The aortic valves are not fully closed: what about the broken door of the heart?

The heart is the most important “power pump” in our body, while the aortic valve is a key “valve” in the heart pump blood pump. The aortic valves are like a precise open door, open when the heart shrinks, allowing the blood to flow smoothly to the aorta, delivering oxygen and nutrients to the body; when the heart stretches, they close, preventing the blood from revolving back into the heart. But when the aortic valves are shut down, the door breaks down.

Normal aortic valves are complete and functional. However, as a result of a number of factors, the inner membrane of the aortic valve may be torn, and the blood enters into the aorta wall through this torn hole, forming a layer. This layer destroys the normal structure and functioning of the aortic valves, resulting in the failure of the aortic valves to completely prevent the return of blood at the time of closure, i.e., incomplete closure.

There are a number of reasons why the aortic valves are closed. Long-term high blood pressure is an extremely important factor, as it is a high-pressure flow of a continuous impact acoustic wall, which, over time, overstretchs the acoustic wall and is prone to ripples of the inner membranes, which in turn triggers a patchwork and closure. In addition, the pathologies of the aorta itself, such as the sclerosis of the aortic porridge, render the aortic wall fragile and also bury a potential for the formation of the layer. There are also congenital aortic artery or genetic diseases, such as the Marfan syndrome, whose aortic valves and aortic walls are structurally defective from birth and are more likely to be closed.

The aortic valves are not all closed in clinical terms. Patients often experience heart palpitation, i.e. they can feel their heart beating in a clear way, as if the heart were beating in a panic in the chest, because the heart was trying to pump blood to compensate for the retrogressive dynamics. As the condition evolves, the heart burden increases and there are gradually signs of respiratory difficulties. At first, it may be only after intense physical activity, which slowly develops into day-to-day activities and even when it is resting, it is as if there is a heavy weight on the chest. When the condition is severe, it can also lead to heart failure and symptoms of lower leg oedema, inefficiency and dizziness. As the heart is unable to pump the blood effectively out, it is siltled in the lungs and other parts of the body, causing a series of systemic disorders.

For incomplete diagnosis of the aortic valves, doctors usually combine multiple methods of examination. Cardiac ultrasound is one of the most common means of detection, and it is like a sophisticated detector that clearly sees the structure of the aortic valve, the situation of the layer and the reflow of the blood, providing an important basis for diagnosis. In addition, tests such as CT angiography, MRI angiography, etc. can help doctors to understand more fully the scope and extent of aortic pathologies in order to develop accurate treatment programmes.

The treatment of incomplete aortic valves is determined by the severity of the condition. In the case of minor closures, if the patient’s symptoms are not apparent, the doctor may recommend close observation and periodic review, while at the same time controlling blood pressure, reducing the heart burden and delaying the development of the condition through medication. The usual medications are urea-friendly, which can help the body to excrete excess moisture and reduce the front load of the heart; they also have vascular expansion, which can expand the blood vessels, lower blood pressure and improve the blood dynamics of the heart. Surgery is often required to treat patients with moderate-heavy aortic valves, especially those whose symptoms seriously affect the quality of life or who have already experienced complications such as heart failure. The procedure involves, inter alia, an aortic valve replacement, which replaces the diseased aortic valve with an adult worker valve, and restores the “door” of the heart to its normal opening, thus improving the working state of the heart and improving the quality of life and the preparation of patients.

The closure of the aortic valves is not all a more serious cardiovascular disease, but as long as we have knowledge of it, are actively involved in prevention, timely diagnosis and treatment of the disease, we can effectively control the condition and ensure the health and proper functioning of the heart.