The heart problem that can quietly steal your stamina as you age

The World Health Organization defines healthy ageing as the process of preserving functional ability and wellbeing in older age. Heart health plays a critical role in maintaining this independence. However, discussions often centre on cholesterol, blood pressure and blocked arteries, overlooking another crucial aspect of heart health — the heart valves.

These valves, each about the size of two clasped hands, open and close with every heartbeat to ensure blood flows in the correct direction. Over time, due to aging, they can thicken, become stiff or narrow, leading to conditions like aortic stenosis, where the aortic valve narrows and restricts blood flow. Many older adults adapt to declining stamina without realising there might be a problem, attributing it to normal ageing.

This can lead to a delay in diagnosis. Symptoms such as fatigue, shortness of breath, chest pain, dizziness or fainting may indicate heart valve disease. Regular physical examinations may reveal a heart murmur, prompting further tests like an echocardiogram to assess valve function. Early diagnosis allows patients and families to understand the condition, monitor its progression and discuss treatment options.

Treatment for severe aortic stenosis has advanced with minimally invasive procedures like Transcatheter Aortic Valve Replacement (TAVR), though the best approach varies depending on individual health factors. After valve surgery, long-term care is crucial, including regular follow-ups, medication adherence, blood pressure and diabetes control, dental hygiene, and prompt medical attention for worsening symptoms.

Thus, heart valve health merits equal attention in discussions on ageing well, alongside other health aspects. Regular health check-ups and timely medical consultations can help preserve mobility, independence and quality of life.