Aortic Valve Stenosis: Can It Heal on Its Own?

Aortic valve stenosis can develop for a variety of reasons. One of the most common causes, especially in China, is a congenital condition known as bicuspid aortic valve. Other causes include age-related degeneration, such as calcification of the aortic valve, which leads to narrowing over time. In some rare cases, scarring from prior endocarditis—an infection of the heart lining—can also result in valve stenosis. Unfortunately, in most of these cases, spontaneous healing is highly unlikely.

Understanding the Progression of Aortic Stenosis

Aortic stenosis typically progresses gradually, and not all cases require immediate intervention. Mild stenosis often doesn't produce symptoms and may only need periodic monitoring through echocardiograms and other diagnostic tools. However, as the condition worsens, the heart must work harder to pump blood through the narrowed valve, which can eventually lead to serious complications such as heart failure or arrhythmias.

When Is Treatment Necessary?

While mild aortic stenosis doesn't usually require treatment, regular follow-ups with a cardiologist are essential. In contrast, severe or symptomatic stenosis generally calls for surgical intervention, such as valve replacement or repair. The decision to proceed with surgery depends on the severity of the narrowing, the presence of symptoms, and overall heart function.

Managing Aortic Stenosis Without Surgery

Although the structural changes in the valve itself cannot be reversed without medical or surgical help, there are ways to slow the progression of the disease. One of the most effective strategies is maintaining optimal blood pressure. High blood pressure increases the workload on the heart and can accelerate the deterioration of the aortic valve. Therefore, managing hypertension through lifestyle changes and prescribed medications is crucial.

The Importance of Regular Medical Follow-Up

For individuals diagnosed with aortic stenosis, regular monitoring by a specialist is vital. This allows for early detection of worsening symptoms or changes in heart function. Echocardiograms, electrocardiograms (ECGs), and other diagnostic tests help doctors track the progression of the disease and determine the best time to consider intervention.

Recognizing the Risks of Severe Aortic Stenosis

Once the condition reaches a moderate to severe stage, uncontrolled high blood pressure can become life-threatening. Symptoms such as chest pain, shortness of breath, dizziness, and fainting may appear, signaling that the heart is struggling to compensate. At this stage, timely medical or surgical treatment becomes critical to prevent sudden cardiac death or irreversible heart damage.