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Understanding Aortic Stenosis: A Silent Killer in Women

Johana Hamid, a 74-year-old retiree, experienced what she thought was normal tiredness in 2021 while doing household chores. A few minutes of rest would usually alleviate her fatigue. However, after two serious falls in 2021 and 2022, Johana found herself hospitalized and facing unexpected health challenges. During a routine heart checkup in August 2023, Johana fainted, leading to a diagnosis of severe aortic stenosis.

The Silent Symptoms of Aortic Stenosis

Aortic stenosis often presents itself with symptoms like breathlessness, chest pain, dizziness, irregular heartbeat, and fainting. Assistant Professor Ho Kay Woon from the National Heart Centre Singapore (NHCS) highlighted that women, in particular, may experience atypical symptoms like tiredness or giddiness, leading to misdiagnosis or dismissal of their condition.

Common Risk Factors and Underdiagnosis

Various factors such as age, congenital heart defects, high blood pressure, smoking, and more can increase the risk of aortic stenosis. Unfortunately, the condition often goes undetected until routine checkups with general practitioners reveal heart murmurs. Regular health checkups are crucial for early detection and management of aortic stenosis and other age-related medical conditions.

Treatment and Recovery Options

Surgery is often recommended for patients with severe aortic stenosis, with options ranging from traditional open-heart surgery to the minimally invasive Transcatheter Aortic Valve Implantation (TAVI). While TAVI offers a quicker recovery time and lower risks, patients must be monitored closely post-surgery to manage symptoms and prevent complications. Johana, who underwent TAVI in January 2024, has since made a full recovery and is symptom-free.

In conclusion, raising awareness about aortic stenosis, understanding its symptoms, and prioritizing regular health checkups are crucial steps in early detection and effective management of this deadly heart condition. Johana’s story serves as a reminder of the importance of listening to our bodies and seeking medical attention when symptoms arise, no matter how minor they may seem. Remember, proactive healthcare is key to a long and healthy life.