Can atrial septal defect heal by itself?

Written by Li Hai Wen
Cardiology
Updated on September 25, 2024
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Atrial septal defect is a relatively common congenital heart disease in infants and toddlers. It is indeed possible for a child's atrial septal defect to close on its own. Some atrial septal defects can close as the child grows. Depending on the severity, atrial septal defects can be categorized into small defects. Generally, if the defect is less than 5 millimeters, it is possible for the defect to close as the child develops. If it has not closed by the age of two, it generally will not close on its own thereafter.

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Can someone with an atrial septal defect get pregnant?

Whether patients with atrial septal defects can become pregnant depends on the following factors: 1. Whether the patient normally has symptoms. 2. Whether the echocardiography indicates heart enlargement or pulmonary hypertension. 3. The size of the atrial septal defect. 4. Whether there is a combination of arrhythmias such as atrial flutter or atrial fibrillation, and complications such as pulmonary hypertension or heart failure. For those without symptoms, and where the defect does not cause pulmonary hypertension or right heart enlargement, choosing to become pregnant is possible. Complications are not common in pregnant women with isolated atrial septal defects without pulmonary hypertension. Studies have shown that the incidence of complications in pregnant women, whether the defect is repaired or not, is relatively low. If the patient has related arrhythmias and complications, it should be closely monitored, because the cardiovascular system of the mother undergoes changes during pregnancy, leading to increased cardiac workload and a higher burden on the heart, which in turn can increase the incidence of arrhythmias. For women who are already at high risk of atrial flutter or fibrillation, this risk can increase further. Additionally, pregnant women are in an older physiological state, making it easier to form blood clots, and for those with atrial septal defects, the risk of paradoxical thrombosis increases.

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Can a ventricular septal defect have a vaginal delivery?

Atrial septal defect is a relatively common congenital heart disease in adults. Therefore, when women are diagnosed with this condition, they often ask their doctor one question: "Can I give birth naturally?" This question requires a case-by-case analysis. If the atrial septal defect is not severe, does not cause changes in the heart structure, or lead to heart failure, then natural childbirth is definitely possible. However, if the atrial septal defect is severe and causes changes in heart structure, such as pulmonary hypertension or heart failure, then natural childbirth is generally not advisable. It is best to opt for a cesarean section under the guidance of a doctor to alleviate the burden on the pregnant woman and reduce the occurrence of serious incidents.

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Written by Xie Zhi Hong
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Can people with atrial septal defect go to the plateau?

A mild atrial septal defect, such as one smaller than 3mm, allows for a normal life without any impact. In fact, some people only discover this condition during medical exams in their seventies or eighties. Therefore, it is safe for these individuals to travel to high altitudes. However, a larger atrial septal defect often causes symptoms like tightness in the chest, palpitations, and difficulty breathing after hypoxia or intense exercise. These patients have poorer compensatory abilities and are advised against going to high altitudes to avoid high altitude sickness. If such patients need to go to high altitude, it is recommended that they consider surgery before doing so.

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Can someone with an atrial septal defect go swimming?

Atrial septal defect is not uncommon in our daily lives. Many patients with atrial septal defects often ask their doctor if they can swim. This has to be analyzed based on specific circumstances. If the atrial septal defect is not severe, and it's just a minor atrial septal defect, generally it does not affect the patient's daily activities, such as swimming or running. However, if the atrial septal defect is severe, especially if it has led to heart failure and heart enlargement, in this situation, one should definitely not engage in strenuous activities such as swimming or running.

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What should be paid attention to daily with an atrial septal defect?

If the patient has an atrial septal defect, it is advised that the patient should adhere to a light diet and regularly visit the hospital for electrocardiogram and echocardiography checks. If the defect is relatively large, I personally recommend surgical treatment for the patient, as it can effectively alleviate the current condition. After all, while drug treatment has some effect, there is a risk of recurrence. Surgery can permanently treat atrial septal defects and improve the patient’s symptoms. If the patient experiences difficulty breathing, this needs to be addressed. Additionally, it is important to keep warm, avoid catching cold, and monitor changes in the patient’s heart rate, blood pressure, and pulse.