Ebstein anomaly

Ebstein anomaly
Ebstein Anomaly

Ebstein anomaly is a rare heart defect present from age of birth (congenital). If you suffer from this condition, the tricuspid valve is located not in the correct position, as well as the flaps of your valve (leaflets) are not formed properly. This means that the valve is not functioning correctly.

It is possible that blood leaks back into this valve and causes the heart to function less effectively. Ebstein anomalies may also result in an increase in the size of the heart as well as heart failure¹.

 

If you do not have any symptoms or signs that suggest Ebstein anomalies, a regular check-up of your heart could be all you require. It is possible to seek treatment when symptoms or signs are bothering you or if your heart is growing or becoming weaker. Treatment options include medication as well as surgery.

 

Symptoms

Mild types of Ebstein anomalies may not show symptoms until the later years of adulthood. Aspects and signs may include:

When should you see a doctor?

If your child or you is suffering from symptoms or signs of heart disease — for example, feeling fatigued or short of breath even when you’re doing normal activitiesor if the area around your lips and nails appears blue or you notice swelling in your legs, speak to your physician. They might refer you to a specialist who is specialized in congenital heart diseases (cardiologist).

Causes

Ebstein anomaly refers to a defect in the heart is present from birth (congenital). The reason for this is not known. To comprehend the way Ebstein anomalies affect the heart, it is helpful to understand how your heart functions to provide your body with blood.

How does your heart work

The heart is comprised of four chambers. The two chambers in the upper (atria) get blood. The lower chambers (ventricles) circulate blood.

Four valves are open and closed to allow blood flow to flow one way through the heart. Each valve is made up of two or three solid tiny flaps (leaflets) of tissue. A valve that is closed stops blood from flowing into the next chamber, or in returning back to the chamber that it was in.

Your body’s oxygen-poor blood flows into your right atrium. The blood is then channeled via the tricuspid valve and into the right ventricle. It then pumps the blood to the lung. On the opposite aspect of the heart, the oxygen-rich blood that comes from your lungs flow into the left atrium, which flows through the mitral valve, and then to the left ventricle which pumps blood throughout your body.

What happens in Ebstein anomaly?

The tricuspid valve is located within the heart’s right chambers (right ventricle and left atrium).

In Ebstein anomaly is a condition in which the tricuspid valve lies lower than the normal right ventricle. This causes some of the right ventricles is an atrium of the right leading to the right atrium in the atrium to grow and not function properly.

The leaflets of the tricuspid valve may not be properly made. This could lead to bleeding backward towards the left atrium (tricuspid valve regurgitation).

The position of the valve as well as how the valve’s structure is shaped is different from person to person. Certain people have an unusual valve. Some valves leak a lot.

Other heart problems that are related to Ebstein anomalies

Commonly, heart problems are related to:

Risk factors

Heart defects that are congenital including Ebstein anomaly, can occur when the baby’s heart develops within the womb of the mother.

Doctors don’t know which risk factors are linked with the condition. Environmental and genetic factors are thought to play a part. A history of family members with heart disorders or a mother’s use or use of certain medicines like lithium during pregnancy may increase the chance of Ebstein anomalies in the child.

Complications

Mild Ebstein anomalies are unlikely to cause any issues.

But, the potential complications of Ebstein anomalies include:

A few precautions prior to starting a sport or getting pregnant can help avoid complications.

If your heart’s size is in the normal range and you don’t have any heart rhythm issues it is likely that you are able to participate in all sports. Based on your symptoms or symptoms, your physician might suggest you refrain from specific sports that require competitiveness such as basketball or football.

If you’re considering having a child, talk with your physician. A lot of women who have mild Ebstein anomalies can have children. But labor, pregnancy, and delivery place additional stress upon your heart. In rare instances, severe complications could occur that can lead to the death of the mother or baby.

Together with your physician, you can determine how much surveillance you will require during pregnancy and birth. Sometimes, additional treatments for your symptoms or condition could be recommended prior to when you are pregnant.

 

Diagnosis

If your child or you does not show any signs or symptoms of heart issues The doctor may suspect an issue only when they detect abnormal heart sounds in a regular physical exam.

The sounds of the heart like an irregular heartbeat, don’t typically reason to be concerned. However, your physician or the doctor of your child may send you to a specialist who is specialized in treating heart problems (cardiologist) to identify the reason behind the murmur.

 

Your doctor might recommend several tests, including:

 

Treatment

Treatment for Ebstein anomalies is based on the degree of problem and the signs and symptoms you experience. The purpose of treatment is to minimize the symptoms and prevent future complications, like arrhythmias, heart failure, and arrhythmias.

Regularly monitored

If there are no indications or symptoms, or if you have irregular beats in your heart, your physician might suggest keeping track of your heart condition through regular checks.

A follow-up appointment typically includes exams and physical examinations like an electrocardiogram, echocardiogram Holter monitor test, and stress test.

Medications

If you suffer from irregular heart rhythms, medication may help regulate your heart rate, and keep a regular heart rhythm.

Your doctor may prescribe medication to reduce symptoms and signs that indicate heart disease, like medications to reduce the retention of water (diuretics).

If you suffer from certain heart rhythm disorders or an opening (atrial septal defect) between the upper and lower heart chambers, your medical professional could prescribe medication to stop blood clots.

A few babies receive an inhalable substance known as Nitric oxide, which helps improve the flow of blood to the lungs.

Other procedures or surgeries

The doctor may recommend surgery in the event that your symptoms are impacting your health. Surgery may also be suggested when your heart is expanding and the function of your heart decreases. If you’re considering surgery, you must select a surgeon who is experienced with the issue as well as one with knowledge and expertise in the procedures to fix it.

Different types of procedures can be used for the surgical treatment of Ebstein anomaly and the associated problems.

 

Helping to cope and providing support

Should you suspect that your kid is suffering from this mild Ebstein abnormality, read on to learn how is possible to do in order to control symptoms and increase comfort.

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