Publicação
Atherosclerosis – apropos of a subclavian steal phenomenon
| Resumo: | Atherosclerosis as a multi-systemic pathology affecting people all around the world, it is the main death cause in developed countries, through its acute clinical manifestations. The authors report a clinical case of a 52 year-old man, with a prior medical history of hypertension and dyslipidaemia, with a detected high blood pressure only in the right arm in a medical appointment. We studied the different vascular territories which are more frequently affected by the atherosclerotic disease, it was diagnosed left subclavian artery stenosis (related with the observed subclavian steal phenomenon), bilateral carotid occlusion, bilateral aorto-iliac lesions and left popliteal artery occlusion. The authors would like to emphasize the fact that despite the extension of the atherosclerotic disease, the patient had never had an acute vascular event, until now. They want also to emphasize the relevance of adequate and careful medical history and physical examination. That is why the internal medicine doctors must have a permanent alert attitude and consequently an active role in primary and secondary prevention of cardiovascular diseases. |
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| Autores principais: | Granito, Sofia |
| Outros Autores: | Azevedo, Isabel; Jardim, Margarida; Andrade, José Luís; Lélis, Manuela; Chaves, António; Brazão, Maria da Luz |
| Assunto: | Fenómeno do roubo da subclávia aterosclerose doenças cardiovasculares subclavian steal phenomenon atherosclerosis cardiovascular diseases |
| Ano: | 2011 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Instituição associada: | Sociedade Portuguesa de Medicina Interna |
| Idioma: | português |
| Origem: | Revista Portuguesa de Medicina Interna |
| Resumo: | Atherosclerosis as a multi-systemic pathology affecting people all around the world, it is the main death cause in developed countries, through its acute clinical manifestations. The authors report a clinical case of a 52 year-old man, with a prior medical history of hypertension and dyslipidaemia, with a detected high blood pressure only in the right arm in a medical appointment. We studied the different vascular territories which are more frequently affected by the atherosclerotic disease, it was diagnosed left subclavian artery stenosis (related with the observed subclavian steal phenomenon), bilateral carotid occlusion, bilateral aorto-iliac lesions and left popliteal artery occlusion. The authors would like to emphasize the fact that despite the extension of the atherosclerotic disease, the patient had never had an acute vascular event, until now. They want also to emphasize the relevance of adequate and careful medical history and physical examination. That is why the internal medicine doctors must have a permanent alert attitude and consequently an active role in primary and secondary prevention of cardiovascular diseases. |
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