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Valvular Heart Disease

 

What is Valvular Heart Disease?

Valvular heart disease refers to a condition which happens when any of the heart's four valves (mitral, aortic, tricuspid, and pulmonic) fail to function well.

It is the heart valves' main function to keep blood flowing in a steady rhythm through the heart. The valves act as gates which open and close at precisely orchestrated times to maintain the proper blood flow. When the gate fails to open or close at the right time, the heart fails to pump the blood efficiently. Most types of valvular heart disease involve the aortic or mitral valve.

The Causes Of Valvular Heart Disease

Valvular heart disease could be congenital or acquired through lifestyle.

A congenital condition refers to a condition that a baby is born with. One common example is mitral valve prolapse. In this condition, the mitral valve doesn't close properly, which will allow a small amount of blood to leak back into the left atrium. Mitral valve prolapse is rarely serious and usually does not need any treatment.

An acquired condition refers to the one which is developed later in life. The most common cause of acquired valvular heart disease is rheumatic fever. Rheumatic fever could be resulted from an untreated strep infection and hence causes damage to the connective tissues of the body which includes the joints, skin, and heart valves.

It used to be a common condition among children, the incidence of rheumatic fever has plummeted with the use of antibiotics such as penicillin. Eventually, valvular heart disease as a result of rheumatic fever is rarely seen anymore in developed countries.

The Common Types Of Valvular Heart Disease

One common kind of valvular heart disease is valvular stenosis. This happens when there is a blockage or narrowing in one or more of the heart valves. During the days when rheumatic fever was more common, doctors often found severe aortic stenosis in their rheumatic fever patients. This condition was especially problematic in pregnant women, because their hearts often could not withstand the strain of labor and delivery. Doctors treating women with aortic stenosis usually recommended that they have the aortic valve surgically repaired before pregnancy.

Valvular regurgitation will happen when blood leaks in the wrong direction because a valve fails to close properly. Some cases of valvular regurgitation are very mild and do not need special treatment where others may require medications or surgery.

Atresia is an often severe condition which occurs in infants when a valve has failed to develop properly and is closed at birth. Atresia often requires surgical intervention.

 

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