Congenital Heart Disease – Treatment, Symptoms, and Causes

Congenital heart disease is a heart defect, of innate origin. Basically, this pathology concerns the septa of the heart, affects the artery, which supplies venous blood to the lungs or one of the main vessels of the arterial system – the aorta, and also There is an increase in the botallov channel (OAP). In congenital heart disease, the blood movement in the large blood circulation (BPC) and small (ICC) is disturbed.

Heart defects are a term that combines certain heart diseases whose main benefit is a change in the anatomical structure of the heart valve device or its largest vessels and the growth of the partitions between the atria or ventricles.

Causes of congenital heart disease

The main causes of congenital heart disease are diseases from the chromosomes – it is almost 5%; Mutation of the gene (2-3%); various factors such as alcoholism and drug addiction of parents; Infectious diseases in the first trimester of pregnancy (rubella, hepatitis), medications (1-2%) and hereditary predisposition (90%).

With various distortions of chromosomes, their mutations appear in a quantitative and structural form. When aberrations of large or medium sized chromosomes occur, this generally leads to a lethal outcome. But if there are biases in life compatibility then there are several types of congenital diseases. When a third chromosome appears in the set of chromosomes, defects arise between the valves of the valves of the atrial and ventricular septa or a combination of these.

Congenital heart disease with changes in the sex chromosomes is much rarer than in trisomy autosomes.

Mutations of a gene not only lead to congenital heart disease, but also to abnormalities of other organs. Developmental disorders of the CVS (cardiovascular system) are associated with the syndrome of autosomal dominant and autosomal recessive syndrome. These syndromes are characterized by a pattern of damage to the system in a mild or severe severity.

The development of congenital heart disease can contribute to various environmental factors that damage the cardiovascular system. Among them, X-ray radiation could be identified that a woman could receive during the first half of pregnancy; Radiation by ionised particles; some types of medicines; Infectious diseases and viral infections; Alcohol, drugs, etc. Therefore, heart disease formed under the influence of these factors has received the name of embryopathy.

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Under the influence of alcohol, most commonly formed VSD (defect of the interventricular septum), OAP (open arterial duct), pathology of the interatrial septum. For example, anticonvulsants lead to the development of pulmonary artery stenosis and aorta, aortic coarctation, OAP.

Ethyl alcohol is the first of the toxic substances, contributing to congenital heart disease. A child born under the influence of alcohol has an embryophytic alcohol syndrome. Alcoholic mothers suffer from almost 40% of children with congenital heart disease. Alcohol is particularly dangerous in the first trimester of pregnancy – this is one of the most critical stages of fetal development.

Very dangerous for the future of the child is the fact that the pregnant woman suffered from rubella. This disease causes a number of pathologies. And the innate pathology of the heart is no exception. The incidence of congenital heart disease after rubella is between 1 and 2.4%. Among the heart diseases are the most common in practice: OAA, AVK, Fallot tetralogy, DMZHP, stenosis of the pulmonary artery.

The data from the experiments show that almost all congenital heart defects are basically of genetic origin, which is consistent with a multifactorial inheritance. Of course, there is heterozygosity of a genetic nature and some forms of UPU are associated with mutations of a gene.

In addition to the aetiological factors that cause congenital heart disease, there is also a risk group in which women fall into the age group; Have violations of the endocrine system; with toxicoses of the first three months of pregnancy; who have stillborn babies in the history, as well as already existing children with congenital heart defects.

Congenital symptoms of heart disease

The clinical picture of congenital heart disease is characterized by features of the structure of the defect, the recovery process and the complications resulting from a variety of etiologies. The symptoms of congenital heart disease include shortness of breath, which occurs in the context of low physical exertion, increased heart rate, periodic weakness, paleness or cyanosis of the face, pain in the heart, swelling and fainting.

Congenital heart defects can occur at regular intervals, so there are three major phases.

In the primary, adaptive phase, the patient’s body attempts to adapt to circulatory system disorders caused by a developmental defect. As a result the symptoms of manifestation of the disease are usually not very pronounced. But during a severe hemodynamic injury, cardiac decompensation quickly develops. If patients with congenital heart disease do not die during the first phase of the disease, there will be improvements in their health and development in about 2-3 years.

In the second phase the relative compensation and the improvement of the general condition are noticed. And for the second inevitably comes the third, when all the adaptive abilities of the organism eventually develop a dystrophic and degenerative nature of the changes in the heart muscle and in various organs. Basically, the terminal phase leads to death of the patient.

The most pronounced symptoms of congenital heart disease include cardiac arrhythmia, cyanosis and heart failure.

Noise in the heart of a systolic character and varying intensity is observed in almost all types of vices. But sometimes they can be absolutely absent or manifest as transience. As a rule, the best audibility is located in the left upper part of the sternum or near the pulmonary artery. Even a slight increase in the shape of the heart makes it possible to hear heart noises.

During the stenosis of the pulmonary artery and TMS (transposition of the main vessels) the cyanosis manifests itself sharply. And with other malformations, it may be missing or small. Cyanosis sometimes has a lasting character or occurs when weeping, crying, so with a periodicity. This symptom may be accompanied by a change in the end phalanges of the fingers and nails. Sometimes such a symptom manifests itself in the pallor of a patient with congenital heart disease.

In some types of vice, the dullness of the heart may change. And its increase will depend on the localization of changes in the heart. To make an accurate diagnosis to determine the shape of the heart, use an X-ray image using both anti-ography and kymography.

In heart failure, a spasm of the peripheral vessels can develop, which is characterized by blanching, cooling of the limbs and the tip of the nose. Spasm manifests as adaptation of the patient’s body to heart failure.

 

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Congenital heart disease in newborns

Infants have a pretty big heart that has significant backup capabilities. Congenital heart disease is usually formed in 2-8 weeks of pregnancy. The cause of his appearance in the child are various diseases of the mother, contagious and viral; the work of the future mother in harmful production and of course hereditary factor.

About 1% of newborns suffer from cardiovascular disease. Now it is not difficult to diagnose congenital heart defects early. So it helps to save the lives of many children through medical and surgical treatment.

Congenital heart disease is most commonly diagnosed in male children. And for various deficiencies, there is a certain sexual predisposition. For example, OAA and VSD predominate in women and aortic stenosis, congenital aneurysm, aortic coarctation, Fallot tetralogy and TMA – in males.

One of the most common changes in the heart of children is the non-opening of the septum – this hole is abnormal. Basically, it is the VSW that is located between the upper chambers of the heart. Throughout the baby’s first year of life, some minor defects in the dividing walls may spontaneously shut down and not interfere with the child’s further development. Well, for major pathologies, surgery is indicated.

The fetal circulatory system prior to birth is a circulation that bypasses the lungs, meaning that blood does not flow there but circulates through the arterial duct. If a child is born, this gait usually closes within a few weeks. But if this does not happen, the child is put by the OAU. This creates some stress on the heart.

The cause of severe forms of cyanosis in children is the transposition of two large arteries when the pulmonary artery connects to the left ventricle and the aorta to the right ventricle. This is considered pathology. Without surgical intervention, newborns die during their first days of life. In addition, children with severe congenital heart disease rarely have a heart attack.

Characteristic signs of congenital heart disease in children are low weight, rapid fatigue and paleness of the skin.

Congenital heart disease

Congenital heart defects can sometimes have a different clinical picture. Therefore, the treatment and treatment methods largely depend on the severity and complexity of the clinical manifestations of the disease. Basically, the picture of his life is absolutely normal, as in healthy people, when the patient is completely compensated for the blemish. As a rule, such patients do not need consultations with doctors. You can be given recommendations whose purpose is to keep the defect in a compensatory state.

First, a patient suffering from congenital heart disease should be limited to hard physical labor. This work, which adversely affects the well-being of the patient, is advisable to switch to another type of activity.

A person with a history of congenital heart disease should refuse to participate in complex sports and participate in competitions. To reduce the strain on the heart, the patient should sleep for about eight hours.

The right diet should accompany patients with congenital heart disease. Foods should be taken three times a day to ensure that plenty of food does not stress the cardiovascular system. All foods should not contain salt, and if heart failure occurs, the salt should not exceed five grams. It should be remembered that only cooked foods should be eaten as they are better for digestion and significantly reduce the burden on all digestive organs. Basically, you should not smoke and drink alcoholic beverages in order not to provoke a cardiovascular system.

One of the methods of treating congenital heart disease is medication when it is necessary to regulate the contractile function of the heart, regulate the water-salt metabolism and remove excess fluid from the body, as well as combat the altered rhythms in the heart To improve metabolic processes in the myocardium.

The treatment of congenital heart disease sometimes changes due to the specificity and severity of the defect. The age and health of the patient are also taken into account. For example, children with small forms of heart disease sometimes do not need treatment. And in some cases, surgical procedures must be performed as early as infancy.

Almost 25% of children with congenital heart disease urgently require early surgery. To determine the location of the defect and its severity, children are put into the heart with a catheter in their first days of life.

The most important surgical method for the treatment of congenital heart disease is the method of deep hypertension, in which a strong cold is used. This type of surgery is performed by babies with a heart in size with a walnut. Applying this method to heart surgery allows the surgeon to perform a complex operation to restore the heart as a result of its complete relaxation.

At the moment, other radical methods of treating congenital heart disease are widespread. Among them, the commissurotomy can be distinguished, in which the dissection of obstructed valves and prostheses is used when the altered mitral or tricuspid atrioventricular valve is removed and then the valve prosthesis is sutured. After such surgical procedures, especially mitral commissurotomy, the prognosis of the surgical treatment is positive.

Basically, patients return to their normal lifestyle after surgery, they are able to work. Children are not limited to physical abilities. However, anyone who has undergone heart surgery should continue to be monitored by the attending physician. A vise that has a rheumatic aetiology requires repeated prevention.

Vitamin D For The Heart Health

In recent years, the warnings of the harmful effects of sun on our skin. The danger posed by the sun’s rays should not be underestimated, as it is ultimately responsible for the development of skin cancer. This is also the reason why more and more people avoid sunlight – with far-reaching consequences for their heart health, among other things.

Vitamin D – the sun hormone

The vitamin D was in many scientific studies a great similarity to various steroid hormones certified, so it was henceforth referred to as hormone. Since then, vitamin D has been known as the sun hormone. The explanation for this name lies in the fact that vitamin D is formed by the body itself, and only in conjunction with the sunlight.

As a messenger, it then reaches the bones, the muscles, the brain, the immune system, the pancreas and many other body organs via the blood in order to fulfill its specific tasks. But how does the body react to vitamin D deficiency?

We examine this question using the example of the cardiovascular system.

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How sunlight creates vitamin D

In the liver, the precursor of vitamin D is formed. When the sun’s rays shine on the skin, vitamin D becomes the first precursor of vitamin D3. The skin itself then forms another precursor of vitamin D3 (cholecalciferol). Now the vitamin D3 has to be transported from the skin back to the liver, where it is processed further.

The resulting vitamin is now called calcidiol and is the basis for the vitamin D metabolism dar. About the blood, the calcidiol then finally enters the body cells in which the active form of vitamin D3 – the calcitriol – arises.

Please note: In the form of calcidiol, vitamin D3 is offered as a nutritional supplement. Calcitriol is available exclusively as a prescription drug.

Vitamin D3 capsules

Supplementation in case of sun deficiency. For decades, the important influence of vitamin D on bone health has been emphasized. For a sufficient intake, a daily dose of 600 IU / was recommended, while at the same time a vitamin D blood value of 20 ng / ml was considered normal.

Today, however, many experts believe that this value should be at least 50 ng / ml, so that the vitamin D can develop its optimal effect. In view of this new knowledge, an amount of 4000 to 10,000 IU of vitamin D3 is now considered as supplementation (dietary supplement) for a recommended dosage, as long as one does not spend enough time in the sun.

However, the amount of vitamin D actually needed can always be viewed individually, as it depends on various factors. On the one hand, the starting point, ie the quantity produced by the body itself, has to be considered.

In addition, the amount absorbed by the intestine also varies greatly with the dose delivered. It depends a lot on the intestinal health. In addition, the weight of humans also plays an important role. Since vitamin D is a fat-soluble vitamin, it often disappears into the fat deposits, especially in overweight individuals.

Vitamin D3 and Vitamin K2

It is impossible to take an overdose of vitamin D due to sun exposure to the skin. The situation is different with the supplementation with vitamin D3. Here is an overdose, which could then cause heart problems, not completely excluded.

To optimally benefit from the effects of vitamin D supplementation, vitamin D3 should be taken together with vitamin K2 (as MK-7). Both vitamins have a synergistic effect that dissolves calcium deposits inside the arteries and heart valves and transports them to where the calcium really belongs – to the bones.

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Inflammation can cause cardiovascular disease

Vitamin D has so many positive benefits on the cardiovascular system. This finding is particularly important, as every second person dies from the consequences of a disease of this system. Especially people with a high blood pressure suffer a heart attack up to three times more frequently than people with normal blood pressure values.

Some cardiology specialists now want to make history about the widespread misconception that cholesterol is the cause of cardiovascular disease. They are convinced that it is not cholesterol but arterial inflammation that is the cause of all cardiovascular problems and heart disease.

The causes of arterial inflammation

Much of these inflammatory reactions are due to a wrong diet. For the rest, cardiologists blame vitamin D deficiency. This thesis was confirmed among other things in the context of an eight-year study (Ludwigshafener risk study) to 3000 participants. The study found that vitamin D deficiency significantly increases the risk of dying from heart disease. This relationship has also been confirmed by American studies.

The explanation for the effectiveness of vitamin D in terms of cardiovascular disease is based on the fact that vitamin D can protect against inflammation of any kind.

In light of this, it is not surprising that many recent studies have confirmed the link between vitamin D deficiency and the ever-increasing death toll of people with heart disease.

The Brazilian study on vitamin D

These studies were conducted in hospitals specializing in the treatment of patients with coronary heart disease. One of these studies was conducted in Brazil and published in 2012.

In the 206 patients who participated in this study, initially the vitamin D level in the blood was measured. Thereafter, the participants were divided into two groups. One patient group had a vitamin D level of 10 ng / ml or below and was therefore considered to be deficient. The other group had a vitamin D level of 20 +/- 8 ng / ml, which was considered normal. After all, these were patients who already suffered from coronary heart disease.

Of the study participants who had severe vitamin D deficiency, a significantly higher percentage died during treatment at the hospital than from those patients whose vitamin D blood levels were normal for their condition.

The scientists came to the following conclusion:

Severe vitamin D deficiency has a significant effect on the mortality rate of patients with acute coronary syndrome (circulatory disorder in the coronary arteries).

In other words, the likelihood of you dying after a heart attack in the hospital is significantly greater if you only have an insufficient amount of vitamin D in your blood.

The Danish study on vitamin D

In September 2012, a Danish study was conducted at the University of Copenhagen in collaboration with the Copenhagen University Hospital. This study involved more than 10,000 Danes whose vitamin D levels were measured between 1981 and 1983. Over the years, the values ​​were checked regularly.

The leader of this study, dr. Peter Brøndum-Jacobsen, announced the following result:

We have seen that low vitamin D blood levels significantly increase the risk of developing heart disease or worsening existing conditions compared to optimal vitamin D levels. Our results showed that the risk of developing ischemic heart disease increased by 40%. This condition describes a constriction of the coronary arteries, which leads to strong circulatory disorders of the heart muscle, causes pain in the chest area and finally can cause a life-threatening heart attack. The risk of having a heart attack increases by 64%. The risk of premature death is increased by 57%, and the risk of dying from heart disease generally increases by as much as 81%.

The American study of vitamin D

Another study was conducted at the Heart Institute at Intermountain Medical Center, Salt Lake City, Utah. Almost 28,000 patients over the age of 50, who had no heart disease by that time, participated in this study. For all participants, the vitamin D value in the blood was first determined. Subsequently, they were divided into three groups based on the measurement results (very low value, low value, normal value). The normal guideline value for this study was 30 ng / ml.

The study found that those patients who had a very low vitamin D level were twice as likely to succumb to heart failure than those who had normal vitamin D levels in the body. In addition, study participants in the group with the lowest vitamin D levels were 78% more susceptible to strokes and 45% more susceptible to coronary heart disease.

Overall, it has been found that very low vitamin D levels are twice as likely to cause cardiac failure than is the case in normal people.

The best vitamin D supplier is the sun

All the research results about the vitamin D clearly show that our body relies on this vitamin so that diseases that are also due to a vitamin D deficiency, not even arise. Use this information for the sake of your health. Expose yourself to natural UV radiation as often as possible. Bring sun to your skin whenever possible, but remember the following recommendations:

    • Do not expose yourself to the blazing sun, because the sun’s rays can also be reached in sheltered places.
    • Depending on the skin type, the sun should not last longer than 5 to a maximum of 40 minutes.
    • Avoid the midday sun, as the dangerous UVA radiation is highest during this time.
    • Do not use sunscreen for short stays in the sun, as sunscreen with sun protection factor 15 will almost completely block vitamin D production.

If you also check your diet and optimize it, it should soon improve your heart 🙂

How to check your vitamin D level with a home test, how to evaluate the result and how you can determine the right vitamin D dosage for you, read here: Vitamin D – The right intake.