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.