heart valve disease | Dr Raghu


Mitral Valve is the one which is tucked between the upper left atrium and lower left ventricle and when it gets narrowed, this becomes a major heart health issue which is called Mitral Valve Stenosis. 

Under this condition, the blood flow from the left atrium to the left ventricle is restricted and the blood starts to flow back into the left atrium, blood vessels of the lungs and to the right side of the heart too. 

Though stenosis occurs, symptoms don’t appear for a major part of one’s life, say 8 to 10 years.  

But in India, research suggests that the progression is quicker than in the rest of the world and symptoms surface within 8 to 10 years. As for the severity, such can be mild or severe. 

What are the possible reasons for mitral valve stenosis that we know?

  • Rheumatic fever can be a discrepancy due to streptococcus infection.
  • Calcium reserves due to old age.
  • The congenital shortcoming in the mitral valve.
  • Autoimmune diseases like lupus, can also contribute to this.
  • Radiation therapy is done to the chest.

Notable Symptoms Of Mitral Valve Stenosis:

  1. Breath shortness.
  2. Heart murmurs. 

III. Cough.

  1. Fatigue. 
  2. Speedy Heartbeat (palpitation).
  3. Chest Pain.

VII. Swelling in leg, feet and ankles.

VIII. Heart rhythms get abnormal. 

What are the difficulties that arise from Mitral Valve stenosis?

The following issues have come to light.

  • Abnormal Heart Size: 

This is called heart enlargement where the upper left chamber (left atrium) gets bigger in size and the right side of the heart which is due to pressure taking place as a fallout of mitral valve stenosis

Upper chambers get stretched and get bigger and this often leads to strange heart rhythm. 

  • Formation of Blood Clots:

If we ignore abnormal or ultrafast heartbeats, we find blood clots in the left atrium. Further, such clots can split and travel to different parts of the body and this gives rise to troubling consequences like paralytic stroke. 

Pressure increases in the upper left chamber and lungs and this gives rise to risky fluid accumulation which can also cause heart failure. 

Blood pressure increases in the arteries which facilitate blood flow from the heart to the lungs (pulmonary arteries). 

  • Stroke: 
  • Endocarditis.

How do the doctors (the best cardiologist for valve replacement for that matter) diagnose mitral valve stenosis?

This is a complication which goes unnoticed for a few years but when the stenosis progression takes place, problems appear. Doctors prescribe the following tests to detect the disease. 

  1. Physical examination and doctors look for heart murmurs. 
  2. Electrocardiogram: To decipher the electrical activity in the heart.
  3. Echocardiogram: By focusing on ultrasound images, heart chambers are checked alongside the valves and blood vessels. 
  4. Transesophageal echocardiogram: In this test, doctors locate the cause and severity of the stenosis. 
  5. Cardiac Catheterization: Before doing the mitral valve replacement surgery, coronary angiography is done and this is a procedure which is exclusively recommended for those above 40 years of age. 
  6. Chest X-rays.

Dr C Raghu: The Saviour Of Heart Health. 

If left untreated and ignored, the small problem can grow into a big problem (and would need more money for treatment). 

Smashing the boundaries, his clinic embraces cutting-edge technology and such machines help in effective and world-class treatment of a range of heart issues, at a reasonable price but still, one has to remember that no cost is high for saving a life and to lead a healthy life. 

As a result, Dr C Ragu’s clinic is the shining jewel of Hyderabad city as the eclectic world of Dr C Raghu’s modern cardiology enthralls everyone. 

We make a successful pitch for supreme heartcare and treatment excellence in India which is at par with the developed world located in the west and is more affordable too.  

Truly, Dr C Raghu is widely regarded as the best cardiologist for valve replacement and has a large fan following across the world. 

Book Online Consultaion

    How Cholesterol Is Linked to Heart Disease Blog


    Subscribe the Hearty Life Blogs

      dr. raghu

      DR. RAGHU | Best Cardiologist in Hyderabad

      Cardiology Coronary, Vascular and
      Structural Interventions

      Conditions & Diseases

      Coronary angioplasty


      Coronary angioplasty

      Aortic Stenosis

      Coronary angioplasty

      Atrial Fibrillation

      Coronary angioplasty

      Atrial Septal Defect

      View More Services


      Heart disease is a significant global health concern, as it causes numerous deaths worldwide every year. Heart failure treatment typically involves medications, lifestyle changes, and surgery...


      What is Aortic stenosis?

      Aortic stenosis is a disease where the valve between left ventricle and aorta is narrowed. Normally the left ventricle is the chamber which pumps blood to the entire body through the aortic valve. So if the aortic valve is narrowed either due to infection or age related degeneration it is called aortic stenosis. This is a disease of the elderly people usually beyond 50 years of age.

      What are the symptoms of aortic stenosis?

      When the disease is severity is mild people usually do not experience any symptoms. But is the disease is severe – even though the disease is severe in early phases the patient might not have symptoms. 

      So, early stages of aortic stenosis patient might not have any symptoms. Where as in the advanced stage of severe aortic stenosis the patients can develop can develop chest pain also called angina in medical terminology. So chest pain which increases on walking or any other form of exertion and gets relieved on rest or stopping of that activity is called angina. So patients with aortic stenosis because is unable to pump as per the requirements of the body (due to aortic valve narrowing) they experience angina. 

      The other symptom is breathlessness – on walking or on lying down flat the patient develops difficulty in breathing. This is referred to as dyspnea in medical terminology. So when ever a patient is having a fixed blood supply to various organs without increasing as per their needs there is pooling of blood in the heart. This pooled blood in the heart “reverses back” into the lungs which is responsible of breathlessness.

      Finally in advanced stages of aortic stenosis patients develop a sudden loss of consciousness with spontaneous recovery. These episodes of loss of consciousness are also called as syncope in medical terminology.

      So the predominant symptoms of aortic stenosis are chest pain, breathlessness and sudden loss of consciousness.

      At the same time patients with aortic stenosis will develop an impaired function of the heart also called heart failure. This heart failure need to necessarily present in severe heart failure but can also be seen in intermediate or moderately severe aortic stenosis. 

      Aortic stenosis and high blood pressure 

      Patients with aortic stenosis have reduced supply of blood to various organs of the body. Because of this it was believed that patients with aortic stenosis tend to have low blood pressure. This is not true regarding the current epidemic of aortic stenosis we are currently seeing. Currently most of the aortic stenosis patients are elderly in their 60s, 70s and 80s of age. So these patients because of the progression of the age and hardening of the blood vessels they develop high blood pressure or Hypertension in medical terminology. So patients with aortic stenosis are not spared from high blood pressure contrary to what we were believing till date and what we are seeing is a scenario of aortic stenosis patients having high blood pressure levels.

      What is the impact of this high blood pressure on a patient with severe aortic stenosis?

      Patients with high blood pressure and severe aortic stenosis develop a faster progression of the disease severity. So a patient of aortic stenosis with uncontrolled blood pressure can have a severe aortic stenosis at a much earlier age. 

      How can patients with aortic stenosis control their blood pressure?

      People with aortic stenosis and high blood pressure need to control their blood pressure using 3-4 different types of medicines. A good control of blood pressure is one of the first steps in retarding the progression of aortic stenosis. 

      Can people with aortic stenosis do exercise? 

      People with aortic stenosis tend to have a fixed cardiac output. This means – the aortic valve is narrowed and this narrowing limits the blood supply to various organs of the body. When there is a reduction in blood supply to various organs of the body – the first to be affected is the brain. This causes syncope or sudden loss of consciousness. 

      Exercise AS

      So when a person with severe aortic stenosis exercises vigorously then there is a reduction of blood supply to the brain causing sudden unconsciousness. This problem happens in people with an advanced or severe aortic stenosis. So people with severe or advanced aortic stenosis are advised not to participate in vigorous physical activity such as running, jogging or weight lifting etc. 

      But at the same time as we all know for the control of BP, blood sugar and cholesterol and effective control of heart failure are important steps for retarding the progression of aortic stenosis. So a mild to moderate severe intensity exercise is advised for control of the various co-morbidities in aortic stenosis. But at the same time a vigorous or severe intensity exercise is definitely not to be performed. Severe intensity exercise or competitive sports is a contra indication for aortic stenosis patients in medical terminology.

      Aortic stenosis

      Aortic Stenosis Symptoms (Telugu)

      Book Online Consultaion

        Aortic Stenosis : Symptoms Blog


        Subscribe the Hearty Life Blogs

          +91 95424 75650

          Call us now if you are in a medical emergency need, we will reply swiftly and provide you with a medical aid.

          +91 95424 75650

          Call us now if you are in a medical emergency need, we will reply swiftly and provide you with a medical aid.

          Dr. Raghu | Heart Specialist in Hyderabad
          Yashoda Hospitals, Sardar Patel Rd, behind Hari Hara Kala Bhavan, Kummari Guda, Shivaji Nagar, Secunderabad, Telangana 500003

          Copyright © 2023, Dr. Raghu. All rights reserved.