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Understanding Valvular Heart Disease: From Symptoms to Solutions

Understanding Valvular Heart Disease From Symptoms to Solutions - Dr. Shudhanshu J Agnihotri

Why Valvular Heart Disease Occurs & How You Can Protect Your Heart

Valvular heart disease is one of the most common yet lesser-understood heart conditions affecting people of all ages. Your heart has four valves—mitral, tricuspid, aortic, and pulmonary—that work like gatekeepers, ensuring blood flows smoothly in the right direction. When any of these valves fail to open or close properly, your heart has to work harder, leading to symptoms, complications, and long-term damage if not treated on time.

This article explains what valvular heart disease is, why it occurs, how it affects your heart, and how you can protect yourself. You’ll also find answers to the most frequently searched questions on Google to give you clear and reliable awareness.


What Is Valvular Heart Disease?

Valvular heart disease refers to any condition in which one or more of the heart’s valves become damaged or diseased. This may involve:

When a valve doesn’t work as it should, the heart struggles to pump blood efficiently. Over time, this can lead to heart failure, arrhythmias, and severe complications. That’s why early diagnosis and treatment are extremely important.


Why Does Valvular Heart Disease Occur?

There are many reasons why valvular heart disease develops. Some people are born with valve defects, while others acquire this condition later in life. Major causes include:

1. Age-related degeneration

As we grow older, our valves may thicken, stiffen, or calcify. This is one of the most common reasons people above 60 develop valvular heart disease.

2. Rheumatic fever

Untreated throat infections (especially streptococcal infection) can damage heart valves permanently. This used to be a major cause in India and still affects many adults today.

3. Congenital heart defects

Some individuals are born with malformed valves, such as a bicuspid aortic valve, which increases the risk of early stenosis.

4. Infections (Endocarditis)

Bacterial infections can damage the inner lining of the heart and valves, causing leakage or narrowing.

5. Lifestyle factors and medical conditions


What Is Valvular Stenosis?

Valvular stenosis occurs when a heart valve becomes narrow and rigid, making it difficult for blood to flow through it. Because the valve opening is restricted, the heart has to pump harder to push blood forward. This can eventually lead to heart enlargement and heart failure.

What is the most common type of valvular stenosis?

Aortic stenosis is the most common type, especially in older adults. It happens when the aortic valve becomes calcified and stiff over time.


How Does Valvular Stenosis Affect Heart Function?

When stenosis develops:

Symptoms include breathlessness, chest pain, dizziness, swelling in legs, and easy fatigue.


What Is Non-Valvular AFib?

Non-valvular AFib (Atrial Fibrillation) is an irregular heart rhythm that occurs without a problem in the heart valves.
It is usually caused by:

What is Non-Valvular Atrial Fibrillation?

It is simply another term for non-valvular AFib, meaning the atrial fibrillation is not caused by rheumatic mitral stenosis, a mechanical heart valve, or severe valve disease.


How to Diagnose Valvular Heart Disease

Early diagnosis is the key to preventing complications. Doctors use several tests to evaluate valve function:

1. Echocardiogram (ECHO)

This is the most important test. It uses ultrasound waves to show valve movement, leakage, and narrowing.

2. ECG (Electrocardiogram)

Shows if there are rhythm disturbances due to valve problems.

3. Chest X-ray

Helps identify heart enlargement and lung congestion.

4. CT Scan or MRI

Used in complex cases to assess valve structure in detail.

5. Cardiac Catheterization

Used before surgery or to measure pressure differences across valves.


How to Protect Your Heart from Valvular Heart Disease

While not all cases can be prevented, you can significantly reduce your risk with healthy habits and timely medical care.

1. Control blood pressure & cholesterol

High BP strains your valves and increases wear and tear.

2. Treat throat infections quickly

This prevents rheumatic fever, especially in children and young adults.

3. Maintain heart-healthy habits

4. Manage chronic diseases

Diabetes, hypertension, and autoimmune disorders should be kept under strict control.

5. Get regular heart checkups

If you’re above 40—or have symptoms like breathlessness, palpitations, or chest discomfort—screening is important.

6. Follow your cardiologist’s advice

If diagnosed early, many cases of valvular heart disease can be managed with medications, lifestyle changes, or timely valve repair/replacement.


Conclusion

Valvular heart disease is a serious condition, but with awareness and early intervention, most people live healthy, active lives. Understanding the causes, symptoms, and treatment options empowers you to protect your heart better. If you notice warning signs or have risk factors, do not delay a heart evaluation. Your valves work tirelessly every second—give them the care they deserve.

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