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Take charge of your heart care!

Dr Udgeath Dhir, Senior Director & Head CVTS Fortis Memorial Research Institute

Whether it is a machine, a home, a relationship—or the heart— Ongoing maintenance protects long-term performance. What we fail to maintain, we eventually risk losing. This simple truth holds especially true for our heart.

Cardiac diseases continue to be one of the leading causes of illness and death worldwide. Yet, many heart conditions progress quietly, without pain or obvious warning signs. By the time symptoms appear, the heart may already be under significant strain. This is why prevention, early evaluation, and regular follow‑up are far more powerful than waiting for a crisis and attempting repair.

Understanding how does the heart work

The heart is not just a pump—it is a finely coordinated system. Its function depends on three critical components working in perfect harmony:

  1. The blood supply system, which delivers oxygen and nutrients to the heart muscle

  2. The electrical (conduction) system, which controls rhythm and timing

  3. The structural system, which includes the heart chambers and valves, ensuring blood flows smoothly in one direction

When any of these systems is compromised, the entire body feels the impact. Among them, problems related to the structural system—especially the heart valves—often go unnoticed until late.

The Role of Heart Valves

The human heart has four valves—two on the right side and two on the left. These valves act like intelligent doors, opening and closing with every heartbeat to allow blood to move forward and prevent it from flowing backward.

When valves become narrowed (stenosis) or leaky (regurgitation), the heart has to work harder to maintain circulation. Over time, this extra effort can weaken the heart muscle, leading to breathlessness, fatigue, swelling, or even heart failure.

The challenge is that valve disease can remain silent for years. Regular heart check‑ups and imaging tests can detect valve problems early—often long before symptoms begin. This is the essence of heart maintenance.

How Surgical Heart Treatment Has Transformed

The field of structural heart disease has seen remarkable progress over the past two decades. What once required large incisions and prolonged recovery has now evolved into highly sophisticated, patient‑friendly solutions.

Today, treatment options include:

  • Valve repair, preserving the patient’s own valve whenever possible

  • Valve replacement, when repair is no longer feasible

  • Minimally invasive surgery, using small incisions instead of opening the chest

  • Robotic surgery, offering exceptional precision with minimal trauma

These advances have made treatment safer, recovery faster, scars smaller, and outcomes better—even for elderly or high‑risk patients.

Why New‑Generation Valve Technologies matter?

Bovine pericardial(cow) tissue is widely used in heart valves for its strength, flexibility, and resistance to tearing compared with porcine(pig) tissue. One of the most exciting advances in recent years is the development of one of the newer‑generation bovine tissue valves. Unlike traditional tissue valves that are stored in liquid, it uses an innovative dry storage preservation method. These technologies are intended to reduce calcium buildup, a common cause of tissue valve deterioration over time, while simplifying handling and preparation and maintaining the structural and functional integrity of the valve tissue until implantation. The valve is designed with the objective of supporting long‑term durability and sustained valve performance. As a tissue valve, it generally does not require lifelong anticoagulation therapy, which can be an important benefit for whom long-term anticoagulation is not suitable, not desired and or associated with increased risk. Importantly, women of child‑bearing age, as avoiding lifelong blood thinners can make future pregnancy safer for both the mother and the baby.

Regular heart evaluations, timely diagnosis, and awareness of structural heart health are the true foundations of prevention. When it comes to the heart, maintenance can be life‑saving.

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