Ayurvedic Herbal Treatment and Long-term Management of Mitral Regurgitation

Mitral regurgitation (MR) is a medical condition in which blood flows abnormally in a reverse direction from the left ventricle of the heart to the left atrium. Mitral valve prolapse (MVP), rheumatic heart disease, infective endocarditis, annular calcification, cardiomyopathy, and ischemic heart disease are the common causes for this condition. In the initial stages of this condition, there may be no, or minimal symptoms; as the disease progresses, affected individuals may experience breathlessness, lung congestion, and heart failure. Clinical history, physical examination, chest X-ray, ECG, 2-d echo, and cardiac catheterization may be required for an accurate diagnosis of this condition.

Conservative therapy includes diuretics, medicines to improve heart function, blood thinning drugs, and regular medication for prevention of infection. Surgical options include repair or replacement of the damaged valve; with repair being the preferred option for most patients. Ayurvedic herbal treatment can be added in the long term management of MR patients to improve quality of life, reduce symptoms, and postpone the requirement for surgical intervention, which has its own inherent risks.

It is important to use herbal medicines which improve heart efficiency and function, and reduce inflammation and prevent infection. However, the use of Ayurvedic medicines which act on the mitral valve, especially on the tendon chords and muscle attached to it, is of greater importance and relevance in treating MR, since the efficacy of these medicines determines the overall success and utility of the treatment.

Treatment is usually given for a period of about 6-8 months. Further treatment decisions will depend upon the response of the patient to the treatment given thus far. Maintenance therapy, in the form of a few medicines, may be required in patients with severe mitral regurgitation. Most patients with moderate mitral regurgitation may be safely managed on a long term basis with the help of Ayurvedic herbal medicines.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Ayurvedic Herbal Treatment and Long Term Management of Mitral Stenosis

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.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com