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Ask Doctors - Get Video Answers in HINDI Subscribe to - / @doctorscirclehindi for HINDI videos Whether the patient is symptomatic or asymptomatic, it depends on the severity of the valve disease and then comorbid conditions , whether the heart functions have improved, whether the dimensions of ventricles have enlarged and how symptomatic, that is the most important in patients, how severe is the disease, we have certain gradings when you take the echocardiography, certain gradings are there and that all shows when a patient should be subjected to a heart valve surgery and whether he is having one valve disease or two valve disease. So all these things put together we have to work him up and most important things s to see clinically whether he is suitable for a valve surgery or you wait for some more time. But most of the things there are certain criterias being fixed so once we see the echocardiography we will understand when a patient can be subjected to a valve surgery.