Q. What are the potential complications of untreated Atrial Septal Defects?

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Answered by Secondmedic Expert

Untreated Atrial Septal Defects: Know the Potential Complications

Atrial Septal Defects (ASDs) may seem like a small hole in the heart, but leaving them untreated can lead to some serious complications. Let's dive into what can happen when these defects go unaddressed.

1. Pulmonary Hypertension: As blood flows abnormally through the hole from the left atrium to the right atrium, it overloads the right side of the heart. This constant strain can result in pulmonary hypertension, which is high blood pressure in the lungs. Over time, this condition can cause the right side of the heart to enlarge and weaken.

2. Arrhythmias: ASDs can disrupt the heart's electrical system, causing irregular heart rhythms or arrhythmias. These can lead to palpitations, fatigue, and in severe cases, heart failure.

3. Stroke: When blood bypasses the lungs due to the hole in the heart, there's a higher risk of clots forming. These clots can travel to the brain, causing a stroke.

4. Endocarditis: People with untreated ASDs are at an increased risk of developing endocarditis, an infection of the heart's inner lining. This condition can be life-threatening.

5. Heart Failure: As ASDs persist, the heart's ability to pump blood efficiently decreases, which can eventually lead to heart failure. Symptoms may include shortness of breath, fluid retention, and fatigue.

6. Aneurysm: In some cases, the right atrium may enlarge significantly, leading to an aneurysm. This is a weakening and bulging of the heart wall, which can be a critical issue.

7. Pulmonary Embolism: Clots that form due to the blood flow abnormalities in untreated ASDs can also travel to the lungs, causing a pulmonary embolism, a life-threatening condition.

It's crucial to understand that while some individuals may have ASDs without experiencing symptoms, the potential complications of leaving them untreated are not to be taken lightly. Timely diagnosis and appropriate treatment, often involving minimally invasive procedures or surgery, can significantly reduce the risk of these complications and help individuals lead healthier, longer lives. So, if you suspect you or a loved one may have an ASD, seek medical attention to prevent these potentially serious issues down the road. Your heart will thank you.

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