Aortic valvular insufficiency

Aortic valvular insufficiency

Aortic valve insufficiency can cause the blood flowing through the heart to be unable to be supplied normally, leading to cardiac ischemia. Therefore, in this case, we should go to thoracic surgery for treatment in time. In severe cases, surgery is required to repair the valve. During the operation, you must pay attention to maintenance matters and communicate fully with your doctor to ensure that your body can recover quickly. So, what should we do if we have aortic valve regurgitation?

1. Inspection

Physical examination often reveals a decrease in diastolic arterial blood pressure and a diastolic murmur can be heard in the heart. However, whether the aortic valve is diseased and the severity of the disease still requires cardiac ultrasound examination. Cardiac ultrasound can determine the cause of valve disease, the degree of left ventricular dilatation and the degree of reduction in left ventricular contractile function.

2. Diagnosis

There are few symptoms of aortic regurgitation. Chronic aortic regurgitation can persist for many years without symptoms. As aortic regurgitation gradually develops and worsens, when left ventricular dilation occurs, patients gradually develop symptoms, including palpitations, shortness of breath, dyspnea after activity or exertion, paroxysmal orthopnea at night, angina-like symptoms, and syncope.

Physical examination often reveals a decrease in diastolic arterial blood pressure and a diastolic murmur can be heard in the heart. However, whether the aortic valve is diseased and the severity of the disease still requires cardiac ultrasound examination. Cardiac ultrasound can determine the cause of valve disease, the degree of left ventricular dilatation and the degree of reduction in left ventricular contractile function.

Treatment

Due to the compensatory function of the heart, patients with aortic valve regurgitation can be asymptomatic for many years. When patients show symptoms of heart failure, they should be actively treated with surgery. In addition, recent studies have shown that when left ventricular dilation occurs, the left ventricular contractile function decreases, and the left ventricular end-diastolic pressure increases, it means that the patient's heart has experienced anatomical decompensation. Although the patient may not have obvious symptoms at this time, there are clear indications for surgery and surgical treatment should be performed as soon as possible. Only in this way can the heart function be fully restored and the quality of life be significantly improved after the operation, and the risk of surgery can be reduced to a minimum.

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