Patient/caregiver was instructed regarding life-style measures to be observed with aortic stenosis as follows:
- Reduced output of blood from the heart, in individuals with valvular heart disease, can result in low blood pressure and hypotensive symptoms of dizziness and lightheadedness. Observe compliance with log maintenance of everyday blood pressure readings. Report to your physician regarding any consistent systolic readings below 90 and diastolic readings below 60.
- Persistent back-up of fluid in the heart chambers can lead to progressive deterioration of heart function, enlargement of the heart, weakening of heart muscle, and heart failure. Individuals can present with swelling of the lower legs, with pitting upon applying slight pressure. Keep a close watch on the severity of pitting and report to your physician regarding any progressively increasing pedal edema. Observe compliance with intake of diuretic medications prescribed, if any.
- Fluid back-up in individuals with valvular heart disease can result in acute weight gain. Observe compliance with log maintenance of everyday weight recording. Any acute increase of weight, more than 2 pounds in 2 consecutive days or more than 5 pounds in one-week duration, indicates significant fluid retention and deteriorating cardiac function, and must be reported to the physician.
