RHD, MITRAL VALVE SHRINK EF44% BREATHING PROBLEM BMV DONE IN 1985 - #26327

Given the presence of rheumatic heart disease and a history of balloon mitral valvotomy (BMV) back in 1985, alongside breathing difficulties and an ejection fraction (EF) of 44%, the situation is quite complex. The mitral valve opening being 1.2 cm² is significantly reduced, which, combined with post-COVID conditions, could contribute to the breathing issues observed. Notably, the calcification of the valves might be impacting heart function and overall pulmonary health.

Firstly, it’s crucial to get a thorough evaluation by a cardiologist to assess the current status of the heart and valve condition. This might require advanced imaging or other diagnostic tests to make informed decisions about possible surgical or interventional procedures.

From an Ayurvedic perspective, managing symptoms and potentially aiding in respiratory function involves approaches targeting overall wellness and balance within the body’s systems:

1. Diet: Incorporate easily digestible, warm foods. Soups and lightly cooked vegetables are easier on ‘agni’ (digestive fire). Avoid foods that can aggravate ‘kapha’ dosha like excessive dairy, cold or fried foods, as these can contribute to bronchial congestion.

2. Herbal Support: Certain herbs like Arjuna can be beneficial for heart health. However, given your condition, consult with a qualified Ayurvedic practitioner before starting any herbal regimen to ensure it doesn’t interact negatively with current conditions or medications.

3. Breathing Exercises: Engage in pranayama practices like Anulom Vilom to improve lung capacity gently. Avoid overly strenuous exercises, and focus on practices that enhance oxygenation without causing strain.

4. Lifestyle Adjustments: Ensure adequate rest, maintain a regular sleep schedule, and avoid exposure to cold or damp environments which could exacerbate bronchial issues. A humidifier in winters could assist in smoother breathing.

5. Regular Monitoring: Keep track of symptoms such as swelling, increasing breathlessness, or abrupt changes in condition, and seek immediate attention if these occur. Given the cardiac involvement and post-COVID complications, immediate medical evaluation takes precedence in case of exacerbating symptoms.

It’s significant to work in conjunction with your healthcare provider to align any Ayurvedic methods with ongoing conventional treatments.

The situation you’re describing involves quite complex heart-related issues. With a history of mitral valve issues, including balloon mitral valvotomy (BMV) done back in 1985, and the recent challenges post-COVID with reduced ejection fraction (EF 44%) and breathing problems, it’s essential to also consider immediate allopathic medical consultation to address any acute risk. In the Ayurvedic context, we approach heart health and breathing issues by balancing the doshas, particularly vata and kapha, which can affect the heart and lungs.

Start by focusing on dietary adjustments to reduce kapha. Consume warm, light, and easily digestible foods. Avoid heavy, cold, and oily foods which may aggravate kapha. Foods like ginger, garlic, and turmeric can support heart health by promoting circulation and reducing inflammation. A pinch of trikatu (a blend of ginger, black pepper, and long pepper) with honey after meals could aid in digestion and metabolism, but check with a doctor due to your condition.

Pranayama or controlled breathing exercises might help improve lung capacity and oxygen utilization, enhancing your breathing comfort. Begin with gentle techniques such as Anulom Vilom (alternative nostril breathing) and only try advanced methods under supervision. However, these should be practiced in moderation and stopped if you feel uncomfortable. Daily physical activity should be gentle—perhaps a slow-paced walk inside your room if walking causes distress. This ensures that you are moving enough to maintain circulation without exerting the heart too much.

Calcium deposits and reduced valve opening indicate a need for continued monitoring through regular follow-ups with your cardiologist. Don’t delay any allopathic treatment in favor of Ayurveda; they must go hand-in-hand for a condition like this. Safety and close medical attention are paramount. Monitor symptoms, and at any sign of significant discomfort, consult your healthcare provider immediately.