In heart valve disease, one or more of the valves in your heart doesn't work properly.
Your heart has four valves that keep blood flowing in the correct direction. In some cases, one or more of the valves don't open or close properly. This can cause the blood flow through your heart to your body to be disrupted.
Your heart valve disease treatment depends on the heart valve affected and the type and severity of the valve disease. Sometimes heart valve disease requires surgery to repair or replace the heart valve.
Some people with heart valve disease might not experience symptoms for many years. Signs and symptoms of heart valve disease may include:
- Abnormal sound (heart murmur) when a doctor is listening to the heart beating with a stethoscope
- Shortness of breath, particularly when you have been very active or when you lie down
- Swelling of your ankles and feet
- Irregular heartbeat
When to see a doctor
If you have a heart murmur, your doctor may recommend you visit a cardiologist. If you develop any symptoms that may suggest heart valve disease, see your doctor.
Your heart has four valves that keep blood flowing in the correct direction. These valves include the mitral valve, tricuspid valve, pulmonary valve and aortic valve. Each valve has flaps (leaflets or cusps) that open and close once during each heartbeat. Sometimes, the valves don't open or close properly, disrupting the blood flow through your heart to your body.
Heart valve disease may be present at birth (congenital). It can also occur in adults due to many causes and conditions, such as infections and other heart conditions.
Heart valve problems may include:
- Regurgitation. In this condition, the valve flaps don't close properly, causing blood to leak backward in your heart. This commonly occurs due to valve flaps bulging back, a condition called prolapse.
- Stenosis. In valve stenosis, the valve flaps become thick or stiff, and they may fuse together. This results in a narrowed valve opening and reduced blood flow through the valve.
- Atresia. In this condition, the valve isn't formed, and a solid sheet of tissue blocks the blood flow between the heart chambers.
Several factors can increase your risk of heart valve disease, including:
- Older age
- History of certain infections that can affect the heart
- History of certain forms of heart disease or heart attack
- High blood pressure, high cholesterol, diabetes and other heart disease risk factors
- Heart conditions present at birth (congenital heart disease)
Heart valve disease can cause many complications, including:
- Heart failure
- Blood clots
- Heart rhythm abnormalities
Heart valve disease care at Mayo Clinic
March 06, 2018
- What is heart valve disease? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hvd. Accessed Aug. 15, 2016.
- Nishimura RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. The Journal of Thoracic and Cardiovascular Surgery. 2014;148:e1.
- Riggin ER. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Aug. 3, 2016.
- AskMayoExpert. Mitral regurgitation. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
- AskMayoExpert. Aortic valve stenosis (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
- Bonow RO, et al., eds. Valvular heart disease. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed Aug. 16, 2016.
- Ruiz CE, et al. Transcatheter therapies for the treatment of valvular and paravalvular regurgitation in acquired and congenital valvular heart disease. Journal of the American College of Cardiology. 2015;66:169.
- Daniels BK. Echo Information Management System. Mayo Clinic, Rochester, Minn. Oct 18, 2016.
- Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Sept. 23, 2016.
- Taggarse AK, et al. How has robotic repair changed the landscape of mitral valve surgery? Annals of Cardiothoracic Surgery. 2015;4:358.
- How can I make my lifestyle healthier? American Heart Association. http://www.heart.org/HEARTORG/Conditions/More/ToolsForYourHeartHealth/Answers-by-Heart-Fact-Sheets-Lifestyle-and-Risk-Reduction_UCM_300611_Article.jsp#.WC9socnFjVY. Accessed Nov. 18, 2016.
- Getting support. American Heart Association. http://www.heart.org/HEARTORG/Caregiver/ReachOut/GettingSupport/Getting-Support_UCM_301847_Article.jsp#.WCn5QdgzXIU. Accessed Nov. 4, 2016.