Congenital Valve Heart Disease: Symptoms and Military Service Implications - Cardiology

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Congenital valvular heart disease


Hello Doctor: Since elementary school, the color of my nails has been darker than others (not fungal nails, but a deeper red).
I visited Dr.
Wu De-Liang, a cardiologist at Chang Gung Memorial Hospital, who reviewed my X-rays and echocardiogram and diagnosed me with congenital heart valve insufficiency, which causes blood to flow backward.
Now at 20 years old, my nail color remains dark (I do not smoke), and I occasionally feel discomfort in my left chest, but it does not significantly affect my daily life.
Is it possible that this condition is causing my nails to be darker? Will I be at risk if I serve in the military? Is there a possibility of being exempt from military service due to this condition? If I do not undergo surgical treatment, will my condition worsen over time? (I do not have a regular exercise routine) Thank you!

rober, 20~29 year old female. Ask Date: 2002/11/06

Dr. Chen Guifeng reply Cardiology


The prognosis of congenital heart valve insufficiency must be assessed based on its severity.
If it is mild and does not affect cardiac function, it does not impact military service.
Nail color is not directly related to heart valve insufficiency.

Reply Date: 2002/11/06

More Info


Congenital valve heart disease, particularly involving conditions such as mitral valve prolapse or aortic regurgitation, can have various implications for an individual's health and lifestyle, including military service. Your description of having a congenital valve issue that leads to blood regurgitation suggests that you may experience symptoms related to this condition, such as shortness of breath, fatigue, or even palpitations, especially during physical exertion.
The deep color of your nails, which you have noted since childhood, could be indicative of several factors, including potential circulatory issues. In some cases, poor circulation or oxygenation can lead to changes in nail color. However, it is essential to understand that nail color can also be influenced by other factors unrelated to heart disease, such as dietary habits, environmental factors, or even genetic predispositions. While congenital heart conditions can lead to some degree of compromised circulation, it is crucial to have a thorough evaluation by a healthcare provider to determine the exact cause of your symptoms and nail color.

Regarding military service, the implications of your congenital valve condition will depend on the severity of your symptoms and the specific requirements of the military. Generally, individuals with mild congenital heart disease who are asymptomatic may be allowed to serve, but those with significant symptoms or functional limitations might face restrictions. The military typically conducts a thorough medical evaluation, which may include a review of your medical history, physical examination, and possibly additional tests such as echocardiograms or stress tests to assess your heart function.

If your condition is stable and you are not experiencing significant limitations in your daily activities, it is possible that you may be deemed fit for service. However, if your symptoms worsen or if you develop new symptoms, it is crucial to seek medical advice. Regular follow-ups with a cardiologist can help monitor your condition and determine if any interventions, such as medication or surgery, are necessary.
In terms of whether your condition will worsen without surgical intervention, it is essential to understand that congenital valve diseases can progress over time. Some individuals may remain asymptomatic for years, while others may experience a decline in heart function. Regular monitoring is vital to detect any changes early. If your healthcare provider recommends surgery or other treatments, it is typically to prevent complications such as heart failure or arrhythmias.

In conclusion, while your congenital valve condition may not currently cause significant issues in your daily life, it is essential to maintain regular check-ups with your healthcare provider. This will ensure that any changes in your condition are promptly addressed. As for military service, your eligibility will depend on the specific nature of your heart condition and how it affects your overall health and functional capacity. Always consult with your cardiologist for personalized advice and recommendations based on your specific situation.

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