• Dr A A Mundewadi

Ayurvedic Herbal Treatment and Long Term Management of Mitral Stenosis

Updated: Mar 31

Mitral Stenosis is a medical condition caused due to narrowing of the mitral valve opening from the left atrium into the left ventricle. This condition is usually caused due to rheumatic fever, congenital causes, and chronic autoimmune diseases. The inflammation and resulting damage to the mitral valves may become apparent several decades after the actual infection has occurred. While there may be no symptoms with mild stenosis, as the condition progresses and the mitral valve orifice becomes less than 1cm 2, symptoms of breathlessness, lung congestion, and heart failure become apparent. Atrial fibrillation may also develop gradually.

Conservative treatment includes medicines to prevent infection, reduce lung congestion, treat atrial fibrillation, and prevent embolism. Surgical treatment includes mitral valvotomy or mitral valve replacement. Ayurvedic treatment can be successfully included in the long term management of mitral stenosis. The goal of this additional treatment is to increase the symptom free period by at least another decade or so, reduce the need for surgical treatment, improve quality of life, reduce the risk of complications, and help improve overall long term survival.

Ayurvedic herbal medicines improve heart function and efficiency, reduce the load on the heart, reduce lung congestion, treat fibrillation, and help reduce inflammation and calcium deposits on the valve, thereby making the valve leaflets more pliable. Herbal medicines act on heart muscle, as well as on the tiny tendon chords attached to the valves, thereby improving the valve functional efficiency and delaying further stenosis.

Once symptoms are brought under control, other medicines are used to increase heart performance and endurance, so that the overall symptom free period is increased and overall life span of the patient too increases. The medicines required for each individual patient may differ, and the dosages required too may be different, depending upon the overall medical status of each affected individual, the response to treatment, and associated medical history and complications. Initial treatment may be for about 6-8 months, while a few medicines for maintenance may be required for another 6 months. Some patients with severe valve disease and declared unsuitable for surgery may require a few Ayurvedic herbal medicines on a lifelong basis.

Ayurvedic herbal treatment can thus be judiciously utilized in the long term management of mitral stenosis.

Mitral Stenosis, MS, Ayurvedic treatment, herbal medicines.

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