AORTIC VALVE STENOSIS SYMPTOMS AND ITS TREATMENT
Aortic stenosis can be described
as an abnormal narrowing of the aortic valve. There are a variety of causes for
inflammation that leads to the aortic valve that is narrowed. The
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USA. Heart problems can arise when the narrowing is significant enough
to block blood circulation from the left ventricle to the arteries.
What happens to the heart when the aortic valve
is stenosis?
·
The heart is a muscle pump with four chambers
and four valves for the soul.
·
The chambers in the upper part, known as the
left atrium and right atrium (atria plural form of atrium), are walled with
thin walls. Filling chambers.
·
The blood flows from the left and right atria
through the tricuspid and mitral valves, flowing into the chambers below (right
ventricles and left).
·
The left and right ventricles are lined with
muscular walls to pump blood across the pulmonic and Aortic valves to the
circulation.
·
Heart valves are tiny tissue leaflets that open
then close right timing during every heartbeat cycle.
·
The principal function of valves in the heart is
to stop blood flow in the opposite direction.
·
The arteries carry blood to supply oxygen and
other nutrition to the body and then returns as carbon dioxide waste through
blood vessels to the right atrium. When the ventricles relax, blood circulation
in the right atrium flows via the tricuspid valve and into the right ventricle.
·
As the ventricles contract, blood from the right
ventricle gets transported by the pulmonic valve to the lungs to replenish
oxygen and remove carbon dioxide.
·
The oxygenated blood returns to the left atrium,
where it goes by the mitral valve to the ventricle left.
·
Blood is circulated through the left ventricle
over the aortic valve and into the aorta and the blood vessels of the body.
It is believed that the flow of
blood into the body's blood vessels can be restricted when aortic narrowing
occurs. This can ultimately result in heart failure. Aortic stenosis is three
times more often among males than females.
What are the signs and symptoms of aortic
stasis?
The most prominent symptoms of aortic stenosis include:
·
Chest pain in the chest (angina),
·
Fainting (syncope) and
·
Shortness of breath (due to an inability to
breathe due to a heart problem).
·
In a tiny proportion of patients suffering from
aortic stenosis, the initial sign of death is sudden, which occurs most often
during intense exercise.
The exact cause of sudden death
is unclear. However, it could be due to irregular heartbeats due to the
insufficient flow of blood through the aortic valve that is narrowed to the
coronary arteries in the heart. The lack of oxygen reaching the lining of the
heart muscle results due to the absence of blood flow to coronary arteries,
especially when exercising vigorously. The lack of oxygen to the heart muscle
can cause chest pain and could cause irregular heart rhythms.
It is the primary symptom in
one-third of patients and is eventually seen in one-half of patients suffering
from aortic stenosis. The chest pain in patients suffering from Aortic Stenosis
is the same as the chest discomfort (angina) sustained by patients who suffer
from coronary artery diseases. In both cases, it is noted as pain on the breast
bone that is caused due to exertion and eased by rest. For patients suffering
from heart disease or coronary artery disease, chest discomfort can be caused
by a lack of blood flow to the heart muscle because of coronary arteries that
have narrowed. However, for patients suffering from aortic stenosis, chest pain
can be experienced with no underlying restriction of coronary arteries.
Instead, the heart muscle is thickened and required to pump at high pressure to
force blood flow into the narrowed Aortic valve. The giandliverconsultants
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consultants in USA. This raises the oxygen demands,
which is greater than the bloodstream supply, which causes chest discomfort
(angina).
A twitching (syncope) due to
aortic stenosis can be associated with excitement or exertion. These conditions
trigger the relaxation of blood vessels (vasodilation), which decreases blood
pressure. Aortic stenosis is a condition where the heart cannot boost output to
counter the decrease of blood pressure. This means that blood flow to the brain
decreases and causes fainting. The cause of fainting is if cardiac output falls
because of an irregular heartbeat (arrhythmia). Without treatment, the life
expectancy of an average patient is lower than 3 years following the onset of
symptoms of syncope or chest pain.
Shortness of breath due to heart
failure is the most ominous warning sign. It results from the heart's inability
to deal with the high pressure of Aortic Stenosis. The shortness of breath can
be caused due to increased pressure within the blood vessels in the lung due to
the increase in force needed to fill the left ventricle. At first, breath
shortness is experienced only in the course of activity. However, as the
disease progresses, shortness of breath is experienced even during the day's
rest. Patients may have difficulty lying down without becoming breathless
(orthopnea). If not treated, the typical life expectancy following the first
sign of heart failure caused by Aortic Stenosis is between 6 and 24 months.
What is the cause of aortic stenosis?
In adults, three diseases are
believed to cause Aortic stasis.
Wear and tear progressive of the
bicuspid valve, present from the moment of birth (congenital).
Wear and tear of the Aortic valve
during ageing.
The aortic valve is damaged
caused by rheumatic fever in an infant or an adult.
Bicuspid aortic valves are the
most frequent reason for aortic stenosis in patients younger than 65 years old.
Aortic valves typically comprise three leaflets, referred to as cusps. Around
2% of patients have aortic valves with just 2 points (bicuspid valves). The
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surgery in USA. Though bicuspid valves typically don't
hinder blood flow when people are younger, they don't open as much as valves
with three cusps. This means that blood flow through the bicuspid valves can be
more turbulent, leading to more strain and wear on valve leaflets. In time,
wear and tear causes scarring, calcification, and decreased mobility of valve
leaflets. Around 10 per cent of the bicuspid valves become substantially
narrowed, which causes the heart-related symptoms of aortic stenosis.
The most frequent reason for
aortic stenosis among patients aged 65 and above is known as "senile
calcific aortic stenosis." As you age, the collagen protein of the valve
leaflets gets removed, and calcium gets deposited on leaflets. As a result, the
velocity of the valve grows, leading to scarring, thickening and the valve
swells after the valve leaflet's mobility has been diminished by calcium calcification.
How this process is able and causes significant narrowing in certain patients
but not in other patients is unknown. The progressive condition that causes the
aortic calcification and the stenosis does not have anything to do with good
lifestyle choices, in contrast to the calcium that may accumulate within the
coronary artery to cause heart attacks.
Rheumatic fever is a disease that
is caused by untreated infections caused by streptococcal group Bacteria.
Damage to valve leaflets due to Rheumatic fever can cause increased turbulent
flow across the valve and further damage. The rheumatic fever-related narrowing
results from the melting (melting between) on edge (commissures) in the
leaflets. Rheumatic aortic narrowing usually happens with a certain degree of
regurgitation of the aortic artery. In normal circumstances, the valve in the
aortic chamber closes to stop blood from the aorta from returning to the left
ventricle. In the case of aortic regurgitation, the valve is damaged and allows
blood flow back into the left ventricle because these muscles loosen the
following pumping. The patients also have a degree of rheumatic injury to the
valve that connects to the mitral. The condition is reasonably rare throughout
the United States, except in immigrants from developing cuntries.
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