Exploring the pathophysiology of valvular heart disease through the lens of ayurveda: A narrative mini review.

Authors

  • Latisha Komarpant
  • Rajashekhar Sanapeti
  • Radhika Ketkar  

DOI:

https://doi.org/10.70066/jahm.v14i3.2383

Keywords:

Cardiovascular disease, heart disease, hridroga, narrative review, valve, valvular heart disease, VHD

Abstract

Background: Cardiovascular diseases have become one among the leading global burden in the society with an estimated number of mortality and morbidity of 17.9 million lives per year.  In the current era of modernization having sedentary life style, fat enriched diet, stressful jobs etc. further increase the incidence rate of cardiac disorder. Valvular Heart Disease (VHD) embodies the disorder afflicting cardiac valves. The patient is usually asymptomatic at the earlier stage but symptoms exacerbate with the severity of the disease.  The contemporary science manages mild to moderate VHD with symptomatic medication and with the severity, surgical intervention for valvular repair or replacements are opted. The Surgical invasions are exceptionally high and also reported to have post-operative complications. Objective -The objective of this review article is to analyze the pathophysiological understanding of valvular heart disease bridging the various aspect of Hridroga (heart diseases) explained in the ancient ayurvedic classics. Materials and methods: The references related to hridroga and valvular heart diseases are collected from various ayurvedic texts, indexed journals and cardiology books. Keywords Valvular heart disease AND hridroga and VHD OR hridroga prevalence are used for searching the literature in PubMed. Results and Discussion: VHDs in ayurveda can be understood where the diseased valve may be stenosed or may develop laxity is usually due to improper kapha or vata condition. The risk factors and management are explained. Conclusion- Ayurveda can provide a novel approach in the management of Valvular Heart to enhance and improve the quality of life of VHD patients.

Author Biographies

Latisha Komarpant

Medical Officer

Department of Panchakarma

All India Institute of Ayurveda, Goa.

Rajashekhar Sanapeti

Professor & Head of Department

Dept of Panchakarma

KAHER Shri BMK Ayurveda Mahavidyalaya & Hospital, Belagavi Karnataka.

Radhika Ketkar,  

Associate Professor, Dept of Panchakarma

SBG Ayurvedic Medical College, Belagavi Karnataka.

References

Roth GA, Johnson C, Abajobir A, Abd-Allah F, Abera SF, Abyu G, et al. Global regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. J Am College Cardiol. 2017; 70(1):1–25.

Available from: https://doi.org/10.1016/j.jacc.2017.04.052

Aluru JS, Barsouk A, Saginala K, Rawla P, Barsouk A. Valvular Heart Disease Epidemiology. Med Sci (Basel). 2022 Jun 15;10(2):32. Available from: https://doi.org/10.3390/medsci10020032.

Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Scott CG, Enriquez-Sarano M. Burden of valvular heart diseases: a population-based study. Lancet 2006;368(9540):1005–11. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16980116

Yadavaji Trikamji. Sushruta Samhita of Sushruta. Sharirsthana, Chapter 6, Verse 9. Varanasi: Chaukhamba Orientalia; 2019; 360.

Yadavaji Trikamji. Sushruta Samhita of Sushruta. Sharirsthana, Chapter 3, Verse 18. Varanasi: Chaukhamba Orientalia; 2019; 352.

Boudoulas K, D, Borer J, S, Boudoulas H: Etiology of Valvular Heart Disease in the 21st Century. Cardiology 2013; 126:139-152. Available from: 10.1159/000354221

Tripti D, Kumar CS. Analytical study of heart in ayurveda. International Journal of Research and Review. 2018; 5(11):1-8.

Roy DrSK, Patil DrA. A COMPREHENSIVE STUDY ON “HRIDAYA AS PRANAYATAN.” World Journal of Pharmaceutical and Life Sciences. Advance Healthcare Research; 2019; 5(7):181-185. Available from: www.wjpls.org

Hinton RB, Yutzey KE. Heart valve structure and function in development and disease. Annu Rev Physiol. 2011; 73:29-46. Available from: 10.1146/annurev-physiol-012110-142145

Tortora GJ, Derrickson B. Principles of anatomy & physiology. Hoboken, N.J.: John Wiley & Sons; 2012;632-636.

Rai AK, Deepshikha. Valvular heart diseases: An insight through Ayurveda. Int J Ayur Pharma Res. 2014;2(5):1-5.

Available from: https://ijapr.in/index.php/ijapr/article/view/207

Otto CM, Bonow RO. Valvular heart disease. In: Libby P, Bonow RO, Mann DL, Zipes DP, editors. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia: WB Saunders; 2007:1622–1712.

Davidson S, Walker BR, Colledge NR, Ralston S, Penman ID, Britton R. Davidson’s principles and practice of medicine. Edinburgh: Churchill Livingstone/Elsevier; 2014;515.

Tabassum Parveen, Gauri Jadhav, Reetu Sharma, B.K. Sevatkar. A conceptual study of Hridroga in context of modern era. J Ayurveda Integr Med Sci 2023; 02:120-125. Available from: https://jaims.in/jaims/article/view/2243

Athavale VB. Cardiology in Ayurveda (Hruda Vijnyana). 1st ed. Delhi: Chaukhamba Sanskrit Pratishthan; 1999:17.

Taru P, More S. Conceptual study of Hridroga with its clinical management- An Ayurvedic approach. Int J Ayurveda Pharma Res. 2022;10(9):70-75.

Available from: https://doi.org/10.47070/ijapr.v10i9.2508

Menon M, Salethoor SN, Madathil T, Shukla A. Understanding atherosclerotic cardiovascular disease in the light of Ayurveda. J Ayurveda Integr Med. 2025;16(5):101186. Available from: 10.1016/j.jaim.2025.101186

Athavale VB. Cardiology in Ayurveda (Hruda Vijnyana). 1st ed. Delhi: Chaukhamba Sanskrit Pratishthan; 1999:47-49.

Additional Files

Published

2026-04-20

How to Cite

Komarpant, L., Sanapeti, R., & Ketkar, R. (2026). Exploring the pathophysiology of valvular heart disease through the lens of ayurveda: A narrative mini review . Journal of Ayurveda and Holistic Medicine (JAHM), 14(3), 73-79. https://doi.org/10.70066/jahm.v14i3.2383