Since "Thailand has completely stepped into an aged society", the number of people aged 60 and over has tended to increase steadily to the point that it is predicted that in the next nine years there will be 28 percent of the country's elderly people.

Of course, at this increasing age, the "body" will change and deteriorate, and if not taking proper care of health, it often becomes a way for

"Diseases" are more complicated to find.

Dr. Sirichai Wiriyathanakorn

, a cardiologist at Piyavate Hospital, said that since Thailand has entered an aging society, there are more and more elderly people.

Showing that

"the elderly are sick with non-communicable diseases are hospitalized more"

, mainly due to the deterioration of the body structure, such as diabetes, high blood pressure and hyperlipidemia.

This leads to

“The incidence of heart disease” that is often encountered with the elderly since

"Cardiovascular disease"

which causes an impact on the quality of life

and life expectancy shortened, especially “aortic valve stenosis” is one of the asymptomatic diseases.

or showing symptoms

But the patient does not understand, then lets go until the symptoms are severe.

reiterated like this

“Aortic valve”

is a very important organ.

"Waiting to block the left ventricle of the heart" if compared, it is like

"The last gate" releases the blood that the heart pumps to the organs throughout the body.

Dr. Sirichai Wiriyathanakorn

But this heart valve tends to deteriorate as the person ages, leading to

"Liquid build-up"

causes a narrowing of the opening of the heart valves known as "calcification."

“Heart valve stenosis” results in decreased blood flow from the heart to the various organs.

And when the stenosis of the heart valves is severe to a certain level, the heart's work will continue to worsen as well.

Most of them are found in people aged 70-79, about 4%, and in the age of 80 and over, it is found about 10%. As such, “Patients with this stenosis” often have symptoms of fatigue.

or tired when exerting

become less active

"Risk of becoming a bedridden patient" and moreover, in some cases, there may be chest tightness.

and a faint, followed by a faint

The problem is that

“Each person's illness manifests differently.” Some elderly people do physical activity and become tired, but do not tell others about it.

because he only thought that it was a symptom of tiredness with increasing age

Therefore, there was no physical examination until the true cause was unknown.

When feeling tired often

In the end, I was alone at home.

do not do other activities

But if the "heart valve stenosis is getting worse" even if you sit still, you may feel tired as well.

Even more, some people may experience chest pain, pulmonary edema, low blood oxygen, swollen legs, and possibly a heart attack.

or congestive heart failure

In this number, some patients were detected through physical examination or health examination.

This is all a result of

"valvular heart disease" that causes blood to not be able to pump to the body

or receive blood back to the heart as usual

And these symptoms often affect quality of life, life expectancy and increase the risk of death.

If looking back at the past

“Aortic stenosis” is often thought to be unable to cause cardiac arrest.

But with current information confirming that

"This disease can cause sudden cardiac arrest as well" because the stenosis of the heart valves causes the heart to work hard for a long time.

“Partial injuries resulting in erratic rhythms” that could lead to death

“So any family with an elderly person living with them

Should always observe the symptoms when the elderly do various activities.

If you often complain that you are tired like this, you must take him to the hospital for a physical examination.

in order to help recognize the illness quickly

This will lead to a proper and timely treatment process, ”said Dr. Sirichai.

The issue of “treatment of aortic stenosis” if the patient has severe symptoms

“There will be no cure” to help dissolve the tartar adhesions on the heart valves.

or cause the stenosis of the heart valve to open up

Therefore, the current treatment is

“Replacing heart valves” that will allow them to return to normal blood pumping to the body

It also helps reduce the pressure that affects the heart itself.

make patients have a better quality of life

It can help reduce the rate of hospitalization and death.

But there are 2 ways to replace this heart valve, namely, the first method...“valvular replacement surgery” has been a standard method that has been done for a long time.

With a thoracic surgeon performing major surgery through the chest to replace the heart valve.

In this surgical heart valve replacement

“There will be a large incision in the chest,” which will require intubation and general anesthesia.

Then during the operation, the heart may need to be stopped.

or draw blood from the heart

Therefore, it is necessary to use an artificial lung machine and an artificial heart.

Both surgeries often take a long time and require weeks of recovery in the ICU.

because it was a major surgery

"The chances of complications are high," especially if it's surgery for the elderly.

“Recovery is not equal to that of young people.” This also leads to long hospital stays.

As for the second way...

“Replacement of heart valves via catheter.

Also known as the TAVI method”

, it is a change through a catheter in the leg and there will be a small incision in the groin area.

Causing no need to insert a breathing tube during the procedure

Reduces the risk of surgery

This is a way to reduce the risk of ventilator intubation and reduce pain.

Then the TAVI procedure takes 1-2 hours to complete. After the surgery is complete, it takes about 4-5 days to recuperate and observe the symptoms in the ICU and special rooms in the hospital, then go home. able to walk and live a normal life

But there may be a follow-up appointment for another 1 week.

That means that “TAVI method of surgery” recovers faster than “major surgery”. Therefore, patients who are suitable for heart valve replacement by TAVI method are usually elderly people over 70 years old. Patients have many diseases.

people who have had heart surgery

or have previously had chest irradiation

Emphasizes that "TAVI heart valve replacement method" has been done in foreign countries for about 10 years, while in Thailand, this method has been used for 2-3 years. TAVI heart valves by a team of specialists with expertise

Including equipment that meets international standards and is highly secure.

as in the case of heart valve replacement by TAVI method

"94-year-old heart valve stenosis patient" if it was in the past

“A person of this age”, the doctor probably won't perform surgery because of the high risk.

But we use the technology of the TAVI method, which makes it highly accurate and safe.

“The surgery went well.” Today, the patient can lead a normal life as before.

In another case, “a 74-year-old patient with a hip fracture accident requiring urgent surgery” was found to have “severe heart valve stenosis.” If hip surgery is required, this condition should be corrected first.

Otherwise, general anesthesia will not be possible to use a ventilator.

or during surgery caused a lot of bleeding

“Sick with valvular heart disease” may have insufficient blood supply, resulting in shock and death.

For this reason, the “heart medical team” therefore has TAVI heart valve replacement. It takes 2-3 days to recover before successful hip surgery.

makes it possible to return to live a normal life

Finally, leave that

“Aortic valve stenosis is often found in the elderly.” Therefore, family members should keep an eye out for symptoms that look like fatigue.

or exert a faint feeling

Like this, must hurry to see a doctor for a physical examination is the safest.

Because knowing the symptoms early would always have a solution.

for the elderly to have a good quality of life

and can live longer with their children

Therefore, "learning about health problems" whether it is a way to prevent

Proper maintenance will help.

"Healthy elderly people

And lively" can continue to live for a long time...