V as in Valves of the Heart
Valves of the Heart
The schematic diagram below illustrates the four valves of the heart and how they are oriented within the
heart. The heart valves in reality are not in this simplified
orientation, but the diagram serves to show the valves
and their relationship to each other.
The heart is generally thought of as having a right and left side. In reality, the heart is one organ and not
divided into two separate organs. The
heart is made up of four chambers, two on the right and two on the left. The chambers are known as atria and
ventricles. Each side of the heart is
composed of one atrium and one ventricle.
The atria are the receiving chambers of the heart, receiving blood
flowing back to the heart. The
ventricles are the chambers of the heart that pump the blood out of the heart.
The valves of the heart are located
within the chambers of the heart and are critical to the proper flow of blood
through the heart. All of the valves, when functioning normally, act as one-way valves, allowing blood to flow either from one
chamber to another, or allowing blood to flow out of the heart, in only one
direction. The valves control the flow of blood through the heart
by opening and closing during the contractions of the heart. The opening and closing functions of the valves are controlled by pressure differences
generated within the heart, as well as some muscles located within the heart.
The four valves are known as:
·
The tricuspid valve
·
The pulmonic or pulmonary valve
·
The mitral valve
·
The aortic valve
Heart valves can have three basic kinds
of problems: regurgitation, stenosis ,
and atresia.
Regurgitation, or backflow, occurs if a valve
doesn't close tightly. Blood leaks back
into the chambers rather than flowing forward through the heart or into an
artery.
In the United States, backflow most often is due to prolapse. "Prolapse" is when the flaps of the
valve flop or bulge back into an upper
heart chamber during a heartbeat.
Prolapse mainly affects the mitral valve.
Stenosis occurs if the flaps of a valve
thicken, stiffen, or fuse together. This prevents the heart valve from fully opening. As a result, not enough blood flows through
the valve. Some valves can have both stenosis and backflow
problems.
Atresia occurs if a heart valve lacks
an opening for blood to pass through.
Some people are born with heart valve
disease, while others acquire it later in life.
When it develops before birth, it is called congenital heart valve disease.
Congenital heart valve disease often
involves pulmonary or aortic valves that
don't form properly. These valves may not have enough tissue flaps, they may
be the wrong size or shape, or they may lack an opening through which blood can
flow properly.
Acquired heart valve disease usually
involves aortic or mitral valves. Although the valves
are normal at first, problems develop over time.
Both congenital and acquired heart valve
disease can cause stenosis or backflow.
Many people have heart valve defects
or disease but don't have symptoms. For
some people, the condition mostly stays the same throughout their lives and
doesn't cause any problems.
For other people, heart valve disease
slowly worsens until symptoms develop.
If not treated, advanced heart valve
disease can cause heart failure, stroke, blood clots, or death due to sudden
cardiac arrest (SCA).
Currently, no medicines can cure heart valve
disease. However, lifestyle changes and
medicines can relieve many of its symptoms and complications.
No comments:
Post a Comment