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Aortic Stenosis Treatment Overview

Know about aortic stenosis, common symptoms, causes, diagnosis and treatment options. Learn about lifestyle tips to manage the disease and when to see the doctor.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. M L Ezhilarasan MBBS

Last updated on 20th Aug, 2025

aortic

Introduction

Aortic stenosis is a heart condition that affects the aortic valve, one of the four valves in your heart. This valve controls blood flow from your heart to the rest of your body. When it becomes narrow or stiff, your heart has to work harder to pump blood, which can lead to serious health problems if left untreated. If you or a loved one has been diagnosed with aortic stenosis, you may have questions about treatment options.

Don’t worry, this guide will help you understand the condition, its symptoms, causes, and the best ways to manage it.

What Is Aortic Stenosis?

Aortic stenosis occurs when the aortic valve doesn’t open fully, restricting blood flow from the heart. Over time, this can weaken the heart muscle and cause complications like heart failure, irregular heartbeats, or even sudden cardiac arrest.

Consult a Top Heart Specialist for the best advice

Dr. Vipul Narain Roy, Cardiologist

Dr. Vipul Narain Roy

Cardiologist

30 Years • MBBS, MD, MRCP

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

88%

(25+ Patients)

2000

2500

Common Symptoms to Watch For

In the early stages, aortic stenosis may not cause noticeable symptoms. However, as the condition worsens, you may experience:

  • Shortness of breath (especially during physical activity)
  • Chest pain or tightness (angina)
  • Fatigue or dizziness
  • Fainting spells
  • Heart palpitations (irregular or rapid heartbeat)

If you notice these symptoms, it’s important to see a doctor for a proper evaluation.

What Causes Aortic Stenosis?

The most common causes include:

1. Ageing (Degenerative Aortic Stenosis) – Over time, calcium deposits can build up on the valve, making it stiff.
2. Congenital Heart Defects – Some people are born with an abnormal aortic valve (bicuspid valve instead of the usual three leaflets).
3. Rheumatic Fever – A complication of untreated strep throat that can damage heart valves.

How Is Aortic Stenosis Diagnosed?

Doctors use several tests to confirm aortic stenosis, including:

  • Echocardiogram (Ultrasound of the heart)
  • Electrocardiogram (ECG/EKG) (Checks heart’s electrical activity)
  • Chest X-ray (Looks for heart enlargement)
  • Cardiac Catheterisation (Measures pressure inside the heart)

If you suspect you have symptoms, booking a consultation with a cardiologist is the best next step.

Treatment Options for Aortic Stenosis

Treatment depends on the severity of your condition. Here’s an overview of the options:

1. Mild to Moderate Aortic Stenosis (No Symptoms Yet)

  • Regular Monitoring – Your doctor may recommend yearly check-ups with echocardiograms.
  • Lifestyle Changes – Eating heart-healthy foods, exercising moderately, and avoiding smoking can help.

2. Severe Aortic Stenosis (With Symptoms)

Once symptoms appear, treatment is necessary to prevent complications. The main options are:

A. Aortic Valve Replacement (AVR)

This is the most effective treatment for severe aortic stenosis. There are two main types:

  • Surgical AVR (Open-Heart Surgery) – The damaged valve is replaced with a mechanical or tissue valve.
  • Transcatheter Aortic Valve Replacement (TAVR) – A less invasive procedure where a new valve is inserted via a catheter (often recommended for older adults or high-risk patients).

B. Balloon Valvuloplasty

  • A temporary solution where a balloon is inflated to widen the valve. This is usually done for patients who cannot undergo surgery immediately.

3. Medications for Symptom Relief

While medications can’t cure aortic stenosis, they can help manage symptoms:

  • Diuretics (Reduce fluid buildup)
  • Beta-blockers or Calcium Channel Blockers (Control heart rate and blood pressure)
  • Anticoagulants (Prevent blood clots, especially with mechanical valves)

Lifestyle Tips for Managing Aortic Stenosis

Even with treatment, making healthy choices can improve your heart health:

  • Eat a Heart-Healthy Diet – Focus on fruits, vegetables, whole grains, and lean proteins. Limit salt and saturated fats.
  • Stay Active (With Doctor’s Approval) – Light exercises like walking or swimming can help.
  • Avoid Strenuous Activities – Heavy lifting or intense workouts may strain your heart.
  • Quit Smoking – Smoking worsens heart disease.
  • Monitor Blood Pressure – Keep it under control to reduce heart strain.

When to See a Doctor?

If you experience:

  • Worsening shortness of breath
  • Chest pain at rest
  • Frequent dizziness or fainting

Final Thoughts

Aortic stenosis is a serious condition, but with early diagnosis and proper treatment, many people continue to lead active, fulfilling lives. If you or a loved one has symptoms, don’t delay, reach out to a heart specialist for guidance.

Consult a Top Heart Specialist for the best advice

Dr. Vipul Narain Roy, Cardiologist

Dr. Vipul Narain Roy

Cardiologist

30 Years • MBBS, MD, MRCP

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

88%

(25+ Patients)

2000

2500

Consult a Top Heart Specialist for the best advice

Dr. Praveen Jaiswal, Cardiologist

Dr. Praveen Jaiswal

Cardiologist

17 Years • MD(Medicine), DM(Cardiology)

Indore

Apollo Hospitals Vijay Nagar, Indore

1000

Dr. Chandra Kumar Singh, Cardiologist

Dr. Chandra Kumar Singh

Cardiologist

5 Years • DM CARDIOLOGY

Bhopal

Apollo Sage Hospitals, Bhopal

800

Dr. Vipul Narain Roy, Cardiologist

Dr. Vipul Narain Roy

Cardiologist

30 Years • MBBS, MD, MRCP

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

88%

(25+ Patients)

2000

2500

Dr. Prashant Adeppa, Cardiologist

Dr. Prashant Adeppa

Cardiologist

10 Years • MBBS, MD General Medicine, DM Cardiology (Armed Forces Medical College)

Bengaluru

Apollo Hospitals Bannerghatta Road, Bengaluru

1000

150 Cashback

1000

Dr. Dilip Singh Rathore, Cardiothoracic and Vascular Surgeon

Dr. Dilip Singh Rathore

Cardiothoracic and Vascular Surgeon

15 Years • MBBS, MS, M.Ch(CTVS), Gold Medalist : Minimally Invasive Cardiac Surgeon.

Bhopal

Apollo Sage Hospitals, Bhopal

800

Consult a Top Heart Specialist for the best advice

Dr. Praveen Jaiswal, Cardiologist

Dr. Praveen Jaiswal

Cardiologist

17 Years • MD(Medicine), DM(Cardiology)

Indore

Apollo Hospitals Vijay Nagar, Indore

1000

Dr. Chandra Kumar Singh, Cardiologist

Dr. Chandra Kumar Singh

Cardiologist

5 Years • DM CARDIOLOGY

Bhopal

Apollo Sage Hospitals, Bhopal

800

Dr. Vipul Narain Roy, Cardiologist

Dr. Vipul Narain Roy

Cardiologist

30 Years • MBBS, MD, MRCP

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

88%

(25+ Patients)

2000

2500

Dr. Prashant Adeppa, Cardiologist

Dr. Prashant Adeppa

Cardiologist

10 Years • MBBS, MD General Medicine, DM Cardiology (Armed Forces Medical College)

Bengaluru

Apollo Hospitals Bannerghatta Road, Bengaluru

1000

150 Cashback

1000

Dr. Dilip Singh Rathore, Cardiothoracic and Vascular Surgeon

Dr. Dilip Singh Rathore

Cardiothoracic and Vascular Surgeon

15 Years • MBBS, MS, M.Ch(CTVS), Gold Medalist : Minimally Invasive Cardiac Surgeon.

Bhopal

Apollo Sage Hospitals, Bhopal

800

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