Question 1

i had to cardiologist say i have aortic stenosis one says moderate and other says moderate to severe should i see a  another  cardiologist?

Accepted Answer

SEMANTICS: Aortic stenosis (valve narrowing) can be a serious heart condition eventually causing heart failure, syncope (passing out) or angina (chest pain).  If you have 'moderate or mod.-severe' is just semantics (word choice).  The most important parameters for aortic stenosis are valve area and gradient.  When valve area diminishes to <1 cm2 or gradient  >50 mmhg then valve replacement-may be in future.

Question 2

are infants affected by mild to moderate aortic stenosis?

Accepted Answer

No: Mild to moderate aortic stenosis should not cause any symptoms. The condition should be followed closely as it may become more significant and require treatement.

Question 3

what's the sign in physical exam with which we can say aortic stenosis in a case is not severe?

Accepted Answer

Echocardiogram: In order to evaluate the severity of aortic stenosis you must have an echocardiogram. Several measurements are performed, including jet velocity and aortic valve area, that will determine the severity of stenosis. 
Physical exam findings are not consistent enough to be used as a determining factor for the degree of stenosis.

Question 4

i am a patient w/ severe aortic stenosis. can i be stabilized long enough to travel for 8 hours and wait two weeks?

Accepted Answer

See your doctor: These symptoms can only be adequately diagnosed only after a thorough evaluation by your doctor.  This may include labs and other satudies.  Once all of the information is in, your doctor can let you know what's going on, and what to do to help you.

Question 5

if i  have surgery to correct severe aortic stenosis, will i be likely to have a fairly normal lifespan?

Accepted Answer

Aortic stenosis: If symptomatic without surgery your life expectancy is severely shortened.

Question 6

is extreme fatigue a symptom of mod/severe aortic stenosis. ava of 1.02 peak gradient 44. no other symptoms?

Accepted Answer

Fatigue: Fatigue is a symptom possible with aortic stenosis but not specific to it.  More data would be necessary to predict likelihood whether it is associated in this instance.

Question 7

would a valvuloplasty work on asymptomatic, severe aortic stenosis patient?

Accepted Answer

No: Aortic valvuloplasty is only a temporary measure. It is used for the patients with severe aortic stenosis who's hearts and bodies are too sick for surgery. The valvuloplasty is done in hopes of relieving the obstruction long enough for the patients to temporarily improve enough to then undergo valve replacement. A patient without symptoms would not need valvuloplasty done.

Question 8

could valvuloplasty work for patients with asymptomatic severe aortic stenosis?

Accepted Answer

No: Valvuloplasty is used a "bridge" to surgery in patient who are 2 "sick" to tolerate surgery or it can be used as a palliative treatment. The only definitive treatment for aortic stenosis is surgical replacement or for high risk and inoperable patients, transcatheter aortic valve replacement (tavr) is available. If the patient is truly asymptomatic, close monitoring is necessary.

Question 9

i have severe aortic stenosis- (.9) but no symptoms. do i just sit around and just wait until i get sick, deve!op pain, or have a heart attack?

Accepted Answer

Aortic stenosis: Please see a cardiologist who will follow your situation w/periodic echo-cardiograms and other ways to measure things.  Peace and good health.

Question 10

my mother has severe aortic stenosis and has converted to a-fib a few days ago. she was placed on pradaxa. is it the right drug choice for her?
thanks

Accepted Answer

Depends: Severe aortic stenosis with atrial fibrillation should at least be considered for surgery. If not a surgical candidate then considered for a new type of valve procedure called tavi or tavr. Pradaxa was approved to reduce stroke risk caused by atrial fibrillation. The one issue is it should be afib that was not a result of valvular heart disease. That is something her cardiologist should decide.

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Doctor answers about:

Moderate to severe aortic stenosis

A member asked:

I had to cardiologist say i have aortic stenosis one says moderate and other says moderate to severe should i see a another cardiologist?

A member asked:

Are infants affected by mild to moderate aortic stenosis?

A member asked:

What's the sign in physical exam with which we can say aortic stenosis in a case is not severe?

A member asked:

I am a patient w/ severe aortic stenosis. can i be stabilized long enough to travel for 8 hours and wait two weeks?

A member asked:

If i have surgery to correct severe aortic stenosis, will i be likely to have a fairly normal lifespan?

A member asked:

Is extreme fatigue a symptom of mod/severe aortic stenosis. ava of 1.02 peak gradient 44. no other symptoms?

A member asked:

Would a valvuloplasty work on asymptomatic, severe aortic stenosis patient?

A member asked:

Could valvuloplasty work for patients with asymptomatic severe aortic stenosis?

A member asked:

I have severe aortic stenosis- (.9) but no symptoms. do i just sit around and just wait until i get sick, deve!op pain, or have a heart attack?

A member asked:

My mother has severe aortic stenosis and has converted to a-fib a few days ago. she was placed on pradaxa. is it the right drug choice for her? thanks

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