- Valvular heart disease is a category of diseases in which one or more heart valves fail to open or close properly, potentially affecting blood flow and cardiac workload.
- It may arise from congenital valve formation abnormalities, or develop acquiredly depending on age and heart-related conditions such as rheumatic fever, endocarditis, myocardial infarction, and heart failure.
- The main problems are regurgitation (leaking), stenosis (insufficient opening), and atresia (failure of an exit to form); both issues may occur together.
- Representative clinical manifestations include dyspnea, fatigue, edema, chest pain during exertion, arrhythmia, dizziness, or syncope.
- Advanced age, hypertension, diabetes, hyperlipidemia, obesity, lack of physical activity, family history of cardiovascular disease, and congenital aortic valve abnormalities can increase the risk, and individual prognosis varies.
- While some people live their entire lives without symptoms, the disease may progress slowly; if untreated, increased cardiac workload can lead to heart failure, stroke, thrombosis, or sudden cardiac arrest.
- Diagnosis is based on medical history and physical examination; if a heart murmur is heard, cardiac function, valve structure, and blood flow are evaluated primarily using echocardiography.
- Severity and the need for treatment cannot be determined solely by heart murmurs or imaging findings; valve type, symptoms, cardiac function, and comorbidities must be interpreted together.
- Management is conducted by evaluating symptoms and cardiac load while controlling relevant cardiovascular risks, and considering valve repair or replacement if necessary.
- The current pillars of treatment are medications that help with symptoms and cardiac function, lifestyle management for heart health, and valve repair or replacement.