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1565251282aortic valve valvuloplasty in India - heart valve therapy

How Aortic Valve Stenosis Does Affect Elderly Patients?

The risk of aortic valve stenosis and the increasing age of a person i.e. if an individual is greater than 60 year, they are more likely to have sudden deaths due to valve-related heart diseases like mitral valve or aortic valve stenosis and many surgeries like robotic mitral valve repair or mitral valve replacement or aortic valve replacement can be done to heal it. Many studies indicated that aortic valve stenosis is very common and perhaps the major cause of sudden death in elderly people.  Moreover, elderly people who are no longer involved in daily activities or have considerably reduced it should be given special attention. Aortic Stenosis occurs due to the narrowing of areas of valve openings. As a result, blood flow is blocked leading to heart failure. One of the best heart hospitals in Gurugram reveals that the reason behind is calcification, congenital bicuspid aortic valve, scarred aortic valve of rheumatic fever, and wearing of the aortic valve. In addition to it, if calcification prevails for a longer time or if it occurs frequently, then the possibilities of Aortic stenosis increase.

The major symptoms of aortic stenosis are:

  • Chest pain
  • Shortness of breath due to heart failure
  • Fainting

In the rarest case, the first symptom may be sudden death. The exact causes are unknown and it may be because of abnormal heart rhythms, or lack of blood flow or insufficient oxygen level.

If symptoms are observed, immediate treatment is required. Those who have low to moderate operative risk, generally surgical aortic valve replacement are done. However, for those patients who have a higher probability of operative risk, doctors generally prefer transcatheter aortic valve intervention (TAVI). It is the most effective alternative for surgical aortic valve replacement.

Hospitals, where the aortic valve valvuloplasty in India is performed, has witnessed that the traditional method of aortic valve replacement though reduces 20% of mortality rate at one year and also improves functional conditions. In spite of the pros, it has a major con that it tends to surge the vascular complications like heart stroke or increased bleeding. Therefore, the cardiologist should make a wise decision about who should undergo conservative surgery and who should go for TAVI as the decision is often based on the probability of operative risks, the risk to mortality, the suitability of a procedure, etc.  All these require a meticulous examination on the side of the doctor.  Before that various important tests are done including Echocardiogram and cardiac catheterization to ascertain the severity of aortic stenosis.

In cases, where there are no visible symptoms found, they can wait for the treatment. For patients who are experiencing mild aortic stenosis, generally, don’t require treatment and should not be restricted for performing activities. However, patients suffering from moderate aortic stenosis are recommended to limit heavy activities like weight lifting. It is said that Aortic stenosis gradually progresses as time passes. Hence, doctors always advise for annual examinations or check-ups by using echocardiography. It helps in evaluating if the disease progresses.

In other cases, where major symptoms are found like chest pain or shortness of breath, the prognosis in such cases without valve replacement surgery is not accurate. Therefore, therapies including diuretics are given to decrease the high lung pressures and the removal of lung fluids can ease the temporary pain of symptoms. The risk of mortality in the case of aortic valve replacement surgery is around 5%. Best cardiology doctor in Gurgaon focuses on the fact that regardless of age the surgery should be performed if necessary because patients who are in their 80s but have strong heart muscles can drastically benefit from aortic valve replacement surgery in case of severing aortic stenosis.

Tags: Robotic mitral valve repair, aortic valve valvuloplasty, cardiology doctor gurgaon, aortic valve stenosis, aortic valve replacement, transcatheter aortic valve intervention

 


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