Suggestion of a “ladder test” to determine the risk of heart failure for 40-year-olds!

SHAFAQNA TURKEY – pointing out that the risk of heart failure can be assessed using the “40-year ladder test”, prof. Dr. Cengiz Köksal said: “A person in his 40s can climb 3-4 flights of stairs at a normal pace with the same effort as his peers and does not have to stop because he is out of breath. If you are in your 40s and have to stop before your peers when climbing 3-4 flights of stairs or make an effort if you have shortness of breath and palpitations, there is a good chance that you have a heart valve problem.

Heart valve disease often presents with some symptoms that do not seem to require hospitalization. Conditions such as weakness, fatigue, and exhaustion are generally considered to be “due to a deficiency in blood counts,” but these symptoms can also be signs of heart valve disease. Late diagnosis of heart valve diseases can complicate treatment and, in advanced cases, can be life-threatening.

Specialist in cardiovascular surgery prof. Dr. Cengiz Köksal said: “If you have shortness of breath, choking and need to rest frequently in everyday situations such as walking, climbing hills or climbing stairs in daily life, you may have mitral valve disease. Also, palpitations on movement is another symptom of mitral valve disease, and in such cases, the person needs to be examined for heart valve disease.

Claiming that people can evaluate themselves with a 40-year ladder test, Prof. Dr. Koksal continued his words as follows: “A person at the age of 40 can climb 3-4 flights of stairs at a normal pace, applying the same efforts as his peers, and he does not need to stop, because he is suffocating while doing so. If you are over 40 and have to stop before your peers when climbing 3-4 flights of stairs or when exercising, if you have shortness of breath and heart palpitations, there is a good chance that you have a heart valve problem. ”


Pointing out that the mitral valve cannot perform the task of delivering clean blood from the lungs to the heart and then pumping clean blood through the mitral valve into the body in the event of a leak in the mitral valve, Prof. Dr. Köksal gave the following information: “The heart cannot pump enough pure blood into the body, and the blood accumulates in the lungs. When blood cannot be delivered to the body sufficiently, the person feels weak, tired, exhausted, and gets tired quickly. In addition, as unpumped blood accumulates in the lungs, water accumulates in the lungs, and the person feels short of breath when moving and clogs up. Human; he has to rest often, especially when climbing stairs or uphill. If a problem is found in the mitral valve, the doctor should be constantly monitored. Not every patient with a mitral valve is operated on. The disease can also be kept under control with medical supervision and medication once a year. If surgery is required, various surgical techniques can be evaluated. Among them, the most preferred “closed mitral valve repair” provides long-term comfort for the patient.”


Patients with mitral valve insufficiency or blood loss should be especially careful about a low-salt diet. prof. Dr. Koksal explained the effect of nutrition on disease in the following words: “Eating less salt alone or avoiding salt entirely may also not be enough. You may need to eat less or avoid foods containing salt. In addition, the patient with mitral valve insufficiency should be weak and should always get up from the table without overeating and without being completely full. He should eat little by little at frequent intervals. One of the heart-healthy sports, brisk walking 3-4 kilometers a day is also extremely beneficial.”


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