VALVULAR HEART DISEASE SYMPTOMS, CAUSES, TREATMENT

(Heart Valve Disease)

Heart Valve Disease, also known as valvulopathy, occurs when one or more of the heart’s four valves become narrowed or develop leakage and disrupt the normal blood flow. This condition can be inherited or develop later in life, following an infection such as Rheumatic Fever. 

Signs and Symptoms of Valvular Heart Disease

WHAT IS VALVULAR HEART DISEASE?

The four valves of the heart – mitral, tricuspid, aortic, and pulmonary – control one-way blood flow between the heart and the rest of the body, ensuring oxygenated and deoxygenated blood don’t mix. A narrowed or leaky cardiac valve disturbs this regulated blood flow, hence increasing pressure on the heart to work harder.

UNDERSTANDING THE FOUR HEART VALVES

Mitral Valve: Regulates the flow of oxygenated blood from the left atrium to the left ventricle.
Tricuspid Valve: Controls blood flow from the right atrium to the right ventricle. 
Aortic Valve: Opens to allow oxygen-rich blood to be pumped from the left ventricle to the aorta and the body.
Pulmonary Valve: Regulates the flow of blood from the right ventricle to the lungs.

SYMPTOMS OF VALVULAR HEART DISEASE

Symptoms of heart valve disease vary depending on which valve is affected and the severity of narrowing or obstruction. Experiencing one or more symptoms does not confirm VHD; a thorough clinical evaluation is required for an accurate diagnosis. Common signs may include:

  • Shortness of Breath
  • Heart Palpitations
  • Chest Pain
  • Fatigue
  • Dizziness or Fainting
  • Swelling Caused by Fluid Retention (Oedema)

TYPES OF HEART VALVE DEFECTS

  • Valvular Stenosis

    Valvular Stenosis is a cardiac condition in which one or more heart valves become narrowed, restricting the normal blood flow and exerting immense pressure on the heart. 
  • Valvular Prolapse

    Valvular Prolapse occurs due to the displacement of the valve flaps, which makes it difficult for the valves to close properly, leading to blood leakage through them. 
  • Valve Regurgitation

    In valvular regurgitation, the heart valves do not close completely, disrupting normal one-way blood flow and causing blood to flow backward.

WHAT CAUSES VALVULAR HEART DISEASE?

Congenital Heart Defects

Some people are born with structural abnormalities in their heart valves, which can make them more susceptible to developing VHD later in life.

Cardiomyopathy 

Cardiomyopathy is a disease of the heart muscle that causes the heart walls to thicken or stiffen. These changes can alter valve structure and function, potentially leading to valve narrowing or blood leakage.

Heart Attack

A heart attack can damage one or more heart valves. Additionally, scarring from a previous heart attack may distort valve shape or interfere with proper opening and closing, resulting in long-term valve-related problems.

Rare Infections

Certain infections, such as rheumatic fever or infective endocarditis, can cause inflammation and damage to the heart valves. Although uncommon, these infections may cause lasting valve deformities, increasing the future risk of VHD.

Ageing

Some valvular defects can be associated with age and lead to degenerative changes in the heart muscle. These changes can gradually impair valve function, making valvular heart disease more common in older adults.

DIAGNOSING HEART VALVE DISEASE

Valvular heart disease needs early and accurate diagnosis to prevent serious heart complications. Dr. Francesco Lo Monaco carefully evaluates your symptoms and suggests tests such as Echocardiography, cardiac MRI, Computed Tomography, and other specialised imaging to assess the heart valves’ structure and function. These tests help identify valve narrowing, leakage, or structural damage with precision.

VALVULAR HEART DISEASE TREATMENT

Dr Lo Monaco personalises treatment for VHD based on the severity of valve damage and overall heart health. As a preventive cardiologist, he focuses first on lifestyle adjustments to relieve symptoms and reduce strain on the heart. When necessary, medication or further treatment options are carefully recommended to manage an acute or advanced valve disease and protect long-term heart health.

FAQs

Not all, but some types of valvular diseases are genetic. Individuals with a family history of VHD or related symptoms should undergo regular cardiology check-ups to detect the disease in its initial stages and prevent complications.

Heart valve disease cannot usually be fully cured, but its symptoms and progression can be effectively managed. Early diagnosis, lifestyle modifications, and appropriate medical treatment can significantly delay the valves’ deterioration.

Valvular heart disease often develops without obvious symptoms. A heart murmur detected during a routine examination can usually be the first sign, which can be confirmed through further diagnostic testing.