Treatment of aortic insufficiency

summary

Aortic regurgitation is a common disease. How much do you know about aortic regurgitation? Do you know the symptoms of aortic regurgitation? Do you know the treatment methods of aortic regurgitation? If you don't know, let's introduce them one by one. Interested friends might as well take a look at it.

Treatment of aortic insufficiency

First: medical treatment, avoid excessive physical labor and strenuous exercise, limit sodium intake, use digitalis drugs, diuretics and vasodilators, especially angiotensin-converting enzyme inhibitors, help to prevent the deterioration of heart function. Digitalis can also be used in patients with severe aortic regurgitation and significant left ventricular enlargement, although they have no symptoms of heart failure. Arrhythmia and infection should be prevented and treated actively. Syphilitic aortitis should be given a full course of penicillin treatment, rheumatic heart disease should actively prevent streptococcal infection and rheumatic activity and infective endocarditis.

Second, surgical treatment of prosthetic valve replacement is the main treatment of aortic insufficiency, should be performed before the symptoms of heart failure. However, because patients usually have no obvious symptoms before decompensation of myocardial systolic function, there is no need to rush to surgery when patients have no obvious symptoms and left ventricular function is normal; close follow-up can be conducted, and echocardiography should be reviewed at least once every six months. Once there are symptoms or left ventricular dysfunction or cardiac enlargement, surgery should be performed.

Third, prosthetic valve replacement should be performed for rheumatic aortic insufficiency and most other causes. Both mechanical valve and biological valve can be used. Surgical risk and late mortality depend on the stage of development of aortic insufficiency and the state of cardiac function at the time of surgery. For patients with long-term left ventricular dysfunction, the operative mortality rate is about 10%, and the late mortality rate is about 5% per year. However, due to the poor prognosis of drug therapy, surgical treatment should be considered even if there is left heart failure.

matters needing attention

Other symptoms include fatigue, significant decrease in activity endurance, excessive sweating, especially when paroxysmal dyspnea at night or angina pectoris at night occurs, hemoptysis and embolism are rare, and liver congestion and swelling, tenderness, ankle edema, pleural effusion or ascites may occur in late right heart failure.