The progression from severe aortic stenosis to critical aortic stenosis can vary significantly between individuals, depending on factors such as age, underlying health conditions, and the rate of valve calcification. Generally, this transition can take several months to a few years. Regular monitoring and echocardiograms are essential to assess the severity and progression of the condition. It's important for patients to consult their healthcare provider for personalized evaluation and management.
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There is no medical treatment that reverses the progress of aortic valve stenosis. Aortic valve replacement is the only solution to this problem. However, surgery is not always necessary. Aortic valve stenosis can be monitored with echocardiography if surgery is not initially indicated. In addition, for patients who are not candidates for surgical valve replacement, there are percutaneous and catheter-based valve replacement procedures available.
Aortic valve sclerosis is the thickening and hardening of the aortic valve, while aortic valve stenosis is the narrowing of the valve opening. Sclerosis may not significantly affect heart function, but stenosis can restrict blood flow from the heart, leading to symptoms like chest pain, shortness of breath, and heart failure.
A stenosed valve is a valve that has been narrowed for some reason; either by injury, scar tissue or congenital anomaly. Depending on the level of stenosis, cardiac output can be fixed (unable to be changed) and reduced.
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aortic stenosis, aortic regurgitation and mitral regurgitation
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Aortic valve stenosis can occur because of a birth defect in the formation of the valve. Calcium deposits may form on the valve with aging, causing the valve to become stiff and narrow. Stenosis can also occur as a result of rheumatic fever.
The aortic valve is often considered the most dangerous and complicated to fix due to its critical role in regulating blood flow from the heart to the rest of the body. Conditions affecting the aortic valve, such as aortic stenosis or regurgitation, can lead to severe complications, including heart failure. Surgical interventions, like aortic valve replacement, are complex and carry significant risks, especially in older patients or those with comorbidities. Additionally, the valve's location and the demands placed on it during each heartbeat make repairs challenging.
When the aortic valve is 5.7cm, it may indicate a condition known as aortic valve stenosis, where the valve is narrowed and does not open fully. This can lead to reduced blood flow from the heart to the body, causing symptoms like chest pain, shortness of breath, and fatigue. It is important to monitor this condition closely as it can lead to serious complications if left untreated.
Anyone with aortic stenosis needs to take antibiotics (amoxicillin, erythromycin, or clindamycin) before dental and some other surgical procedures, to prevent a heart valve infection.
Balloon valvotomy may provide short term relief of aortic stenosis, but is considered palliative until valve replacement can be accomplished.