Q: Sir, My brother is diagnosed to be having a leaking heart valve. Please let me know as to what kind of corrective measures have to be taken.

A:Management depends on several variables. The valve involved, THE DEGREE OF LEAK, the functioning of the heart especially the left ventricular (LV) FUNCTION and the symptoms of the patient. If he is symptomatic with shortness of breath, the degree of leak is severe or the heart function is significantly impaired. He needs to see a cardiologist for consideration of valve repair or replacement. However, many patients with a significant leak only require a periodic follow up and medical treatment. Anyway he warrants a thorough evaluation with a clinical examination and an echocardiographic study.