Doctor insights on:
How Do Doctors Diagnose Coarctation Of The Aorta
Physical and Echo: A good physical exam with multiple blood pressure measurements can essentially diagnose it. With the advent of echo, i assume pretty much every cardiologist would officially diagnose with an echo (even in the most remote regions of the world). ...Read moreSee 2 more doctor answers
Ultrasound, CT ABD: Either ultrasound or ct of the abdomen will reliably identify abdominal aortic aneurysms (aaas). The ultrasound is ideal for screening because it is inexpensive and has no radiation exposure. Ct is better at defining the precise location of the aneurysm to help decide the best technique for repair. ...Read moreSee 2 more doctor answers
A few: A simple, but effective way is to measure blood pressure in both arms and at least one leg. We now most commonly first check with an echocardiogram. Depending on the quality of those images, a ct or MRI may help. But again, good old fashioned blood pressure is the best way to start. ...Read moreSee 2 more doctor answers
Narrow artery/surger: By definition coarctation of the aorta is a abnormality of vascular embryology. At birth flow is adequate for the limited activity i the new born and early toddler years, but as children age, their growing bodies and activity out grows the narrowed aorta's ability to supply enough blood fast enough to keep up. Once identified the narrowing is corrected surgically with a bypass procedure. ...Read more
Can Correct: No congenital heart disease can be "cured". We can fully correct some types though, and coarctation is one of those. But we can never make the heart/vessel the same as if the lesion never occurred (which is the definition of cure). Again, semantic but important point because anyone with coarctation should have life-long follow-up with a cardiologist. ...Read moreSee 2 more doctor answers
Major surgery: Major artery switch procedure at very young age, or sequence of three complex surgeries to make the right ventricle to work like the left one. ...Read more
Coarctation: There is nothing to solve. If there is coarctation of aorta, it should be corrected through surgical procedure. ...Read more
CAD: By reducing the demand and increasing the coronary blood supply we can pharmacologically reduce anginal symptoms and manage CAD medically. Beta-blockers, nitrates, and calcium channel blockers can help. Aspirin reduces the risk of mi by making platelets less likely to stick together and cause clots. Lipi-lowering meds like statins can stabilize and slow progression of blockages. ...Read more
Why or how?: The how is already answered by dr. Rubin. If your question is why treat coarctation it is to improve blood flow to the organs of the lower part of the body, prevent severe high blood pressure in upper part of body causing headache, dizziness, nosebleeds, shortness of breath and to prevent eventual development of enlarged heart and heart failure. ...Read moreSee 3 more doctor answers
Ultrasound: A general idea of vascular disease can be assessed on a physical exam (pulse exam, capillary refill, temperature, color of skin, non-healing wounds) and history (pain at rest, claudication). However an arterial duplex scan (ultrasound) is the most objective way to evaluate someone for peripheral vascular disease. ...Read moreSee 1 more doctor answer
Two options: Coarctation of the aorta is a narrowing of the main artery from the heart to the lower half of the body that can result in elevated blood pressure (hypertension). If it is severe enough to require treatment, there are two options that may be available: surgical repair or non-surgical repair using a balloon catheter through a blood vessel. Catheter repair is most often used in young people. ...Read moreSee 1 more doctor answer
What tests can u do to see if u have a thoracic aneurysm? Also how big percentage of aneurysms is located at thoracic aorta and what's the symptoms?
See below: Echocardiogram to screen, CT with contrast to confirm. There are NO symptoms until it dissects - then severe, tearing pain, shock and death. The percentage depends on other associated health conditions you may (and probably don't) have. Unless you have Marfan's syndrome, a bicuspid aortic valve, or a strong family history of them, thoracic aortic aneurysms are very rare. ...Read more
Bypass channels: The fetus/baby developed & is more or less normal in appearance at birth.That would only occur with the bodies ability to bypass the narrowing of a coarctation by channeling needed blood flow though other blood vessels(collaterals). A kid may go for a few years before the coarctation is discovered. ...Read moreSee 1 more doctor answer
Different tests. : The main way of evaluating the heart is with ultrasound which is referred to as echo. It can estimate the pressure change across the valve. <5 mm hg mild. 5-10 moderate and >10 severe. Also we can measure blood pressure in the lungs if this is very high that is sign if severe stenosis. Recently cardiac MRI can be used to evaluate the heart too. ...Read more
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