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Pericardial
diseases
These
are diseases of the sac that encases the heart (pericardium).
Pericardial disorders include inflammation (pericarditis), fluid
accumulation (pericardial effusion) and stiffness (constrictive
pericarditis). These can occur alone or together. The causes
of pericardial disease vary, as do the problems they may lead
to. For instance, pericarditis can occur after a heart attack
and, as a result, lead to pericardial effusion or chest pain.
Symptoms
People who slowly develop valvular heart disease may not notice
any symptoms because the heart is given time to adjust. However,
valve disease that develops suddenly can cause a variety of
symptoms including palpitations, chest pain and edema (swelling)
in the ankles, feet or abdomen. Weakness, dizziness and rapid
weight gain may also occur. The severity of a patient’s
symptoms does not always reflect the severity of their condition.
Patients with severe valvular heart disease may have no symptoms
and those with severe symptoms only have a minor valve problem
that does not require treatment. As a general rule, patients
experiencing any new symptoms, or symptoms that are more frequent
or severe, should contact a physician.
Treatment
Treatment for valvular heart disease depends on the type and
severity of the diagnosis. People with minor valve problems
may not require treatment. Those with more serious disorders
can often be treated successfully with medications such as the
following:
*
ACE inhibitors. Widen blood vessels, lower blood pressure and
decrease the workload of the heart (in the case of valvular
regurgitation).
* Antiarrhythmics. Maintain a regular heartbeat and slow rapid
heart rhythms. Therefore, the heart beats less frequently but
more effectively, pumping more blood through the body.
* Antibiotics. Help prevent or treat infection.
* Anticoagulants. Help prevent the formation of blood clots.
*Diuretics. Lower excess fluid levels in the body.
*Inotropes. Increase the force of the heart’s contractions.