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Medical Health Encyclopedia
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Heart, section through the middle
Heart, section through the middle
Heart, front view
Heart, front view
Aortic stenosis
Aortic stenosis
Heart valves
Heart valves


Aortic stenosis

Alternative Names:
Aortic valve stenosis

Treatment:

If there are no symptoms or symptoms are mild, only observation may be required. If symptoms are moderate to severe, hospitalization may be necessary.

Text Continues Below



Medications can include diuretics, digoxin, and other medications to control heart failure. Symptomatic people may be advised to avoid strenuous physical activity. People with symptoms of aortic stenosis (difficulty breathing, chest pain, fainting episodes) should have a physical exam every 6 to 12 months and an ECG performed every 1 to 3 years.

Surgical repair or replacement of the valve is the preferred treatment for symptomatic aortic stenosis. Patients with advanced heart failure may benefit from a less invasive procedure called balloon valvuloplasty. This is a procedure in which a balloon is placed into an artery in the groin, advanced to the heart, placed across the valve and inflated. This may relieve the obstruction caused by the narrowed valve.



Expectations (prognosis):

Aortic stenosis is curable with surgical repair, although there may be a continued risk for arrhythmias, which can sometimes cause sudden death. The person may be symptom-free until complications develop. Without surgery, probable outcome is poor if there are signs of angina or heart failure.



Complications:
  • left ventricular hypertrophy (enlargement) caused by the extra work of pushing blood through the narrowed valve
  • left-sided heart failure
  • arrhythmias
  • endocarditis- valve infection


Calling your health care provider:

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