• Dr A A Mundewadi

Ayurvedic Herbal Treatment and Management of Aortic Stenosis

Aortic stenosis is a medical condition in which the aortic valve is narrower than normal and causes less blood flow into the aorta from the left ventricle of the heart. This can cause fatigue and fainting due to less oxygen supply, as well as breathlessness and heart failure due to enlargement of the left ventricle. Increased blood pressure and abnormal heart rhythm can also be caused due to this condition. Congenital causes such as a two leaflet valve instead of the normal three-leaved one, high blood pressure, obesity, old age, and infection and inflammation are known causes for this condition.

A clinical history, clinical examination, and tests like ECG, 2d echo and stress test are usually sufficient for a diagnosis of this condition; rarely, cardiac catheterization may be required. Conservative treatment is given in the form of medications to reduce high blood pressure, reduce abnormal heart rhythm, improve heart efficiency, and reduce obesity. Surgical procedures involve dilatation of the valve (balloon valvuloplasty) – usually done in children - and valve replacement using open heart surgery or by a catheter procedure known as TAVR which is less invasive.

Ayurvedic herbal treatment can be judiciously used in the successful long term management of aortic stenosis. Herbal medicines are used to control blood pressure, reduce obesity, reduce calcium deposition and thereby reduce thickening, hardening and scarring of valve leaflets, use specific medicines to make the aortic valve more pliable, improve heart muscle strength and efficiency, improve cardiac output, and treat or reduce abnormal heart rhythm. If required, herbal medicines can also be given to treat long term infection and inflammation.

Most patients with mild to moderate aortic valve stenosis can be managed very well using Ayurvedic herbal medicines. Treatment is usually required for about 8-10 months. For patients with moderately severe stenosis, some medicines to maintain heart efficiency and normalize blood pressure may be required on a long term or lifelong basis. Patients with very severe aortic stenosis are best treated surgically; however, those who are not fit for surgery - for various reasons - may still be managed well with Ayurvedic herbal treatment.

Ayurvedic treatment, herbal medicines, Aortic stenosis, AS, TAVR

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