Atrial Septal Defect or Heart Hole

Atrial septal defect (ASD) is a congenital heart defect in which blood flows between the atria (upper chambers) of the heart. Some flow is a normal condition both pre-birth and immediately post-birth via the foramen ovale. It is common in patients with a congenital atrial septal aneurysm (ASA). To understand more about ASD, symptoms, risk factors, causes, diagnosis, treatment, and Siddha remedies of Swami Hardas Life System, please continue reading, which would help learn some Siddha remedies, which would be beneficial.

Atrial septal defect or Heart hole Meaning

An atrial septal defect is a birth defect of the heart in which there is a hole in the wall (septum) that divides the upper chambers (atria) of the heart. A hole can vary in size and may close on its own or may require surgery. An atrial septal defect is one type of congenital heart defect. Congenital means present at birth.

Atrial septal defect Symptoms

Many babies born with atrial septal defects have no signs or symptoms. Signs or symptoms can begin in adulthood.

Atrial septal defect signs and symptoms can include:

• Shortness of breath, especially when exercising,
• Fatigue,
• Swelling of legs, feet, or belly (abdomen),
• Irregular heartbeats (arrhythmias),
• A sensation of a rapid, pounding heartbeat (palpitations) or skipped beats, and
• Whooshing sound that can be heard through a stethoscope (heart murmur).

ASD Risk factors

Atrial septal defect (ASD) occurs as the baby’s heart is developing during pregnancy. Certain health conditions or drug use during pregnancy may increase a baby’s risk of atrial septal defect or other congenital heart defects. These things include:

• German measles (rubella) infection during the first few months of pregnancy,
• Diabetes,
• Lupus,
• Alcohol or tobacco use,
• Illegal drug use, such as cocaine, and
• Use of certain medications, including some anti-seizure medications and drugs to treat mood disorders.

Some types of congenital heart defects occur in families (inherited). If you have or someone in your family has congenital heart disease, including ASD, screening by a genetic counselor can help determine the risk of certain heart defects in future children.

Atrial septal defect Types

The six types of atrial septal defects are differentiated from each other by whether they involve other structures of the heart and how they are formed during the developmental process during early fetal development.

Ostium Secundum

The ostium Secundum atrial septal defect is the most common type of atrial septal defect and comprises 6–10% of all congenital heart diseases.

The Secundum atrial septal defect usually arises from an enlarged foramen ovale, inadequate growth of the septum secundum, or excessive absorption of the septum primum. About 10 to 20% of individuals with ostium secundum ASDs also have mitral valve prolapse.

An ostium secundum ASD accompanied by acquired mitral valve stenosis is called Lutembacher’s syndrome.

Patent foramen ovale

A patent foramen ovale (PFO) is a remnant opening of the fetal foramen ovale, which normally closes after a person’s birth. In medical use, the term “patent” means open or unobstructed. In about 25% of people, the foramen ovale fails to close properly, leaving them with a PFO or at least with what some physicians classify as a “pro-PFO”, which is a PFO that is normally closed but can open under increased blood pressure. 

PFO is more common in people with cryptogenic stroke than in those with a stroke of known cause. While PFO is present in 25% of the general population, the probability of someone having a PFO increases to about 40 to 50% in those who have had a cryptogenic stroke, and more so in those who have a stroke before the age of 55. Treatment with anticoagulant and antiplatelet medications in this group appear similar.

Ostium primum

A defect in the ostium primum is occasionally classified as an atrial septal defect, but it is more commonly classified as an atrioventricular septal defect. Ostium primum defects are less common than ostium secundum defects. This type of defect is usually associated with Down syndrome.

Sinus venosus

A sinus venosus ASD is a type of atrial septum defect in which the defect involves the venous inflow of either the superior vena cava or the inferior vena cava.

A sinus venosus ASD that involves the superior vena cava makes up 2 to 3% of all interatrial communication. It is located at the junction of the superior vena cava and the right atrium. It is frequently associated with anomalous drainage of the right-sided pulmonary veins into the right atrium (instead of the normal drainage of the pulmonary veins into the left atrium).

Common or single atrium

Common (or single) atrium is a failure of the development of the embryologic components that contribute to the atrial septal complex. 

Mixed

If the defect involves two or more of the septal zones, then the defect is termed a mixed atrial septal defect.

Atrial septal defect Causes

• Down syndrome – patients with Down syndrome have higher rates of ASDs, especially a particular type that involves the ventricular wall. As many as one-half of Down syndrome patients have some type of septal defect.
• Ebstein’s anomaly – about 50% of individuals with Ebstein anomaly have an associated shunt between the right and left atria, either an atrial septal defect or a patent foramen ovale.
• Fetal alcohol syndrome – about one in four patients with fetal alcohol syndrome has either an ASD or a ventricular septal defect.
• Holt–Oram syndrome – both the osteium secundum and osteum primum types of ASD are associated with Holt–Oram syndrome
• Lutembacher’s syndrome – the presence of a congenital ASD along with acquired mitral stenosis

Atrial septal defect Diagnosis

Ultrasonography

Most individuals with a significant ASD are diagnosed in utero or in early childhood with the use of ultrasonography or auscultation of the heart sounds during physical examination.

Surgical correction

Some individuals with an ASD have surgical correction of their ASD during childhood. The development of signs and symptoms due to an ASD are related to the size of the intracardiac shunt. Individuals with a larger shunt tend to present with symptoms at a younger age.

Chest X-ray

Adults with an uncorrected ASD present with symptoms of dyspnea on exertion (shortness of breath with minimal exercise), congestive heart failure, or cerebrovascular accident (stroke). They may be noted on routine testing to have an abnormal chest X-ray or an abnormal ECG and may have atrial fibrillation. If the ASD causes a left-to-right shunt, the pulmonary vasculature in both lungs may appear dilated on chest X-ray, due to the increase in pulmonary blood flow.

Physical examination

The physical findings in an adult with an ASD include those related directly to the intracardiac shunt and those that are secondary to the right heart failure that may be present in these individuals.

Echocardiography

In transthoracic echocardiography, an atrial septal defect may be seen on color flow imaging as a jet of blood from the left atrium to the right atrium.

If the individual has adequate echocardiographic windows, the use of the echocardiogram to measure the cardiac output of the left ventricle and the right ventricle independently as possible. 

Transcranial doppler bubble study

A less invasive method for detecting a PFO or other ASDs than transesophagal ultrasound is transcranial Doppler with bubble contrast. This method reveals the cerebral impact of the ASD or PFO.

Electrocardiogram

The ECG findings in atrial septal defect vary with the type of defect the individual has. Individuals with atrial septal defects may have a prolonged PR interval (a first-degree heart block). The prolongation of the PR interval is probably due to the enlargement of the atria common in ASDs and the increased distance due to the defect itself. Both of these can cause an increased distance of internodal conduction from the SA node to the AV node.

Atrial septal defect Treatment

Patent foramen ovale

Most patients with a PFO are asymptomatic and do not require any specific treatment. However, those who develop a stroke require further workup to identify the etiology. The mechanism for stroke is such individuals are likely embolic due to paradoxical emboli, a left atrial appendage clot, a clot on the inter-atrial septum, or within the PFO tunnel.

PFO closure

Previous studies did not identify a clear benefit of PFO closure over antiplatelet therapy in reducing recurrent ischemic stroke. However, based on new evidence  and systematic review in the field, percutaneous PFO closure in addition to antiplatelet therapy is suggested for all who meet all the following criteria:

• Age 60 years at onset of the first stroke,
• Embolic-appearing cryptogenic ischemic stroke (i.e., no evident source of stroke despite a comprehensive evaluation), and

Medical therapy

Based on the most up-to-date evidence, PFO closure is more effective at reducing recurrent ischemic stroke when compared to medical therapy. 

A recent review of the literature supports this hypothesis by recommending anticoagulation over the use of antiplatelet therapy in patients with PFO and cryptogenic stroke. However, more evidence is required to compare PFO closure with anticoagulation or anticoagulation with antiplatelet therapy.

Atrial septal defect

Methods of closure of an ASD include surgical closure and percutaneous closure.

Surgical closure

Surgical closure of an ASD involves opening up at least one atrium and closing the defect with a patch under direct visualization.

Catheter procedure

Percutaneous device closure involves the passage of a catheter into the heart through the femoral vein guided by fluoroscopy and echocardiography. An example of a percutaneous device is a device that has discs that can expand to a variety of diameters at the end of the catheter.

This type of PFO closure is more effective than drugs or other medical therapies for decreasing the risk of future thromboembolism.

Percutaneous closure is the method of choice in most centers. Studies evaluating percutaneous ASD closure among pediatric and adult populations show that this is a relatively safer procedure and has better outcomes with increasing hospital volume.

Siddha remedies for Atrial septal defect

1. Siddha preventive measures

Everybody must practice Siddha preventive measures, whether a person is affected by Atrial septal defect (ASD) or not, but preventive measures are the primary steps for switching on to any other Siddha remedies, and hence they are important. It helps in one’s capability, effectiveness, productivity, decision-making power, intellectuality, and removing minor health problems. There are three types of preventive measures:

• Earthing – performed for removing and earthing the negativity of our body
• Field cleaning – cleans the energy field (Aura) of our body
• Siddha brain exercise/Energizing – energizes our brain for proper functionality

Everybody’s tendency is to get attracted to the word ‘free, however, don’t neglect even these Siddha preventive measures are free. Avail of the benefits by practicing them sincerely, and regularly. For ease of understanding what Siddha preventive measures are, please watch a video for a live demonstration.

2. Siddha Shaktidata Yoga

This unique Siddha Shaktidata Yoga of Siddha Spirituality can solve the problems related to the Atrial septal defect (ASD) with Siddha remedies. There is no compulsion of training in ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation, or might be in any corner of the world, however, both the procedures have been explained here.

3. Siddha Kalyan Sadhana

Recite this Sadhana with a Sankalp “My problems of Atrial septal defect (ASD) are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice a day. To know more, please click on this link.

4. CCPE products for Atrial septal defect

These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, please use these products for Atrial septal defect (ASD) as mentioned below:

CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the heart which finishes within almost 1-2 minutes.

CCPE Booster: Keep one Booster over the Agya Chakra and another over the heart for 3 minutes. You may need to have 2 Boosters, which establishes positivity. 

CCPE Booster Powder: Mix a pinch of CCPE booster powder with a few drops of coconut oil and make a paste. Apply it over the heart, and leave it for about 30 minutes. Repeat the process every after 2 hours.

5. UAM or Touch Therapy for Atrial septal defect

For quick and effective results, it is advisable to learn the unique methods of the Swami Hardas Life System. A trained person can only apply the UAM method or Touch therapy himself/herself and become capable of healing others.

A daily routine for Atrial septal defect

In general, a daily routine for Atrial septal defect may look like this:

• Follow the instructions of your Doctor
• Consume Sattvic diet
• Perform breathing exercises regularly
• Apply free touch therapy (UAM) a minimum 3 times a day, as explained above
• Perform Swayamsiddha Agnihotra daily, either self or the caretaker can perform
• In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training

Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.

Along with all the above activities, apply above explained free Siddha remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 3 days.

Training of Swami Hardas Life System

Any health, peace, and the progress-related problem can be solved independently by undergoing Swami Hardas Life System training. It needs no money and medicines. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.

Conclusion

Because of the above, I am confident that you have learned about the Atrial septal defect (ASD), its meaning, symptoms, causes, risk factors, diagnosis, treatment, and Siddha remedies. Now, that you have become self-sufficient, hence it’s the right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.

However, keep learning and practicing the free Siddha remedies, which would help guide how to solve various problems regarding health, peace, and progress, without money and medicines.

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Frequently asked questions

Before posting your query, kindly go through them:

 

Can sonography diagnose Atrial septal defect? Most individuals with a significant ASD are diagnosed in utero or in early childhood with the use of ultrasonography or auscultation of the heart sounds during physical examination.