Heart, a vital organ or structure of our body, is very complicated. It pumps the blood and makes it follow through entire vessels of the body. It receives the oxygenated blood from the lungs and supplies it throughout the body and then collects the deoxygenated blood from the body and passes it onto the lungs. And this process keeps going. Heart in itself is a vast structure and has various other anatomical structures. It has valves between the atrium and ventricle and further it has bundles of his. Sometimes due to older age and disease these structures get affected. In the text below, we shall look into mitral valve disease. We shall also have a look at its management in the contemporary medicinal system as well as in the traditional Indian medicinal system of Ayurveda. Let’s get started!!
Heart is a very delicate organ of our body. It supplies the oxygenated blood to all the body organs. The myxomatous mitral valve is the most common form of valvular heart disease. Myxomatous mitral valve disease is a progressive non-inflammatory alteration of the mitral valve. It has been given a range of names such as floppy valve syndrome, billowing mitral valve syndrome, barlow’s syndrome, mitral valve prolapse etc. In this condition, there is a bulging of the atrium during systole that leads to mild systolic click. Further with advancement of the condition, the regurgitation becomes more evident. This is succeeded by a number of symptoms such as fatigue, arrhythmia etc. The condition is also known by various others such as Barlow syndrome, Billowing mitral valve syndrome, Click-murmur syndrome, Floppy valve syndrome, Mitral prolapse. Now let’s have a look at the causes, clinical features, investigations and management of the myxomatous mitral valve disease.
The condition can occur in any person of any age. This can occur or run in families. This can also occur in some of the following conditions:
- Ehlers-Danlos syndrome
- Ebstein anomaly
- Graves’ disease
- Muscular dystrophy
- Marfan syndrome
Causes of Myxomatous Mitral Valve Disease
- Older age or age-related changes
- Certain infections that affect the cardiac muscles
- Heart attacks
- Congenital heart defect
- Certain drug usage
- Radiation to the chest
- Undergoing autoimmune disease
Signs and Symptoms of Myxomatous Mitral Valve Disease
- Acute pulmonary oedema
- Atrial flutter
- Nocturnal dyspnea
- Reduced cardiac output
- Edema in the feet and leg
- Irregular heartbeat or racing heartbeat (arrhythmia)
- Lightheadedness or dizziness
- Shortness of breath
- Electrocardiogram (ECG)
- Exercise or stress tests
- Chest X-Ray
- Cardiac catheterisation
Management of Myxomatous Mitral Valve Disease
- Beta blockers
- Surgery is indicated in the severe cases of severe mitral valve regurgitation.
Home Remedies and Lifestyle Management
- A heart healthy diet such as fruits and vegetables. A diet with low-fat and fat-free dairy products. Avoiding trans and saturated fat. Avoiding excess salt and sugar are more beneficial.
- Maintaining a healthy weight.
- An active lifestyle with regular physical activity results in the healthy heart.
- Managing stress through various activities such as physical or mental activity really helps in controlling the stress induced weakness of the heart.
- Avoiding tobacco and alcohol helps in preventing certain types of heart or cardiac diseases.
Complications of Myxomatous Mitral Valve Disease
- Arrhythmias/Irregular/Heart rhythm problems: Arrhythmia can occur if mitral valve prolapse can result in severe regurgitation and swelling of the left atrium.
- Mitral valve regurgitation: The mitral valve flaps do not close tightly. Blood flows in the backward direction when the valve closes, making it hard for the heart to work appropriately. In males or in hypertension, the risk of mitral valve regurgitation increases.
- Congestive heart failure
- Pulmonary hypertension
Ayurvedic Aspect and management of Myxomatous Mitral Valve Disease
Ayurveda is a traditional medicinal system of India. It has been serving mankind for ages. The science is purely herbal and natural as all the medicines and procedures that are followed to treat patients are naturally collected and composed. Ayurveda revolves around the three main dosha. These doshas include vata, pitta and kapha dosha. When these doshas stay in a limited range this results in the healthy status of a person whereas whenever vitiation of any dosha occurs, it results in the disease.
There are a number of reasons that lead to the vitiation of these doshas and thus result in various diseases. Heart disease is also known as hrida roga. There are various types of hrida roga depending on the dosha involved.
Depending on the symptoms and cause of the myxomatous mitral valve disease, the condition can be well correlated with kaphaja hrida roga. The main symptoms include irregular heart beats (arrhythmia), drowsiness, cough, heaviness in the body, indigestion etc. The incapability of the mitral valve also indicates the dosha predominance of kapha. Hence here we deal with myxomatous mitral valve disease on the lines of kaphaja hrida roga.
The following classical ayurvedic medicines such as nagarjuna rasa, hridyarnav rasa, chintamani rasa, vishveshwar rasa, trinetra rasa, kalyanasundar rasa, akik pishti, makardhwaj, pathadi churna, krishandi churna, trivritadi churna, pippalyadi churna, katphaladi kwath, dashmool kwath, udumbaradi leha, shilajit rasayan, hridyeshwar rasa, praval pishti, prabhakar vati, chyawanprash, panchsakar churna.
Pathya (Food and things that are Beneficial)
- Old rakatshali
- Parval (Pointed gourd)
- Castor oil
- Rain water
- Rock salt
- Shunthi (dried ginger)
- Chandan (Santalum alba)
- Medicated enema
Apathya (Food and things that are Harmful)
- Canal water
- Sheep milk
- Heavy food
- Hot food
- Bitter food
- Holding urges that are not to be withheld.
- Walking every day on the green grass barefoot.
- Light exercises
- Padmasana, shavasana, surya namaskar.
- Practising kumbhak and rechan.
- Deep breathing in the fresh air.
Herbal Remedies by Planet Ayurveda for Myxomatous Mitral Valve Disease
Planet Ayurveda is an eminent ayurvedic, US-FDA registered company with the motive to spread Ayurveda across the globe. Not just it is an ayurvedic unit, it also has a huge range of products that have been serving a number of patients with their acute to chronic conditions. The medicines are available in various forms such as capsules, jams, powders, tablets and syrups. All these medicines are composed with pure herbs and other medicinal plants as are mentioned in the various ayurvedic pharmacopoeia and other classical textbooks. All the medicines are pure and do not contain any sort of artificial sweeteners and colored compounds. Planet Ayurveda extends its heart care pack for managing myxomatous mitral valve disease. We shall see the products in this pack in detail in the following section. Planet Ayurveda’s heart care pack is composed of the following medicines that are helpful in the managing myxomatous valve disease.
- ARJUNA CAPSULES
- ARJUN TEA
- TOTAL HEART SUPPORT
- GOTU KOLA CAPSULES
1. ARJUNA CAPSULES
Arjuna Capsules of Planet Ayurveda are pure and made up from the pure and clean arjuna extract (Terminalia arjuna). Arjuna is considered as ‘hridya’ therefore it is beneficial in all the cardiac disorders. Ajuan has anti-inflammatory activities. It provides strength to the cardiovascular system. Arjuna helps in normalising the beating of the heart and thus prevents arrhythmias. By strengthening the cardiac muscles it helps in the better tone of the valves. Therefore, Arjuna capsules are very effective in managing myxomatous mitral valve disease.
Dosage: One capsule twice daily with plain water after meals.
2. ARJUN TEA
Arjun tea is prepared by Planet Ayurveda and it is prepared with the herbal properties of arjuna (Terminalia arjuna), punarnava (Boerhavia diffusa), pipal (Ficus religiosa), dalchini (Cinnamomum zeylanicum) and chhoti ela (Elettaria cardamomum). All these herbs are very good in providing overall cardiovascular wellness. Chhoti ela is very crucial in providing strength to the cardiac muscles. All the herbs are unique in ways that are beneficial in myxomatous mitral valve disease.
Dosage: One cup daily.
3. TOTAL HEART SUPPORT
Total Heart Support is a product of Planet Ayurveda composed to tackle all the heart related disorders. The capsules contains the goodness of the herbs such as arjuna (Terminalia arjuna), brahmi (Bacopa monnieri), shankhpushpi (Convolvulus pluricaulis) and ashwagandha (Withania somnifera). All these herbs are effective in heart disorders. As the name of the product suggests it supports the heart and helps the heart to cope up with the ongoing pathologies and supports the heart to execute its functions properly. All the herbs strengthen the cardiovascular system and help in the proper beating of the heart. Hence, Total Heart Support capsules are of great benefit in myxomatous mitral valve disease.
Dosage: Two capsules twice daily with plain water after meals.
4. GOTU KOLA CAPSULES
Gotu Kola capsules, is a product of Planet Ayurveda for keeping the heart healthy. It contains the extracted Gotu kola (Centella asiatica). Gotu kola is helpful in strengthening the cardiac muscles and valves. It removes the fatigue of the heart. It has anti-inflammatory action thus is helpful in alleviating the inflammation of the valves of the heart. As Gotu Kola is ‘hridya’ thus benefits the person with any sort of heart disease. Hence, the Gotu Kola capsules of Planet Ayurveda are very helpful in myxomatous mitral valve disease.
Dosage: One capsule twice daily with plain water after meals.
Myxomatous mitral valve disease is a valvular disease of the heart. There can be a number of causes that can lead to the occurrence of the same. Myxomatous mitral valve disease leads to the regurgitation of the blood back into the atrium. This results in certain symptoms. Coming to management of the condition, certain tests are needed to carry out. As per the contemporary medicinal system there is no proper management of the damaged valves and surgery is often recommended. Whereas, in Ayurveda, there are certain drugs/herbs that are very beneficial in heart diseases. As they provide strength to the cardiac muscles. With these strengthening properties of certain herbs such as arjuna (Terminalia arjuna), gotu kola (Centella asiatica), ashwagandha (Withania somnifera), the condition of the valves of the heart goes from miserable to well functional and toned. We have also discussed the classical herbal products and also have seen the heart care pack by Planet Ayurveda. These products help in managing the myxomatous mitral valve disease and makes the heart strong and helps in the execution of functions of the heart and other structures.