Underst和ing Your Heart Valve 治疗方案
Recovery statistics are very good for people who receive proper treatment.
Some people live long 和 full lives with mild valvular problems 和 never need 手术. But once a heart valve begins to affect the heart’s ability to pump blood, it's likely to require a 修复 or 更换.
Treatment f或阀 disease will include a plan to:
- Protect your heart from further damage.
- 评估你的需求 帮助控制症状的药物.
- 如有需要，维修阀门问题.
- Communicate steps for management, self-care 和 the importance of follow-up care.
一般, once it's determined that a diseased heart valve needs treatment, the available choices are valve 修复 or 更换:
- 阀维修 — preserves the patient’s valve 和 leaflets. Sometimes 修复s require a minor surgical procedure 和 other times 修复s need a more extensive 手术. 修复通常是可能的 二尖瓣返流 和 三尖瓣反流.
- 瓣膜置换 — may include open heart 手术 or a 微创手术 如 TAVR (或泰薇).
Is it possible to treat valve diseases with medications alone?
Most valve conditions can't be treated with medication alone. However, sometimes the problem isn’t severe enough to require 修复 或阀 更换, but it’s bothersome enough to cause symptoms or risks. In these cases, a condition might be effectively managed for a while with medication.
药物可用于:
- Reduce unpleasant symptoms from milder forms of the disorder.
- 如果保持心律相关 心律失常 存在.
- Lower the patient’s risk for clotting 和 stroke.
Heart valve disease is usually progressive. The outlook for those who receive no treatment can be poor. But many who do receive treatment go on to live very full 和 healthy lives, especially when their cardiovascular risks are otherwise low.
What happens if I don’t treat my condition or ignore recommendations?
Valve disease isn’t a condition that can be ignored. You may feel fine 和 not notice any problems for years. But once you begin to experience symptoms 如 angina (chest pain), syncope (fainting or sudden loss of consciousness) 和 dyspnea (breathing difficulty or discomfort), life expectancy 和 quality of life can decline.
证据也很清楚, 适当的治疗, most people enjoy an improvement in health 和 quality of life.
What are the risks associated with valve disease treatment?
As with all surgeries, there are risks. 因为每个病人都不一样, your doctor 和 your health care team will discuss your treatment options 和 recommend the best option for you.
那些破坏了, 修复ed or replaced heart valves are at increased risk for developing an infection of the valve, 被称为 感染性心内膜炎.
Is it true that dental work can increase risks for people with heart valve problems?
这取决于. The 美国心脏协会 does not recommend antibiotics before dental procedures, except for patients at the highest risk of endocarditis. If a person has had heart valve 手术 but has not had a heart valve replaced, the cardiologist or surgeon will decide if antibiotics are needed. 阅读更多关于 antibiotic prophylaxis guidelines for 感染性心内膜炎.
额外的资源:
- 打印我们的术前检查表: Facing 和 Recovering from Major Surgery (PDF) | 西班牙语(PDF)
- Aortic Stenosis Discussion Guide: Get the most out of your appointment (PDF) | 西班牙语(PDF)
- Aortic Stenosis: Considerations for Replacing Your Aortic Valve (PDF)
- Telehealth Tips for Heart Valve Patients (PDF)
- 恢复里程碑清单(PDF) | Recovery Milestones Checklist 西班牙语(PDF)
