr., Faxon DP, Freed MD, et al. 2006 Writing Committee Members; American College of Cardiology/American Heart Association Task Force. 2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients with Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2008;118:e523-e661.

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