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A 20-year-old female asked:

I did an echocardiogram and the impression was possible bicuspid aortic valve with trace aortic regurgitation. trace tricuspid regurgitation and pulmonic regurgitation. what does this mean ? i have severe chest pain, heart palpitations, and flutters?

2 doctor answers3 doctors weighed in
Dr. Donald Colantino
Internal Medicine 63 years experience
A consultation with a cardiologist is warranted. Do you have a heart murmur? A normal aortic valve has 3 cusps. If yours has only 2, you have congenital aortic valvular heart disease with eventual stenosis developing. In addition your chest pains& palpitations require a workup. Bicuspid aortic valves don't usually cause problems until adulthood. Prophylactic amoxicillin before dental work no more
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A technically good echo and an experienced reader should be able to do better than "possible bicuspid valve". If you have a bicuspid valve antibiotic prophylaxis should be seriously considered. Chest pain, palpitations and "flutters" cannot be interpreted adequately. Suggest that you seek advice from an experienced cardiologist preferably with experience in echo reading. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jan 31, 2022


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