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Heart Valve Disease

Heart valve disease is when any heart valve does not work as it should.

The heart has four chambers and four valves. Valves between each chamber act like a door, opening and closing to let blood pass. They are made of thin, strong pieces of tissue called leaflets. The four chambers are the right atrium, right ventricle, left atrium, and left ventricle. The four valves are the aortic valve, pulmonic valve, tricuspid valve, and mitral valve.

When the heart is working properly, the valves open and close in rhythm. This allows the correct amount of blood to move through each chamber of the heart at the right time.

There are three kinds of heart valve problems. Any of these can occur in any of the four different valves. They are:

  • Regurgitation: blood flows backward when a valve does not close properly
  • Stenosis: narrowing of the heart valve when the valve leaflets become too thick or fuse together
  • Atresia: when a person is born with a valve that hasn’t formed properly

Symptoms

Often, heart valve disease (especially mild disease) does not cause symptoms. If the valvular disease progresses or worsens, symptoms may start. These symptoms can include:

  • Chest pain
  • Shortness of breath
  • Swelling in the ankles or stomach
  • Feeling faint or dizzy
  • Being very tired
  • An irregular or too fast heartbeat

Causes

There are several reasons why heart valve disease can occur, including:

  • Being born with heart valve disease
  • Infections
  • Other types of heart disease

Risk Factors

Some things which increase the risk for developing heart valve disease include:

  • Diabetes
  • History of infections in the heart
  • High blood pressure
  • Older age
  • History of other types of heart problems
  • High cholesterol
  • Illegal drug use

Diagnosis

In many cases, heart valve disease is discovered on routine examination by a healthcare provider. The first clue is an unusual heart sound when listening to a person’s heartbeat with a stethoscope. This sound is called a murmur. Instead of the crisp “lub-dub” of the valves opening and closing, a heart murmur makes a sound like rushing water. Once a healthcare provider determines a murmur is present, they will request tests to find the reason for the murmur, such as:

  • Electrocardiogram (ECG): watches the electrical system in the heart work
  • Echocardiogram: a test that watches the valves work as blood flows through the heart
  • Chest x-ray
  • Referral to a consultant cardiologist

Complications

Heart valve disease can cause other health problems, such as:

  • Heart failure
  • Blood clots
  • Heart attack
  • Stroke
  • Irregular heart rhythm

Treatment

Treatment depends on a person’s symptoms, overall health, and how severe their valvular disease is. Options include lifestyle changes, medications, and surgery to fix the diseased valve. Some people require a complete surgical valve replacement.

Prevention

Techniques to prevent heart valve disease include general techniques for a healthy heart. Healthful eating and regular exercise help keep a person’s weight in a healthy range. Quitting smoking or using illegal drugs is an instant health boost. And regular checkups with a medical provider can detect a problem early before it’s caused a lot of damage.

 
 
 

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