Szmer sercowy
Leczenie

Szmer sercowy to dodatkowy dźwięk słyszalny podczas osłuchiwania serca, który może mieć charakter niewinny (czynnościowy) lub patologiczny. Niewinne szmery, często występujące u dzieci i osób z prawidłową anatomią serca, nie wymagają leczenia i mogą ustąpić samoistnie. W przypadku szmerów wtórnych do stanów takich jak gorączka, nadczynność tarczycy czy anemia, terapia ukierunkowana jest na leczenie choroby podstawowej. Patologiczne szmery sercowe wymagają natomiast leczenia przyczynowego, które może obejmować farmakoterapię z zastosowaniem inhibitorów ACE (np. kaptopryl, benazepril), beta-blokerów (metoprolol, bisoprolol), leków przeciwzakrzepowych (warfaryna, aspiryna, dabigatran, riwaroksaban, apiksaban), diuretyków (furosemid, torasemid), statyn, leków przeciwarytmicznych, wazodylatatorów oraz antybiotyków w przypadku infekcyjnego zapalenia wsierdzia.

Leczenie szmeru sercowego

Szmer sercowy to dodatkowy dźwięk słyszalny podczas osłuchiwania serca, opisywany często jako „świst” lub „szum”. Samo występowanie szmeru sercowego nie zawsze wymaga leczenia, a strategia terapeutyczna zależy przede wszystkim od jego przyczyny, charakteru oraz nasilenia towarzyszących objawów klinicznych12.

Niewinne szmery sercowe – podejście terapeutyczne

Niewinne (czynnościowe) szmery sercowe, które występują u osób z prawidłową budową i funkcją serca, nie wymagają żadnego leczenia. Są to dźwięki spowodowane normalnym przepływem krwi przez struktury serca34. W przypadku niewinnych szmerów sercowych u dzieci, które często pojawiają się w trakcie rozwoju, również nie jest konieczne wdrażanie terapii, a szmery te mogą samoistnie ustąpić wraz z wiekiem56.

Jeśli niewinny szmer sercowy wynika z innego stanu klinicznego, leczenie powinno być ukierunkowane na przyczynę podstawową7:

Patologiczne szmery sercowe – opcje terapeutyczne

Patologiczne szmery sercowe wymagają leczenia choroby podstawowej, która je wywołuje. Decyzja o wdrożeniu konkretnej terapii zależy od diagnozy, nasilenia objawów oraz ogólnego stanu zdrowia pacjenta94.

Leczenie farmakologiczne

W zależności od przyczyny szmeru sercowego, leczenie farmakologiczne może obejmować1011:

  • Inhibitory konwertazy angiotensyny (ACE) – takie jak kaptopryl (Capoten) czy benazepril (Lotensin), które obniżają ciśnienie krwi i zmniejszają obciążenie serca1012
  • Beta-blokery – jak metoprolol (Lopressor) czy bisoprolol (Cardicor), które zmniejszają częstość akcji serca i obniżają ciśnienie krwi1012
  • Leki przeciwzakrzepowe – warfaryna (Coumadin), aspiryna (Bayer, Zorprin) czy nowsze doustne antykoagulanty (dabigatran, riwaroksaban, apiksaban), które zapobiegają tworzeniu się skrzepów krwi w sercu1013
  • Diuretyki – jak furosemid (Lasix) czy torasemid (Demadex), które pomagają w usuwaniu nadmiaru płynów z organizmu, co może łagodzić objawy niewydolności serca107
  • Statyny – leki obniżające poziom cholesterolu11
  • Leki przeciwarytmiczne – pomagające kontrolować zaburzenia rytmu serca4
  • Wazodylatatory – powodujące rozszerzenie naczyń krwionośnych12
  • Antybiotyki – stosowane w leczeniu infekcyjnego zapalenia wsierdzia, które może być przyczyną szmeru48
Interwencje zabiegowe i chirurgiczne

W przypadku poważnych zaburzeń strukturalnych serca, które powodują szmer sercowy, może być konieczne leczenie zabiegowe lub chirurgiczne12. Dostępne opcje obejmują:

Naprawa lub wymiana zastawek serca

Zabiegi naprawy zastawek serca obejmują1415:

  • Annuloplastyka – zabieg naprawy pierścienia zastawki mitralnej lub trójdzielnej, gdy staje się ona powiększona lub uszkodzona2
  • Naprawa płatków zastawki – obejmująca usunięcie, dodanie lub zmianę kształtu tkanki zastawki16
  • Valvuloplastyka balonowa – zabieg przezskórny polegający na poszerzeniu zwężonej zastawki za pomocą balonu1716

Wymiana zastawek serca może być konieczna w przypadku znacznego zwężenia lub niedomykalności zastawki14. Dostępne są dwie główne opcje2:

  • Zastawki biologiczne (tkankowe) – wykonane z tkanek naturalnych (np. świńskich, bydlęcych lub ludzkich)
  • Zastawki mechaniczne – wykonane z materiałów syntetycznych
Przezcewnikowe zabiegi sercowo-naczyniowe

Mniej inwazyjne metody leczenia obejmują1817:

  • Przezcewnikowa wymiana zastawki aortalnej (TAVR/TAVI) – zabieg polegający na wymianie zwężonej zastawki aortalnej bez konieczności przeprowadzania pełnej operacji na otwartym sercu212
  • MitraClip – małe urządzenie (wielkości ok. dziesięciogroszówki) używane do leczenia niedomykalności zastawki mitralnej poprzez spinanie jej płatków, co umożliwia lepsze zamykanie się zastawki i zapobiega cofaniu się krwi18
  • Procedura typu „valve-in-valve” – umieszczenie nowej zastawki wewnątrz istniejącej protezy zastawkowej, która przestała prawidłowo funkcjonować16
Zabiegi naprawcze wad wrodzonych

W przypadku wrodzonych wad serca, które mogą powodować szmer sercowy, stosuje się19:

Inne procedury specjalistyczne

W zależności od przyczyny szmeru sercowego, mogą być stosowane inne zabiegi15:

  • Procedura Maze – zabieg mający na celu korektę migotania przedsionków, który może być przeprowadzany jednocześnie z operacją zastawki
  • Operacja oszczędzająca zastawkę – zabieg naprawy tętniaka aorty bez wymiany zastawki aortalnej17
  • Operacja Davida – technika chirurgiczna stosowana w naprawie opuszki aorty20

Indywidualizacja terapii i monitorowanie

Niezależnie od wybranej metody leczenia, kluczowe znaczenie ma indywidualne podejście do każdego pacjenta9. Leczenie powinno uwzględniać21:

  • Rodzaj i nasilenie szmeru sercowego
  • Obecność objawów klinicznych
  • Wyniki badań diagnostycznych, w tym echokardiografii
  • Ogólny stan zdrowia pacjenta i choroby współistniejące
  • Wiek pacjenta

W przypadku niektórych patologicznych szmerów sercowych, które nie powodują istotnych objawów klinicznych, może być wymagane jedynie regularne monitorowanie echokardiograficzne bez konieczności interwencji terapeutycznej2223.

Szczególne grupy pacjentów

Leczenie szmerów sercowych u dzieci

Podejście do leczenia szmerów sercowych u dzieci wymaga szczególnej uwagi24:

  • Większość szmerów u dzieci to niewinne szmery, które nie wymagają leczenia6
  • W przypadku wad wrodzonych serca wywołujących szmer, leczenie może obejmować zarówno farmakoterapię, jak i interwencje chirurgiczne25
  • Niektóre niewielkie wady serca, takie jak małe ubytki w przegrodach serca, mogą samoistnie zamknąć się wraz z rozwojem dziecka26
  • W rzadkich przypadkach konieczne może być leczenie operacyjne w celu naprawy strukturalnych wad serca27
Leczenie szmerów sercowych u osób starszych

U osób starszych szmer sercowy jest często związany z degeneracją zastawek serca, zwłaszcza zastawki aortalnej28. W tej grupie wiekowej szczególnie istotne są:

  • Dokładna ocena ryzyka operacyjnego2
  • Rozważenie mniej inwazyjnych metod leczenia, takich jak TAVR28
  • Optymalizacja leczenia farmakologicznego chorób współistniejących29

Profilaktyka i zalecenia dotyczące stylu życia

Oprócz specyficznego leczenia, pacjenci z szmerem sercowym powinni przestrzegać ogólnych zaleceń dotyczących zdrowia serca30:

  • Regularna aktywność fizyczna dostosowana do możliwości pacjenta i zaleceń lekarza
  • Dieta zdrowa dla serca – niskosodowa, z ograniczoną ilością nasyconych tłuszczów
  • Utrzymanie prawidłowej masy ciała
  • Kontrola chorób współistniejących, takich jak nadciśnienie tętnicze czy cukrzyca
  • Regularne wizyty kontrolne u kardiologa

W niektórych przypadkach, szczególnie u pacjentów z wadami zastawkowymi serca, może być konieczna profilaktyka antybiotykowa przed zabiegami stomatologicznymi w celu zapobiegania infekcyjnemu zapaleniu wsierdzia31.

Podsumowanie leczenia szmerów sercowych

Leczenie szmeru sercowego jest ściśle uzależnione od jego przyczyny. Niewinne szmery sercowe nie wymagają leczenia, natomiast patologiczne szmery wymagają terapii choroby podstawowej13. Dostępne opcje terapeutyczne obejmują leczenie farmakologiczne, zabiegi interwencyjne oraz operacje kardiochirurgiczne1118.

Ważnym elementem opieki nad pacjentem z szmerem sercowym jest systematyczne monitorowanie jego stanu zdrowia oraz indywidualne podejście terapeutyczne uwzględniające specyfikę kliniczną każdego przypadku932. Dzięki nowoczesnym metodom leczenia, wielu pacjentów z patologicznymi szmerami sercowymi może prowadzić normalne, aktywne życie28.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 13.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Heart murmurs – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-murmurs/diagnosis-treatment/drc-20373175
    Innocent heart murmurs don’t usually need treatment. If a fever or an overactive thyroid (hyperthyroidism) causes a murmur, the murmur usually goes away once that condition is treated. […] Treatment for a worrisome heart murmur depends on cause. A worrisome heart murmur requires close monitoring by a health care provider. Medications or surgery may be needed. […] Medications that might be used to treat heart conditions associated with murmurs include: […] Surgery may be needed to correct a condition that causes a worrisome heart murmur. […] For example, if a narrowed or leaky heart valve is causing the murmur and other symptoms, heart valve repair or replacement may be needed.
  • #2 Heart Murmurs Treatment Options | Temple Health
    https://www.templehealth.org/services/conditions/heart-murmurs/treatment-options
    An innocent murmur does not require any treatment. An abnormal murmur does not always require treatment. Treatment is only necessary if a heart condition is causing the murmur. […] In some cases, medications may be necessary to alleviate symptoms or manage an underlying condition that is causing your heart murmur. These are prescribed to: […] If medications don’t help, surgeons can aggressively treat underlying problems of heart murmurs. Some examples of surgeries include: […] Heart Valve Repair may be an option for some patients. […] Heart Valve Replacement for stenosis is performed using either a bioprosthetic (tissue) heart valve that is made from natural sources (e.g., pig, cow or human) or a mechanical heart valve. […] Transcatheter aortic valve replacement (TAVR) uses a catheter to replace the aortic valve in select patients with severe aortic stenosis (narrowing of the aortic valve opening) who cant tolerate, or are high-risk candidates for, open heart surgery. […] Annuloplasty is an option if the base of a mitral or tricuspid valve becomes enlarged, dilated, or damaged.
  • #3 Heart murmurs – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-murmurs/symptoms-causes/syc-20373171
    Heart murmurs can be present at birth (congenital) or develop later in life (acquired). […] Some heart murmurs are harmless (innocent). An innocent heart murmur is not a sign of heart disease and doesn’t need treatment. Other heart murmurs may be a sign of a serious heart condition. Tests are needed to check the heart and heart valves. Heart murmur treatment depends on the cause. […] Innocent heart murmurs may go away over time. Sometimes, heart murmurs continue for life without causing serious health problems. […] A heart valve problem can cause a murmur.
  • #4 Heart Murmur > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/heart-murmur
    Treatments include medication and surgery […] For innocent heart murmurs, no treatment is needed. For abnormal heart murmurs, the type of treatment that’s needed varies, depending on the location and cause of the problem. […] When a heart murmur is found to be innocent or harmless, no treatment is needed. When a heart murmur is abnormal, the underlying health condition should be treated. Common treatments include: Anti-arrhythmic medications, which may help the heart return to a more normal rhythm; ACE inhibitors or ARBs, which can help to lower blood-pressure levels in individuals with high blood pressure, sometimes also helpful for people with heart murmurs; Blood thinners, which can lower the risk that a person with poorly functioning heart valves will develop blood clots in the heart; Antibiotics, which treat bacterial infections that may cause a heart murmur; Surgery or a cardiac catheterization, which can close a hole within a heart wall, or can repair or replace a heart valve. […] Yale has been a leader and innovator in treating children and adults with heart defects since the 1940s, says Dr. Fahey. We carefully evaluate heart murmurs several times a day in our clinics and provide state-of-the-art workups and interventions for any and all patients when necessary.
  • #5 Heart Murmurs | American Heart Association
    https://www.heart.org/en/health-topics/heart-murmurs
    If your child’s doctor hears a murmur when listening to their heart, they may recommend additional testing, such as an electrocardiogram (ECG) or echocardiogram (echo). This is to confirm the murmur is innocent. Unless testing suggests otherwise, no additional steps may be needed. […] With an innocent heart murmur, your child won’t need medication, and doesn’t have a heart problem or heart disease. You will not need to restrict your child’s activities or diet. They can lead an active, healthy life!
  • #6 Heart Murmurs (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/murmurs.html
    The most common type of heart murmur is called functional or innocent. An innocent heart murmur is the sound of blood moving through a healthy heart in a normal way. Just as you might hear air moving through an air duct or water flowing through a pipe, doctors can hear blood moving through the heart even when there’s no heart problem. […] Kids with these murmurs don’t need to change their diet, restrict their activities, or have any special treatment. Those old enough to understand that they have a heart murmur should be reassured that they aren’t any different from other kids. […] Your doctor and a pediatric cardiologist can find out whether the murmur is innocent (which means your child is perfectly healthy) or if there is a specific heart problem. If there is a problem, the pediatric cardiologist will know how best to take care of it.
  • #7 Heart Murmurs
    https://www.rwjbh.org/treatment-care/heart-and-vascular-care/diseases-conditions/heart-murmurs/
    Based on the type of heart murmur, your doctor will recommend the appropriate treatment, if required. […] An innocent heart murmur generally doesn’t require treatment because the heart is normal. If innocent murmurs are the result of an illness, such as fever or hyperthyroidism, the murmurs will go away once that condition is treated. […] If you or your child have an abnormal heart murmur, treatment may not be necessary. Your doctor may want to monitor the condition over time. If treatment is necessary, it depends on what heart problem is causing the murmur and may include medications or surgery. Treatment options include medications and medical and surgical procedures. […] Anticoagulants blood-thinners will help treat, prevent and reduce blood clots. […] Diuretics water pills will help reduce the amount of fluid retention in your body.
  • #8 Heart murmur | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/heart-murmur
    Treatment depends on the cause, but may include surgery or antibiotics. […] Most heart murmurs are innocent and require no treatment. […] Treatment depends on the cause but may include: […] Innocent heart murmurs – no treatment is necessary, as the heart structures and blood flow are normal – just noisy. […] Heart surgery – to repair leaking heart valves, or repair the structural abnormalities of congenital heart disorders. This may require open heart surgery. […] Endocarditis or other infections – antibiotics, and surgery in some cases. […] Anaemia – can often be treated with iron supplements and changes to diet. Depending on the cause, more serious cases of anaemia may need treatments including blood transfusions or removal of the spleen (splenectomy). […] Hyperthyroidism – medications or surgery to bring the thyroid hormone levels back to normal.
  • #9 Heart murmurs – causes, symptoms & treatment – BHF
    https://www.bhf.org.uk/informationsupport/conditions/heart-murmurs
    Most heart murmurs are harmless. But they can be a sign of a problem with your heart. You might need treatment to keep your heart healthy. […] If your doctor thinks you might have an abnormal heart murmur, they will arrange tests to see how your heart is working. If your healthcare team diagnoses a problem with your heart, they will discuss treatment options with you. […] Innocent heart murmurs dont usually need treatment. But if your murmur is caused by a problem with your heart or another condition, then the cause of the murmur may need treatment. There are many treatments for underlying heart conditions. Your doctor will tell you if you need treatment. They will discuss the options, answer your questions and create a plan to treat and manage your heart murmur with you. Treatments might be recommended to help you manage the symptoms of your heart murmur even if you dont have an underlying heart condition.
  • #10 Systolic Heart Murmur: Causes, Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/23328-systolic-heart-murmur
    A systolic heart murmur may sound like a swish or whoosh after the first heart sound. Blood moving in your heart across a valve is the most common cause of this sound. […] If the murmur is innocent, it usually goes away without treatment. If you have an abnormal heart murmur, you may need treatment for the underlying heart condition. […] Usually, heart murmur treatment involves medications, surgery or both. Medications may include: Angiotensin-converting enzyme (ACE) inhibitors like captopril (Capoten) or benazepril (Lotensin) to lower your blood pressure. Beta-blockers like metoprolol (Lopressor) or bisoprolol (Cardicor) to reduce your heart rate and blood pressure. Blood thinners like warfarin (Coumadin) or aspirin (Bayer, Zorprin) to prevent blood from clotting in your heart. Diuretics, or water pills, like furosemide (Lasix) or torsemide (Demadex). These rid your body of excess fluid that can make certain heart conditions worse.
  • #11 Heart Murmur: Symptoms & Treatments | University of Utah Health
    https://healthcare.utah.edu/cardiovascular/conditions/heart-murmur
    Whether you need treatment for your heart murmur will depend on what type of murmur you have. […] Many heart murmurs aren’t life-threatening and don’t need treatment. But other heart murmurs do need treatment because they’re a sign of an underlying problem with your heart. […] Not all heart murmurs need to be treated with surgery. Instead, your treatment will depend on what’s causing your heart murmur in the first place. […] Some abnormal heart murmurs can be managed with medication. Some common medications used to treat heart murmurs include the following: statins medications that lower your cholesterol, beta blockers or ACE inhibitors medications that lower your blood pressure, aspirin or warfarin these medications are anti-coagulants because they help prevent blood clots from forming.
  • #12 Heart Murmurs
    https://www.rwjbh.org/treatment-care/heart-and-vascular-care/diseases-conditions/heart-murmurs/
    ACE inhibitors will help blood vessels relax and open up, leading to a lower blood pressure. […] Vasodilators will help the muscle in the walls of the blood vessels to relax, allowing the vessel to dilate. […] Beta blockers will help reduce your blood pressure. […] Valve repair or replacement (aortic, mitral, pulmonary or tricuspid) then link to each of their respective page of valve repair/replacement. […] Transcatheter aortic valve replacement (TAVR).
  • #13 Heart murmurs // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/heart-murmurs
    Innocent heart murmurs don’t usually need treatment. If a fever or an overactive thyroid (hyperthyroidism) causes a murmur, the murmur usually goes away once that condition is treated. […] Treatment for a worrisome heart murmur depends on cause. A worrisome heart murmur requires close monitoring by a health care provider. Medications or surgery may be needed. […] Medications that might be used to treat heart conditions associated with murmurs include: Blood thinners (anticoagulants). This type of medicine prevents blood clots. Some conditions that cause heart murmurs are closely linked to irregular heartbeats (arrhythmias) that can cause blood clots. Blood clots increase the risk of strokes. Blood thinners include warfarin (Jantoven), clopidogrel (Plavix), apixaban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa) and others. […] Surgery may be needed to correct a condition that causes a worrisome heart murmur. […] For example, if a narrowed or leaky heart valve is causing the murmur and other symptoms, heart valve repair or replacement may be needed.
  • #14 Systolic Heart Murmur: Causes, Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/23328-systolic-heart-murmur
    If your heart condition is severe, you may need heart valve surgery or another procedure. Surgery options may include: Valve repair: You may need a procedure to open a narrowed valve or tighten a leaky one. Valve replacement: If a valve has narrowed severely, your cardiologist may replace it with a tissue or mechanical valve. Open heart surgery: You may need an operation to repair an atrial or ventricular septal defect. […] An innocent systolic murmur probably doesnt need treatment. If you have an abnormal heart murmur, you may need treatment for a heart condition. […] Fortunately, multiple treatments can help you live a healthier life with a heart condition. Practicing healthy habits can also help you improve your heart health.
  • #15 Heart Murmur: Causes, Symptoms, Diagnosis, Prevention and Treatment
    https://www.yashodahospitals.com/diseases-treatments/heart-murmur-symptoms-causes-treatment-types/
    Some types of abnormal heart murmurs may just require monitoring by the cardiologist over time. Treatment generally depends on the nature of underlying problem and includes: […] Based on the condition, the doctor may prescribe medicines to treat the underlying cause. […] Valve repair […] Balloon valvuloplasty […] Annuloplasty […] Repair of valvular structural support […] Valve leaflet repair […] Valve replacement […] Open-heart surgery and replacement of natural valve with a mechanical valve or a tissue valve […] Transcatheter aortic valve replacement (TAVR) […] Maze procedure […] Maze procedure may concurrently be performed with surgery of the valve […] Cardiac surgeon creates incisions in the atria to create scar tissue which interferes with stray electrical impulses that cause atrial fibrillation.
  • #16 Heart Murmur Symptoms + Natural Tips for Heart Health – Dr. Axe
    https://draxe.com/health/heart-murmur/
    If lifestyle changes and medications dont fix the problem with the heart valve, surgery may be required to repair or even replace it. Doctors prefer to repair a damaged heart valve in order to prevent further damage and worsened symptoms. This usually involves removing, adding or reshaping tissue, or separating valve flaps that have been fused together. […] Some types of surgery that may be performed to repair or replace a heart valve include: Balloon valvuloplasty or balloon valvotomy: repairs heart valves that dont fully open, sometimes using a less-invasive catheter. […] Heart valve surgery: removes faulty valve and replaces it with a man-made or biological valve (made from pig, cow or human heart tissue), sometimes with a less-invasive catheter. […] Transcatheter aortic valve implantation: replaces faulty aortic valves by using a balloon to expand a new valve so that it fits securely within the old valve. […] Valve-in-valve procedure: a replacement valve is inserted into an existing replacement valve that is failing. […] Ross operation: faulty aortic valve is removed and replaced with your own pulmonary valve, which is replaced with a valve from a deceased donor.
  • #17 Heart Murmurs |Symptoms and Causes| MedStar Health
    https://www.medstarhealth.org/services/heart-murmurs
    If there is no underlying condition causing your heart murmur, you may not require treatment, but if you do require treatment, our heart and vascular teams work with other specialties to develop and implement individualized plans to treat you. This could include medication or more advanced surgical treatments. […] Balloon valvuloplasty improves blood flow through the heart to the lungs and body by opening a stiff heart valve. […] Transcatheter aortic valve replacement (TAVR) is a minimally invasive option to replace a narrowed aortic valve that fails to open properly and blocks the flow of blood. […] Valve sparing surgery is a procedure to repair an aortic root aneurysm without replacing the aortic valve.
  • #18 Heart Murmur: Symptoms & Treatments | University of Utah Health
    https://healthcare.utah.edu/cardiovascular/conditions/heart-murmur
    If something is wrong with your heart for example, if you have a hole in your heart or one of your heart valves needs to be replaced then you may need surgery. […] Surgeries for heart murmurs often include valve repair and valve replacement. These surgeries treat the underlying valve problems in your heart that are causing the murmur. […] Transcatheter aortic valve replacement (also known as TAVR or TAVI) is also a good treatment option for patients who can’t have surgery, or for patients who want a less invasive option than open heart surgery. […] The MitraClip is a tiny device (about the size of a dime) that treats mitral regurgitation. The MitraClip pinches your mitral valve so it can close more fully. Closing your mitral valve stops blood from leaking backwards.
  • #19 Heart Murmurs | Providence
    https://www.providence.org/services/heart-and-vascular/heart-murmurs
    Your care plan may include one or more of the following therapies: Aortic valve repair or replacement, Atrial septal defect (ASD) closure, Cardiac surgery, Mitral valve repair or replacement, Patent ductus arteriosus (PDA) closure, Patent foramen ovale (PFO) closure, Prescription medications, Transcatheter aortic valve replacement (TAVR), Transcatheter mitral valve repair, Ventricular septal defect (VSD) closure.
  • #20 Heart Murmurs Causes, Symptoms, and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/heart-murmurs
    Some types of heart murmurs are harmless and do not require treatment. However, if your heart murmur requires further care, we offer surgical and nonsurgical treatment options. […] Nonsurgical treatment options include active monitoring of your heart murmur over a period of time and medication to treat cardiovascular conditions such as high blood pressure or high cholesterol. […] If your heart murmur is caused by a damaged or leaky heart valve, you may need to have surgery. The specialists in our Structural Heart Program perform advanced valve repair or replacement procedures using the latest minimally invasive techniques. […] Surgical Valve Repair and Replacement Procedures include Heart Valve Surgery, Heart Valve Repair Surgery, Heart Valve Replacement, Right Chest Approach Mitral Valve Repair („Mini-Mitral”), MitraClip, Aortic Valve Repair Surgery, Aortic Valve Replacement Surgery, Aortic Root Surgery (David Procedure), Transcatheter Aortic Valve Replacement (TAVR), and Minimally Invasive Tricuspid Valve Repair Surgery.
  • #21 Heart Murmur | Conditions & Treatments | UR Medicine
    https://www.urmc.rochester.edu/conditions-and-treatments/heart-murmur
    UR Medicine’s Treatments for Heart Murmur […] How is a Heart Murmur Treated? […] Your UR Medicine healthcare provider will discuss all test results, therapeutic strategies, and decisions with your referring or primary care physician to make sure you get the treatment thats right for you. […] An innocent heart murmur doesn’t often need treatment unless there is a clear cause, such as anemia. In some cases, an innocent heart murmur may go away on its own. […] Treatment for an abnormal heart murmur depends on the cause. If the murmur is caused by hypertrophic cardiomyopathy or a septal defect, treatment may include: […] Medications, including Camzyos […] Cardiac device therapy […] Minimally invasive alcohol septal ablation […] Septal myectomy […] If the murmur is caused by heart valve disease, treatment may include: […] Medicines to help ease symptoms […] Heart valve repair […] Heart valve replacement […] Other types of surgery […] Our team of surgeons at UR Medicine Cardiac Care has extensive experience with minimally invasive procedures, which can be effective for many valve repair surgery patients.
  • #22 Heart Murmur Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/heart-murmur/
    If you have an innocent murmur, you do not need treatment, because your heart is normal. […] If you have an abnormal murmur, treatment depends on the heart problem that is causing the murmur and may include medicines or surgery. Not all abnormal murmurs need to be treated. If you have an abnormal murmur and have no other symptoms, your doctor may only monitor your condition with an echocardiogram. […] If you have symptoms, you may need to take medicine to lower your blood pressure and reduce your heart’s workload. You may need surgery to replace a valve or to repair a valve or a heart defect.
  • #23 Heart Murmur
    https://www.uvmhealth.org/medcenter/conditions-and-treatments/heart-murmur
    If you have an innocent murmur, you do not need treatment, because your heart is normal. […] If you have an abnormal murmur, treatment depends on the heart problem that is causing the murmur and may include medicines or surgery. Not all abnormal murmurs need to be treated. If you have an abnormal murmur and have no other symptoms, your doctor may only monitor your condition with an echocardiogram. […] If you have symptoms, you may need to take medicine to lower your blood pressure and reduce your heart’s workload. You may need surgery to replace a valve or repair a heart defect.
  • #24 Heart Murmur in Children: Diagnosis and Treatment | NewYork-Presbyterian
    https://www.nyp.org/pediatrics/heart/childhood-heart-murmur/treatment
    Most children with heart murmurs dont develop any additional symptoms, and no treatment is required. […] If a heart murmur develops in an anemic child, or a child with a fever, the heart murmur usually disappears when the condition is treated. […] For children with a pathological heart murmur, the treatment entirely depends on the underlying cause. In cases of a congenital heart defect or disease, referral to a pediatric cardiologist is necessary. And medication or surgery may be required to treat the issue thats causing the heart murmur.
  • #25 Heart murmurs in children | Children’s Hospital of Richmond at VCU
    https://www.chrichmond.org/services/childrens-hospital-foundation-heart-center/conditions-we-treat/heart-murmurs/
    How a heart murmur is treated […] Heart murmur treatment depends on a number of factors, including the cause and severity of the murmur, as well as the child’s age and overall health. […] In most cases, no treatment is necessary as the most common type of murmur, the 'innocent murmur,’ is just a normal sound audible when the heart beats. The pediatric cardiologist will explain this to you and your child’s doctor. These children have normal hearts and therefore can continue to be treated as normal. In general, as your child nears puberty, these innocent murmurs will no longer be audible to the practitioners who listen to your child. This type of murmur requires no regular follow up. […] In the event that the murmur is a sign of a minor abnormality of the heart, your pediatric cardiologist will suggest follow up usually every 6 months or year. In rare cases, medication can help to allow time for your child to grow out of these minor abnormalities. Almost all of these children also can continue to be treated as normal children. […] In the rarest case, a catheter-based intervention or surgery might be needed to mend a hole in the heart, fix a valve or otherwise address a structural issue. Our pediatric cardiologists will work with you and your child to help understand the diagnosis, testing and treatment options that will best ensure your child can live a happy, healthy life.
  • #26 What to Know about Heart Murmurs in Children | Blog | Loyola Medicine
    https://www.loyolamedicine.org/newsroom/blog-articles/what-know-about-heart-murmurs-children
    If surgery is needed, you can expect different procedures depending on the condition. For example, during a heart valve repair surgery the surgeons will patch holes in the valve, replace the cords that support the valve, remove excess valve tissue and tighten the ring around the valve. The surgeries can also be done in different ways, such as an open-heart surgery, a catheter procedure, or a minimally-invasive surgery. […] The way the surgery or procedure is performed depends on the specific heart condition and the severity. […] „Some abnormalities, such as small holes in the heart, often close completely on their own over time,” says Dr. Perkins. „More severe heart problems require treatment including medications, minimally invasive catheter procedures or sometimes heart surgery to repair the problem.”
  • #27 Heart Murmurs in Children | Symptoms & Treatment
    https://childrens.uvahealth.com/services/pediatric-heart-center/heart-murmurs
    When your pediatrician hears an extra sound in your childs heart, thats called a murmur. […] Depending on the type of heart murmur detected, its possible your child wont need any treatment. Innocent murmurs are harmless. Many kids will even grow out of their heart murmur. […] To make sure your childs murmur is harmless, your pediatrician may refer your child to a pediatric cardiologist. […] Pathologic murmurs are a bigger deal. They may show that there is a structural problem with your childs heart. […] Some of these issues may require surgery. UVA Health Childrens performs many of these procedures. […] An innocent murmur wont affect your childs growth or development. A pathologic murmur can lead to other issues, like failure to thrive, which could affect your childs development. Thats why diagnosis and treatment is so important.
  • #28 Heart Murmurs | Providence
    https://www.providence.org/services/heart-and-vascular/heart-murmurs
    When youre a patient at Providence, we help you feel better today and reduce your risk of more serious disease tomorrow. We work with you to create a personalized plan to monitor and further diagnose your heart murmur. This plan includes everything from diagnosis to the support you need to feel your best. The result is compassionate, whole-person care for your body, mind and spirit. […] If your treatment requires innovative procedures, weve got you covered. […] In one case, 86-year old Barbara, who had a heart murmur and was in recovery from multiple types of cancer, had deteriorating heart health. Her cardiac team diagnosed her with aortic valve disease and then performed the minimally invasive transcatheter aortic valve replacement (TAVR) procedure. This helped Barbara recover and get back to spending time with her great-grandchildren again.
  • #29 I have had a heart murmur for a long time. Please help.
    https://www.icliniq.com/qa/heart-murmurs/what-is-the-treatment-for-heart-murmur
    Based on the echocardiogram report, the function of the heart (contractile function) appears to be mildly reduced. […] In all probability, your cardiologist will offer you a coronary angiogram to confirm that suspicion and will put you on heart failure rugs and antiplatelets, given your mildly compromised left heart function.
  • #30 Understanding Heart Murmur: Causes, Symptoms, and Treatment Options
    https://avicennacardiology.com/manhattan/heart-murmur-diagnosis-and-care-services/
    The treatment for a heart murmur depends on its cause. Innocent murmurs dont require any treatment. However, abnormal murmurs may require medical or surgical intervention. […] Medical Management: Medications may be prescribed to manage symptoms or treat underlying conditions, such as high blood pressure or heart failure. Blood thinners may be used to prevent blood clots in certain cases. […] Surgical Intervention: Surgery may be necessary to repair or replace damaged heart valves or to correct congenital heart defects. Minimally invasive procedures are often preferred when possible. […] For individuals with innocent murmurs, no lifestyle changes are typically necessary. However, individuals with abnormal murmurs may need to make certain lifestyle modifications, such as: Regular Exercise: As recommended by their healthcare professional. Healthy Diet: Low in sodium and saturated fat to promote healthy red blood cells and prevent coronary artery disease. Maintaining a Healthy Weight: Managing Underlying Conditions: Such as high blood pressure or diabetes. Regular Follow-Up Appointments: With their healthcare professional. […] In some cases, surgery may be necessary to repair or replace damaged heart valves or blood vessels. It is essential to follow the treatment plan recommended by a healthcare provider to manage heart murmurs and reduce the risk of developing heart disease.
  • #31 Heart murmur: Innocent or serious? – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/heart-murmur
    Once the cause of a heart murmur has been found, some people will need repeated evaluation over the years. Others may need surgery to treat the cause of the murmur, especially if it’s to adjust a tight or leaky valve, or to close a hole in the heart. […] In some situations, people may need to take antibiotics before going to a dentist to protect the heart valves from potential infection. This infection, called endocarditis, can be spread via the bloodstream during dental work. […] It’s important to learn if a heart murmur is innocent or serious so you can get the proper treatment.
  • #32 Heart Murmurs | Providence
    https://www.providence.org/services/heart-and-vascular/heart-murmurs
    This patient-centered approach is why patients have trusted Providence with their heart murmur care for many years. […] We take a team-based approach to treating your heart murmur. Why? Because we know this leads to the best results. […] Your multidisciplinary care team includes board-certified heart care specialists who have superior outcomes treating the most complex conditions. […] Providence is well known for offering options and hope to patients seeking the most advanced therapies to treat heart murmurs. […] We know that no two patients are the same. This is why your care team works with you to design an individualized treatment plan based specifically on your heart condition and your personal needs. Every treatment plan includes lifestyle changes to support your recovery and long-term heart health.