Materiały źródłowe

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3414

  The aortic valve works like a one-way gate. It opens so that blood can leave the heart and flow to the rest of the body. When the heart rests between beats, the aortic valve closes to keep blood from flowing backward into the heart. When the aortic valve does not close properly, some of the blood leaks back (regurgitates) through the valve into the heart. Then your heart has to work harder to pump blood throughout your body. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Call your doctor or nurse advice line if you have new symptoms or your symptoms get worse. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

• #1 Aortic Valve Regurgitation | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/a/aortic-valve-regurgitation.html

  Aortic valve regurgitation can be acute or chronic. With acute aortic valve regurgitation, the valve suddenly becomes leaky. The heart doesnt have time to get used to the leak in the valve. With chronic aortic valve regurgitation, the valve slowly becomes leakier. This gives the heart time to get used to the leak. […] You may need to take medicines until you have surgery. […] It’s also important to manage your blood pressure. […] Your healthcare provider may prescribe treatments for heart problems related to aortic valve regurgitation, such as: A low-salt, heart-healthy diet to decrease blood pressure and stress on your heart. […] See your healthcare provider for regular checkups. Visit them right away if your symptoms change. […] If you notice your symptoms gradually getting worse, plan to see your healthcare provider soon. You may need surgery or a medicine change.

• #1 Aortic Regurgitation | Edwards Lifesciences

  https://www.edwards.com/healthcare-professionals/conditions-procedures/aortic-regurgitation

  Aortic regurgitation (AR) is the third most common valvular pathology found in the general population, with a lifetime risk of 13% in men and 8.5% in women.1 […] It is critical to diagnose and treat AR early, as progression is associated with increased mortality risk. Within ten years of diagnosis of severe AR, 75% of patients die or require aortic valve replacement.1-4 […] According to guidelines from the American College of Cardiology (ACC)/American Heart Association(AHA), European Society of Cardiology (ESC), and Japan Circulation Society (JCS), surgery is indicated in symptomatic severe AR regardless of LV function. […] Current U.S. and European guidelines recommend surgical intervention before symptoms develop in severe AR patients with LV dysfunction, primarily based on echocardiographic parameters.9,10 […] All patients with severe valvular heart disease being considered for valve intervention should be evaluated by a multidisciplinary team with either referral to or consultation with a primary or comprehensive valve center.9

• #1 Nursing Care of Clients with Valvular Disorders | PPT

  https://www.slideshare.net/slideshow/nursing-care-of-clients-with-valvular-disorders/14046874

  DISORDERS OF THE AORTIC VALVE mitral valve prolapse aortic regurgitation mitral regurgitation aortic stenosis mitral stenosis Tricuspid and pulmonic valve disorders usually with fewer symptoms and complications. lead to various symptoms that, depending on their severity, may require surgical repair or replacement of the valve to correct the problem Regurgitation and stenosis may occur at the same time in the same or different valves. Valvular insufficiency Aka: regurgitation, incompetence, „leaky valve” occurs when the leaflets do not close completely, letting blood leak backward across the valve. This backward flow is referred to as regurgitant flow. Aortic insufficiency (regurgitation) Valve flaps fail to completely seal the aortic orifice during diastole and thus permit backflow of blood from aorta into LV. Aortic regurgitation involves blood flowing back from the aorta into the left ventricle during diastole. may be caused by inflammatory lesions that deform the leaflets of the aortic valve, preventing them from completely closing the aortic valve orifice. Regurgitation of blood from systemic circulation + blood form LA increases LV pressure LVH LVF RVF. Usually asymptomatic Progressive s/s of LVF Exertional dyspnea and fatigue breathing difficulties (e.g., orthopnea, PND). Diastolic murmur Austin flint murmur Watson’s water hammer pulse Corrigans pulse Widened pulse pressure Hills sign. Diagnosis may be confirmed Echocardiogram radionuclide imaging ECG Magnetic resonance imaging cardiac catheterization. antibiotic prophylaxis Before the patient undergoes invasive or dental procedures to prevent endocarditis Treat HF and dysrhythmias. Aortic valve replacement treatment of choice Aortic valve replacement- OR.flv One- or two-balloon percutaneous aortic valvuloplasty For symptomatic and not surgical candidates Note: surgery is recommended for any patient with left ventricular hypertrophy, regardless of the presence or absence of symptoms.

• #1 Aortic Valve Regurgitation

  https://healthlibrary.vidanthealth.com/Search/134,505

  When your aortic valve leaks, it’s called aortic valve regurgitation or aortic insufficiency. […] Aortic valve regurgitation can be acute or chronic. […] Advancing age is a common risk factor for aortic regurgitation. You can reduce some risk factors for aortic valve regurgitation, such as: […] You may not have any symptoms from mild aortic regurgitation. If the condition becomes more severe, you may develop symptoms that get worse over time. […] Treatment varies according to how bad your condition is. If you have a mild form of the condition, you may need only regular check-ups with your healthcare provider. […] In severe aortic regurgitation, surgery is commonly advised. […] It’s also important to manage your blood pressure. […] Your healthcare provider may prescribe treatments for heart problems related to aortic valve regurgitation, such as:

• #1 Valvular Heart Disease: Review and Update | AAFP

  https://www.aafp.org/pubs/afp/issues/2001/0601/p2201.html

  Aortic regurgitation results from disease affecting the aortic root or aortic leaflets, preventing their normal closure. Common causes of aortic regurgitation include endocarditis, rheumatic fever, collagen vascular disease, aortic dissection and syphilis. Bicuspid aortic valves are also prone to regurgitation. In chronic aortic regurgitation, the stroke volume is increased, which in turn causes systolic hypertension, high pulse pressure and increased afterload. The afterload in aortic regurgitation may be as high as that occurring in aortic stenosis. Patients may be asymptomatic until severe left ventricular dysfunction has developed. The initial signs of aortic regurgitation are subtle and may include decreased functional capacity or fatigue. As the disease progresses, the typical presentation is that of left-sided heart failure: orthopnea, dyspnea and fatigue.

• #1 Nursing Care of Clients with Valvular Disorders | PPT

  https://www.slideshare.net/slideshow/nursing-care-of-clients-with-valvular-disorders/14046874

  Educate about Diagnosis progressive nature of valvular heart disease treatment plan report any new symptoms or changes in symptoms. Emphasize need for prophylactic antibiotic therapy before any invasive procedure that may introduce infectious agents to the patients bloodstream. (e.g., dental work, genitourinary or gastrointestinal procedure). Teach that infectious agent (usually a bacterium) is able to adhere to the diseased heart valve more readily than to a normal valve. Once attached to the valve, the infectious agent multiplies, resulting in endocarditis and further damage to the valve. Collaborate with patient develop a meds schedule teach about name, dosage, actions, side effects, and any drug-drug or drug-food interactions of the prescribed meds for HF , dysrhythmias, angina pectoris, or other symptoms. Teach to weigh daily report weight gain of 2 pounds in 1 day or 5 pounds in 1 week assist patient with planning activity and rest periods to achieve a lifestyle acceptable to the patient. VS : HR, BP RR measured and compared with previous data for any changes. Auscultate heart and lung sounds Palpate peripheral pulses. Assess s/s HF fatigue, dyspnea with exertion, increase in coughing, hemoptysis, multiple respiratory infections, orthopnea, or PND. Assess dysrhythmias by palpating the patients pulse for strength and rhythm (ie, regular or irregular) and asks if the patient has experienced palpitations or felt forceful heartbeats Assess for dizziness, syncope, increased weakness, or angina pectoris. Peiop care – surgical valve replacement or valvuloplasty.

• #1 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders

  Aortic Regurgitation The aortic valve cannot close completely, therefore blood back-flows into the LV […] Notify the provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema […] Patients who receive artificial valve replacements will require lifelong anticoagulant therapy. They need to be taught precautions for anticoagulant therapy, including using electric razors and soft bristle toothbrushes and how often they will require monitoring, if at all. […] Patients with artificial heart valves are at high risk of developing endocarditis. They need to be taught about preventative measures, including receiving prophylactic antibiotics before any invasive procedures. […] Oral hygiene is imperative for the prevention of endocarditis after valve repair. This may seem silly but it is a HUGE deal. The evidence has shown that bacteria from the oral cavity are highly likely to translocate (move) to the heart and become lodged in/on the valves. This is also why patients should avoid dental procedures for 6 months after valve surgery. It is so important that you, as the nurse, educate them on why this is so important.

• #1 Aortic valve regurgitation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/aortic-valve-regurgitation/diagnosis-treatment/drc-20353135

  Our caring team of Mayo Clinic experts can help you with your aortic valve regurgitation-related health concerns […] If you have aortic valve regurgitation, consider being cared for by a medical team that specializes in heart valve disease. […] The goals of aortic valve regurgitation treatment are to ease symptoms and prevent complications. […] If your symptoms are mild or you don’t have symptoms, you may only need regular health checkups. You may need regular echocardiograms to check the health of the aortic valve. Heart-healthy lifestyle changes also are usually recommended. […] If you have aortic valve regurgitation, you may be given medicines to: Treat symptoms. Reduce the risk of complications. Lower blood pressure. […] Surgery may be needed to repair or replace the diseased valve, especially if the condition and symptoms are severe. Heart valve surgery may be needed even if aortic regurgitation isn’t severe or when there are no symptoms.

• #1 Aortic Valve Disease | UH Harrington Heart & Vascular Institute | University Hospitals | University Hospitals

  https://www.uhhospitals.org/services/heart-and-vascular-services/conditions-and-treatments/heart-valve-disease/aortic-valve-disease

  Treatments for aortic valve regurgitation include: Medication: You may need to take medication to treat symptoms of aortic valve regurgitation or reduce risk of complications. In addition, you may need to take medication to lower blood pressure. […] Surgery for aortic valve regurgitation includes: Aortic valve repair: In repairing an aortic valve, surgeons may separate valve flaps (cusps) that have fused, reshape or remove excess valve tissue so that the cusps can close tightly, or patch holes in a valve. Aortic valve replacement: In aortic valve replacement, a surgeon removes the diseased valve and replaces it with a mechanical valve or a valve made from pig, cow or human heart tissue (biological tissue valve). Transcatheter aortic valve replacement (TAVR), also called transcatheter aortic valve implantation (TAVI), is a minimally invasive, nonsurgical procedure in which a long, thin tube (catheter) is threaded into a blood vessel through the groin and guided inside the heart to replace a narrowed aortic valve with a biological tissue valve.

• #1 Valvular Heart Disease: Review and Update | AAFP

  https://www.aafp.org/pubs/afp/issues/2001/0601/p2201.html

  Aortic regurgitation should be corrected if the symptoms are more than mild. Compelling evidence supports surgical correction before the onset of permanent left ventricular damage, even in asymptomatic patients. As in patients with mitral valve regurgitation, timing of surgical intervention correlates with a good outcome. In patients with chronic aortic regurgitation, surgery should be performed before the ejection fraction falls below 55 percent or the end-systolic dimension exceeds 55 mm. The end-systolic dimension is another gauge of left ventricular function that helps determine contractility and is less dependent on preload than ejection fraction. […] Afterload reduction with vasodilators has been shown to improve left ventricular performance and reduce aortic regurgitation. Therapy with nifedipine (Procardia) in particular has been shown to delay the need for surgery by two to three years in patients with severe aortic regurgitation and normal left ventricular function.

• #1 Aortic Valve Regurgitation & Leakage Treatment | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/aortic-valve-regurgitation

  Baptist Health is known for advanced, superior care for patients with heart problems and the diagnosis, treatment and management of aortic valve regurgitation. […] If aortic valve regurgitation is mild with little to no symptoms, you may be prescribed lifestyle changes and regular monitoring by a physician. […] Your physician may recommend surgery to treat aortic valve regurgitation. Options include: Valve repair: Aortic valve repair can preserve the valve and improve its function. Sometimes surgeons can modify the original valve to eliminate backward blood flow. […] Depending on how your body heals, you will be in the hospital for four to six days and recover well within several months. Your physician will tell you when you may be physically active again and what activities to avoid. If you have had open heart surgery or serious symptoms resulting from aortic valve disease that have affected your heart health, your doctor may recommend a cardiac rehabilitation program. These programs provide an exercise regimen specifically designed to help you slowly strengthen your heart, and make other diet and lifestyle changes that will reduce your risk of heart attack, heart failure, and other complications.

• #1

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw179692

  Your doctor will see you regularly. Your doctor will recommend a heart-healthy lifestyle. You may take medicine to lower blood pressure, relieve symptoms, or help your heart work better. You may choose to have surgery to replace the valve. […] Your doctor will see you regularly to check on your heart. Your doctor may prescribe medicine to lower blood pressure, relieve symptoms, or help your heart work better. […] If long-term regurgitation is severe, if symptoms appear, or if your heart doesn’t pump as well as it should, you may choose to have valve replacement surgery. You’ll need surgery right away if the condition starts suddenly and is also severe. […] You can live a full and active life by doing things that help keep your heart and body healthy. Here’s how. […] Call your doctor right away if you have new symptoms or symptoms that get worse.

• #1 Aortic Valve Regurgitation | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.aortic-valve-regurgitation.hw179692

  Aortic valve regurgitation is a problem with the aortic valve. […] Your doctor will see you regularly. Your doctor will recommend a heart-healthy lifestyle. You may take medicine to lower blood pressure, relieve symptoms, or help your heart work better. You may choose to have surgery to replace the valve. […] Your treatment will depend on how severe the regurgitation is and if you have symptoms. […] Your doctor will probably recommend a heart-healthy lifestyle. This lifestyle means that you: Quit smoking and stay away from secondhand smoke. Follow a heart-healthy diet. Be active. Ask your doctor what level and type of exercise is safe for you. Stay at a healthy weight, or lose weight if you need to. Manage other health problems such as high blood pressure. […] Your doctor will see you regularly to check on your heart. Your doctor may prescribe medicine to lower blood pressure, relieve symptoms, or help your heart work better.

• #1 Aortic Valve Regurgitation: Treatment & Diagnosis | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/aortic-valve-regurgitation/treatment

  Medication can alleviate symptoms and slow the progression of aortic regurgitation. Blood pressure meds like ACE inhibitors and beta-blockers can reduce pressure on the aortic valve. […] After aortic valve regurgitation surgery, you can expect your recovery period to be around four to eight weeks. Depending on the procedure and complications, that timeline may be shorter or longer. […] If youve been diagnosed with aortic valve regurgitation, your physician will discuss ways to manage your condition. Things to avoid include: High-intensity exercise or activities that can significantly raise your blood pressure, Tobacco use, Excessive caffeine or alcohol intake, Recreational drugs, Foods high in salt, sodium, and saturated fats, Certain over-the-counter medications that could exacerbate the disease, such as decongestants, stimulants, and anti-inflammatory drugs.

• #1 Aortic Regurgitation | Columbia Surgery

  https://columbiasurgery.org/conditions-and-treatments/aortic-regurgitation

  People with aortic regurgitation should have detailed counseling about physical activity. Exercises to AVOID include: Isometric exercise, Weight lifting, Heavy exertional activities involving strenuous arm work. […] In contrast, rhythmic, low-resistance, large muscle group exercise such as bicycling are encouraged.

• #1

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw179692

  Go to your checkup appointments. And get the tests you need to assess your heart, such as echocardiograms. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] Practice good dental hygiene and have regular checkups. Good dental health is especially important. That’s because bacteria can spread from teeth and gums to the heart valves. […] Valve replacement surgery is done to help you feel better and live longer. Surgery to repair the aortic valve may be done in certain cases. […] To help decide if you want surgery, you and your doctor will look at your overall health, your heart health, and how bad your regurgitation is.

• #1 Aortic Regurgitation Treatment & Management: Approach Considerations, Emergency Department Care, Vasodilator Therapy

  https://emedicine.medscape.com/article/150490-treatment

  In severe chronic AR, vasodilator therapy may be used in select conditions to reduce afterload in patients with systolic hypertension, in order to minimize wall stress and optimize LV function. […] Asymptomatic patients with severe chronic AR require ongoing clinical surveillance with periodic echocardiography. This is because significant LV dysfunction in many cases may arise even before the patient becomes symptomatic.

• #1 Aortic Valve Regurgitation | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/a/aortic-valve-regurgitation.html

  Get medical help right away if: You have symptoms of acute severe aortic valve regurgitation. These may include sudden shortness of breath, a rapid heartbeat, chest pain, severe lightheadedness, and loss of consciousness. […] See your healthcare provider regularly to monitor your aortic valve regurgitation. If your symptoms are severe or get worse, see your healthcare provider right away.

• #1 Treatment for Aortic Valve Regurgitation | UMass Memorial Health

  https://www.ummhealth.org/health-library/treatment-for-aortic-valve-regurgitation

  To reduce the risk for other problems, you may be given medicines such as: Blood thinners to prevent blood clots if you’ve had valve surgery. Antibiotics before some medical and dental procedures to prevent infections. Medicines to help the heart pump. […] See your health care provider for regular checkups. Call right away if your symptoms change. […] Talk with your provider about exercise and physical activity. […] Tell all of your health care providers, including your dentist, about your condition. […] Eat a low-salt, heart-healthy diet. This helps lower your blood pressure and reduce the stress on your heart. […] Avoid alcohol, caffeine, and over-the-counter decongestants. This will reduce the risk for irregular heartbeat (arrhythmias). […] Use a cholesterol-lowering medicine, if prescribed.

• #1 Aortic Regurgitation | Columbia Surgery

  https://columbiasurgery.org/conditions-and-treatments/aortic-regurgitation

  Aortic valve regurgitation can develop suddenly or over decades. When it develops over years it is called chronic aortic regurgitation. When it develops suddenly, it is called acute aortic regurgitation. […] People without symptoms or with mild symptoms from aortic regurgitation should have regular check-ins with their cardiologist to monitor for changes in their condition. Once aortic valve regurgitation becomes severe, a procedure is often required to repair or replace the aortic valve. […] Aortic valve repair or replacement can be done through a traditional open surgical operation (in which cardiac surgeons make an incision down the middle of the chest), a minimally invasive surgical operation (in which cardiac surgeons make smaller incisions, sometimes between the ribs), or as a transcatheter procedure (in which a cardiac surgeon or an interventional cardiologists accesses the aortic valve by passing instruments through the bloodstream).

• #1 Nursing Care of Clients with Valvular Disorders | PPT

  https://www.slideshare.net/slideshow/nursing-care-of-clients-with-valvular-disorders/14046874

  VALVULOPLASTY. Repair of a cardiac valve Types Commissurotomy Annuloplasty Chordoplasty depends on the cause and type of valve dysfunction. Commissurotomy Repair to commissures between leaflets Annuloplasty Repair to annulus of the valve by Leaflet repair Chordoplasty Repair to the chordae. Most require general anesthesia cardiopulmonary bypass Some can be performed in the cath lab Percutaneous partial cardiopulmonary bypass. CCU – first 24 to 72 hrs post op PACU/ CCU care focus hemodynamic stabilization recovery from anesthesia VS q 5 to 15 min and as needed until recovers from anesthesia or sedation then q 2 to 4 hrs and as needed IV meds blood pressure; dysrhythmias Patient assessments q 1 to 4 hrs and PRN Esp neuro, respi, cardio. Patient transferred to a telemetry or surgical unit after recovery fr anes sedation hemodynamically stable without IV meds assessments are stable Surgical area care wound care patient teaching regarding diet, activity, medications, and self- care. Patients are discharged from the hospital in 1 to 7 days. In general, valves that have undergone valvuloplasty function longer than replacement valves, and the patients do not require continuous anticoagulation.

• #1 Aortic Valve Regurgitation: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/heart/heart-valves/aortic-valve-regurgitation/treatment

  An early diagnosis of aortic valve regurgitation is important to prevent long-term heart damage. […] Treatment of aortic valve regurgitation will vary depending on the severity of the condition. If symptoms are mild or absent, your doctor may encourage healthy lifestyle changes and frequent check-ups. […] Certain lifestyle changes may be recommended as a solution for underlying factors related to aortic valve regurgitation: Heart-healthy, low-salt diets to decrease your blood pressure and reduce the stress placed on your heart. […] To treat aortic valve regurgitation your doctor may prescribe antiarrhythmic medicines, diuretics, or medications to lower blood pressure. […] Depending on the severity of the case, an aortic valve repair procedure may be necessary to mend damage or repair holes in the aortic valve. […] Women with aortic valve regurgitation who are pregnant, or wish to become pregnant, may have to consider additional factors. Your doctor will closely monitor you throughout your pregnancy for complications.

• #1 Aortic valve regurgitation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/aortic-valve-regurgitation/diagnosis-treatment/drc-20353135

  The decision to repair or replace a damaged aortic valve depends on: Your symptoms. Your age and overall health. Whether you need heart surgery to correct another heart condition. […] Careful and regular checkups are needed for those who have heart valve disease, including aortic valve regurgitation, during pregnancy. If you have a severe heart valve condition, you might be told not to get pregnant to reduce the risk of complications.

• #1 Aortic Regurgitation Treatment & Management: Approach Considerations, Emergency Department Care, Vasodilator Therapy

  https://emedicine.medscape.com/article/150490-treatment

  Inpatient care is required for most patients with severe acute aortic regurgitation (AR), particularly patients with symptoms or evidence of hemodynamic decompensation. Patients with severe chronic AR may be followed as inpatients or outpatients, depending on the stage of their disease and severity of their symptoms and LV dysfunction. […] For patients who are hospitalized for severe AR in facilities without appropriate cardiovascular and surgical expertise, transfer may be justified to optimize clinical outcomes. For outpatients with stable but severe AR, longitudinal care by a cardiologist with appropriate expertise is recommended. […] General requirements in emergency department care for patients with AR include the following: Provide adequate airway management, Intubate when necessary, Consider prompt surgical intervention in acute AR.

• #1 Aortic Regurgitation | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/aortic-regurgitation

  Aortic regurgitation, also known as aortic valve regurgitation or aortic valve insufficiency, occurs when the aortic valve doesn’t completely close and allows some blood to leak back into the heart. Aortic regurgitation can be trivial, mild, moderate or severe. […] Aortic valve regurgitation often doesn’t cause symptoms in infants or children. As the child grows, however, abnormal signs and symptoms may appear, including fatigue or a heart murmur (an extra heart sound when a doctor listens to the child’s heart with a stethoscope). In rare cases, a leaky aortic valve may cause chest pain, fainting or arrhythmias. […] In cases of trivial or mild aortic regurgitation, treatment isn’t usually necessary. Doctors will monitor the patient with regular checkups and may prescribe some medications if the regurgitation is moderate or severe. The following options are used to treat more severe cases of aortic regurgitation:

• #1 Aortic Regurgitation | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/aortic-regurgitation

  Children with aortic regurgitation require regular checkups with a pediatric cardiologist. Some children must remain on medication and limit physical activity. At Children’s Hospital of Philadelphia (CHOP), our pediatric cardiologists follow patients until they are young adults and coordinate care with primary care physicians. […] Aortic regurgitation can cause health problems in adults. It is very important that adults with this condition are monitored by a cardiologist regularly for the rest of their lives.

• #1 Aortic Valve Regurgitation FAQs by Cardiac Solutions

  https://www.cardiacsolutions.net/aortic-valve-regurgitation/

  Aortic valve regurgitation is leaking of a valve in the heart called the aortic valve. […] Aortic valve regurgitation is also called aortic regurgitation or aortic insufficiency. […] When the regurgitation is acute, the heart cannot keep up with the bodys need for blood. […] Chronic regurgitation rarely causes symptoms unless the leak is bad. […] If you have chronic regurgitation, your heart is only mildly enlarged, and you have few or no symptoms, you may be treated with medicines such as: […] Surgery to replace the aortic valve at the right time can improve both the quality and length of your life. […] Follow the treatment your healthcare provider prescribes. […] Tell all other healthcare providers you see that you have aortic valve regurgitation.

• #1 Treatment for Aortic Valve Regurgitation | UMass Memorial Health

  https://www.ummhealth.org/health-library/treatment-for-aortic-valve-regurgitation

  Stop smoking. If you need help quitting, talk to your provider. […] Call your health care provider or get medical care right away if you have: Paler than normal skin. Mild dizziness or feel lightheaded. Mild, or slowly worsening, shortness of breath. […] Your provider may advise a change in medicines or possibly surgery, or a prompt evaluation.

• #1 Treatment for Aortic Valve Regurgitation | UMass Memorial Health

  https://www.ummhealth.org/health-library/treatment-for-aortic-valve-regurgitation

  You may need surgery if your condition is severe, especially if you have symptoms, your heart function is reduced, or your heart is enlarged. […] If you get a mechanical aortic valve, your provider may prescribe a blood thinner to prevent the valve from developing blood clots. […] If you have any type of valve replacement, you will need to take antibiotics before certain procedures to reduce the risk for heart valve infection. […] For some people who can’t have surgery, medicines such as ACE inhibitors or calcium channel blockers may be used to ease some of the pressure on the heart. If you have heart failure, medicines such as diuretics (water pills) are used to prevent fluid retention. […] Acute severe aortic valve regurgitation is a medical emergency. Surgery is often done right away.

• #2 Aortic Regurgitation or Insufficiency | Ohio State Medical Center

  https://wexnermedical.osu.edu/heart-vascular/heart-valve/aortic-valve-regurgitation-or-insufficiency

  Aortic insufficiency is a heart valve disease in which the aortic valve does not close tightly. This leads to the backward flow of blood from the aorta (the largest blood vessel) into the left ventricle (a chamber of the heart). […] If there are no symptoms or if symptoms are mild, you may only need to get an echocardiogram from time to time and be monitored by a health care provider. […] If your blood pressure is high, then treatment with certain blood pressure medications may help slow the worsening of aortic regurgitation. […] ACE inhibitor drugs and diuretics (water pills) may be prescribed for more moderate or severe symptoms. […] You may need to limit activity that requires more work from your heart. Talk to your health care provider. […] Surgery to repair or replace the aortic valve corrects aortic insufficiency. The decision to have aortic valve replacement depends on your symptoms and the condition and function of your heart.

• #2 Aortic Regurgitation | Columbia Surgery

  https://columbiasurgery.org/conditions-and-treatments/aortic-regurgitation

  Aortic valve regurgitation can develop suddenly or over decades. When it develops over years it is called chronic aortic regurgitation. When it develops suddenly, it is called acute aortic regurgitation. […] People without symptoms or with mild symptoms from aortic regurgitation should have regular check-ins with their cardiologist to monitor for changes in their condition. Once aortic valve regurgitation becomes severe, a procedure is often required to repair or replace the aortic valve. […] Aortic valve repair or replacement can be done through a traditional open surgical operation (in which cardiac surgeons make an incision down the middle of the chest), a minimally invasive surgical operation (in which cardiac surgeons make smaller incisions, sometimes between the ribs), or as a transcatheter procedure (in which a cardiac surgeon or an interventional cardiologists accesses the aortic valve by passing instruments through the bloodstream).

• #2 Types of Valve Disease Adventist Heart Institute

  https://www.adventistheart.org/valve-disease/types-of-valve-disease/index.html

  When oxygen-rich blood leaks backward into the aorta from the left ventricle instead of being pushed out into the body, arotic valve regurgitation causes the heart to work harder to compensate for the blood leak. This can cause the walls of the ventricle to thicken (hypertrophy), making the heart less effective and potentially leading to heart failure. Severe aortic valve regurgitation is most commonly caused by weakening due to aging, high blood pressure, bacterial infection of the heart tissue, untreated syphilis, or injury.

• #2 New minimally invasive treatment option for aortic regurgitation | MUSC Health | Charleston SC

  https://muschealth.org/health-professionals/progressnotes/2022/summer/aortic-regurgitation-treatment

  Patients with significant aortic regurgitation often feel fatigued, short of breath and lightheaded, and can lead to heart failure. […] Patients in South Carolina with severe aortic regurgitation previously had only one treatment option: open heart surgery. […] With the device, physicians can place a healthy valve inside the leaky one by clipping it onto the natural valves original leaflets without using any sutures. […] This new device makes TAVR possible for a greater number of patients. […] Amoroso and Ziegler gain access to the heart via a needle hole in the femoral artery in the groin. […] The surgical field is visualized using ultrasound guidance as well as an x-ray camera. […] I think the procedure offers a treatment opportunity for a whole group of patients whom weve only been able to treat with open heart surgery in the past, he said. This valve offers an alternative for treating patients with aortic regurgitation with a minimally invasive technique that allows patients to recover more quickly.

• #2 Nursing Care Plan for Heart Valve Disorders | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders-2

  Aortic Regurgitation aortic valve cannot close completely, therefore blood back-flows into the LV […] If the valve should be closed, but doesnt close fully regurgitation […] Notify provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema […] Patients who receive artificial valve replacements will require lifelong anticoagulant therapy. They need to be taught precautions for anticoagulant therapy, including using electric razors and soft bristle toothbrushes and how often they will require monitoring, if at all. […] Oral hygiene is imperative to prevention of endocarditis after valve repair. This may seem silly but it is a HUGE deal. The evidence has shown that bacteria from the oral cavity are highly likely to translocate (move) to the heart and become lodged in/on the valves. This is also why patients should avoid dental procedures for 6 months after valve surgery. It is so important that you, as the nurse, educate them on why this is so important.

• #2 Aortic valve regurgitation | Altru Health System

  https://www.altru.org/health-library/conditions/aortic-valve-regurgitation

  Aortic valve regurgitation can develop suddenly or over many years. Once the condition becomes severe, surgery often is needed to repair or replace the valve. […] Call a member of your health care team right away if you have symptoms of aortic valve regurgitation. […] If you have aortic valve regurgitation, you may be given medicines to: Treat symptoms. Reduce the risk of complications. Lower blood pressure. […] Surgery may be needed to repair or replace the diseased valve, especially if the condition and symptoms are severe. […] Careful and regular checkups are needed for those who have heart valve disease, including aortic valve regurgitation, during pregnancy. If you have aortic valve regurgitation, consider being cared for by a medical team that specializes in heart valve disease.

• #2 Aortic Valve Disease | Duke Health

  https://www.dukehealth.org/treatments/heart/aortic-valve-disease

  Aortic valve diseases, including aortic valve stenosis (a narrowed valve opening) and aortic valve regurgitation (a leaking valve), require evaluation and management by a cardiologist or cardiac surgeon. […] Our cardiologists and heart surgeons use a full range of therapies to treat aortic valve disease. When surgery is needed, our skilled heart surgeons repair or replace diseased aortic valves, often with minimally invasive techniques. […] Medications may be prescribed to reduce and prevent aortic valve disease symptoms and complications. These may include ACE inhibitors or beta-blockers to lower blood pressure, antiarrhythmics to help maintain a regular heart rhythm, anticoagulants to prevent blood clots, and diuretics that can help reduce fluid retention. […] Open-heart surgery for aortic valve repair or replacement may be performed through an incision in the mid-chest or through a small incision in the upper-right chest, known as a mini-thoracotomy. Your surgeon will recommend the approach and procedure that are best for your needs and anatomy.

• #2 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders

  Aortic Regurgitation The aortic valve cannot close completely, therefore blood back-flows into the LV […] Notify the provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema […] Patients who receive artificial valve replacements will require lifelong anticoagulant therapy. They need to be taught precautions for anticoagulant therapy, including using electric razors and soft bristle toothbrushes and how often they will require monitoring, if at all. […] Patients with artificial heart valves are at high risk of developing endocarditis. They need to be taught about preventative measures, including receiving prophylactic antibiotics before any invasive procedures. […] Oral hygiene is imperative for the prevention of endocarditis after valve repair. This may seem silly but it is a HUGE deal. The evidence has shown that bacteria from the oral cavity are highly likely to translocate (move) to the heart and become lodged in/on the valves. This is also why patients should avoid dental procedures for 6 months after valve surgery. It is so important that you, as the nurse, educate them on why this is so important.

• #2 Valvular heart disease | Heart and Stroke Foundation

  https://www.heartandstroke.ca/heart-disease/conditions/valvular-heart-disease

  Cardiac rehab is a personalised program of exercise, education and counselling to help you recover from heart valve disease. Rehab will help you regain your strength and reduce your risk of having other heart problems in the future. Talk to your doctor about how to find a program in your area or contact your public health department or hospital.

• #2 Aortic Valve Regurgitation | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.aortic-valve-regurgitation.hw179692

  Aortic valve regurgitation is a problem with the aortic valve. […] Your doctor will see you regularly. Your doctor will recommend a heart-healthy lifestyle. You may take medicine to lower blood pressure, relieve symptoms, or help your heart work better. You may choose to have surgery to replace the valve. […] Your treatment will depend on how severe the regurgitation is and if you have symptoms. […] Your doctor will probably recommend a heart-healthy lifestyle. This lifestyle means that you: Quit smoking and stay away from secondhand smoke. Follow a heart-healthy diet. Be active. Ask your doctor what level and type of exercise is safe for you. Stay at a healthy weight, or lose weight if you need to. Manage other health problems such as high blood pressure. […] Your doctor will see you regularly to check on your heart. Your doctor may prescribe medicine to lower blood pressure, relieve symptoms, or help your heart work better.

• #2 Aortic Valve Regurgitation: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/heart/heart-valves/aortic-valve-regurgitation/treatment

  An early diagnosis of aortic valve regurgitation is important to prevent long-term heart damage. […] Treatment of aortic valve regurgitation will vary depending on the severity of the condition. If symptoms are mild or absent, your doctor may encourage healthy lifestyle changes and frequent check-ups. […] Certain lifestyle changes may be recommended as a solution for underlying factors related to aortic valve regurgitation: Heart-healthy, low-salt diets to decrease your blood pressure and reduce the stress placed on your heart. […] To treat aortic valve regurgitation your doctor may prescribe antiarrhythmic medicines, diuretics, or medications to lower blood pressure. […] Depending on the severity of the case, an aortic valve repair procedure may be necessary to mend damage or repair holes in the aortic valve. […] Women with aortic valve regurgitation who are pregnant, or wish to become pregnant, may have to consider additional factors. Your doctor will closely monitor you throughout your pregnancy for complications.

• #2 Aortic Valve Regurgitation Information & Treatment

  https://www.columbiadoctors.org/health-library/condition/aortic-valve-regurgitation/

  Go to your checkup appointments. And get the tests you need to assess your heart, such as echocardiograms. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] Practice good dental hygiene and have regular checkups. Good dental health is especially important. That’s because bacteria can spread from teeth and gums to the heart valves. […] Valve replacement surgery is done to help you feel better and live longer. Surgery to repair the aortic valve may be done in certain cases.

• #2 Aortic Valve Regurgitation Information & Treatment

  https://www.columbiadoctors.org/health-library/condition/aortic-valve-regurgitation/

  Your doctor will see you regularly. Your doctor will recommend a heart-healthy lifestyle. You may take medicine to lower blood pressure, relieve symptoms, or help your heart work better. You may choose to have surgery to replace the valve. […] Your doctor will see you regularly to check on your heart. Your doctor may prescribe medicine to lower blood pressure, relieve symptoms, or help your heart work better. […] If long-term regurgitation is severe, if symptoms appear, or if your heart doesn’t pump as well as it should, you may choose to have valve replacement surgery. You’ll need surgery right away if the condition starts suddenly and is also severe. […] You can live a full and active life by doing things that help keep your heart and body healthy. Here’s how. […] Call your doctor right away if you have new symptoms or symptoms that get worse.

• #2 Aortic Regurgitation – Heart and Blood Vessel Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/heart-valve-disorders/aortic-regurgitation

  Aortic regurgitation is leakage of blood back through the aortic valve each time the left ventricle relaxes. […] The damaged heart valve must be monitored periodically so that it can be replaced or repaired surgically once the leakage becomes significant and the heart starts to fail. […] Treatment with medication is not especially effective in slowing the progression of heart failure and does not eliminate the need for timely valve repair or replacement. […] Echocardiography is done periodically to determine how rapidly the left ventricle is enlarging, which will help doctors determine when surgery should be done. The damaged valve should be surgically repaired or replaced with an artificial valve before the left ventricle becomes irreversibly damaged. […] People who have had a valve replacement are given antibiotics before surgical, dental, or medical procedures to reduce the risk of infection of the heart valve.

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