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Doctor insights on: A Fib With Rvr

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My husband has mitral valve prolapse moderate, with atrial fib events reqiring cardio version about yearly. Should he have it fixed?

My husband has mitral valve prolapse moderate, with atrial fib events reqiring cardio version about yearly. Should he have it fixed?

Regarding the valve,: Mitral regurgitation with complications like a- fibr, shortness of breath or any decrease in ejection fraction of 60% or less, should be addressed if the patient can tolerate surgery. Once symptoms develop, surgery should be considered and in low risk patient, and may be considered before symptoms if there is any decline in heart function if repair is more likely than replacement. ...Read more

Dr. John Garner
1,840 doctors shared insights

Atrial Fibrillation (Definition)

A quivering or irregular heartbeat that can lead to blood clots, stroke, heart failure, ...Read more


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I have mitral valve prolapse with mild tricuspid valve regurgitation is it normal to have lots of pvcs an sometimes a fast heart rate with pvcs i?

I have mitral valve prolapse  with mild tricuspid  valve regurgitation is it normal  to have lots of pvcs an sometimes a fast heart rate with pvcs i?

YES: PVC's and intermittent PAT (tachycardia) are common arrythmias associated with Mitral Valve Prolapse and there is medication if this is causing symptoms... Ask your Cardiologist (or PCP if sh/she ordered the cardiac echo) Hope this helps! Dr Z ...Read more

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Can a person with Mitral Valve Repair be classed as a Patient with a structurally normal heart after healthy cardio Echo result?

Can a person with Mitral Valve Repair be  classed as a Patient with a structurally normal heart after healthy cardio Echo result?

It is usually: noted that there has been a repair when your cardiovascular system is described ....I'm not sure about the "situation" you are describing.. Insurance purposes??? Suggest you consult your cardiac surgeon and request his WRITTEN opinion Hope this helps! Dr Z ...Read more

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Is anyone born or diagnosed with a v.S.D with absent pulmonary valve?

Is anyone born or diagnosed with a v.S.D with absent pulmonary valve?

Rare defect: Absent pulmonary valve syndrome is a rare congenital heart defect. Some of the features are similar to tetralogy of fallot. An important difference in most babies with absent pulmonary valve syndrome is that the pulmonary arteries are very large, and often associated with problems with the airways. Surgery is required to repair the problems in the heart and repair the pulmonary arteries. ...Read more

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Would a sinus venosus asd be unlikely with normal echo and EKG results, no symptoms?I have a faint systolic murmur told innocent. No split s2 (racepinephrine). Thanks.

Would a sinus venosus asd be unlikely with normal echo and EKG results, no symptoms?I have a faint systolic murmur told innocent. No split s2 (racepinephrine). Thanks.

Unlikey: I'm glad you've read up on this. Sinus venosus asd's are rare to begin with and i'd be surprised if ultrasound missed it. Any suspicion does require a consult -- what were you told? ...Read more

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15 yo son extremely athlete has a heart murmur, recent EKG showed bradycardia, right ventricular hypertrophy and possible biventricular hypertrophy?

15 yo son extremely athlete has a heart murmur, recent EKG showed bradycardia, right ventricular hypertrophy and possible biventricular hypertrophy?

Might be fine, but..: This sounds like the sort of thing that the computer in the ECG machine would say, and it is often wrong. He should have an echocardiogram and an examination by a pediatric cardiologist. This may very well all be nothing, but best to check it out thoroughly. ...Read more

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Does a patient in v-tach, v-fib have a pulse?

Does a patient in v-tach, v-fib have a pulse?

Vtach/Vfib...: A person in ventricular tachycardia may have a pulse (or might not!) whereas a person in ventricular fibrillation never has a pulse. A monitor is needed to identify the heart rhythmn. ...Read more

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How to deal with chest pain after an episode of atrial fibrilation?

How to deal with chest pain after an episode of atrial fibrilation?

Consult your Cardiol: If you have atrial fibrilation and having chest pains, you should consult your cardiologist asap. ...Read more

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I have mitral valve regurgitation with tricuspid regurgitation with mild pulmonary hypertension and dystolic disfunction. Should i be worried?

I have mitral valve regurgitation with tricuspid regurgitation with mild pulmonary hypertension and dystolic disfunction. Should i be worried?

Maybe -- it depends: Valve regurgitation becomes a serious problem when it is severe, and at that point it might require surgery. If the valve regurgitation is only mild or moderate, it can be followed by your physician. It sounds as though with your conditions, maintaining excellent blood pressure control will be very important. ...Read more

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I'm a 39 year old female who has a recent echocardiogram. Showed mild mitral valve thickening and mild mitral regurgitation. Should I be concerned or see a cardiologist. ?

I'm a 39 year old female who has a recent echocardiogram. Showed mild mitral valve thickening and mild mitral regurgitation. Should I be concerned or see a cardiologist. 
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No: That is a benign finding which is present in the majority of the healthy population when carefully assessed. You are not at risk of complications and need no further testing based on that finding. ...Read more

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Small 1cm asd, had cath closure in may. Report said atrial septum was "aneurysmal." is this a concern?

Small 1cm asd, had cath closure in may.  Report said atrial septum was "aneurysmal."  is this a concern?

No concern: This is not a concern. An aneurysmal atrial septum is just a description of septal tissue with some redundancy. It isn't at all similar to an aneurysm of the brain or aorta, etc. If your ASD is closed you're all set! ...Read more

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If i was diagnosed w hyperlipidemia and bradycardia w aortic valve issues and severe pad. Will i need a pacemaker?

If i was diagnosed w hyperlipidemia and bradycardia w aortic valve issues and severe pad. Will i need a pacemaker?

Pacemaker: That is a decision that your cardiologist can help make for your particular situation. See your cardiologist. ...Read more

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I am diagnosed with a mitral valve stenosis, will I need a valve replacement heart surgery.?

I am diagnosed with a mitral valve stenosis, will I need a valve replacement heart surgery.?

Depends: This depends on how severe the stenosis is. It is important to see a cardiologist and continue to watch this condition closely as it changes over time, and you may need surgery at some point in time. ...Read more

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Please can you explain what atrial flutter with variable av block compatible with a bundle branch block. Possible inferior infarction, probably old is?

Please can you explain what atrial flutter with variable av block
compatible with a bundle branch block. Possible inferior infarction, probably old is?

ECG interpretation.: Atrial flutter: your heart rhythm is abnormal (the atria are contracting very rapidly); variable block: there are a variable number of atrial contractions for every ventricular contraction. A bundle branch block: the ECG complex representing each ventricular contraction is widened due to a block of one branch of your heart's conduction system. Q waves on the ECG suggest an infarct (? Age). ...Read more

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Echo shows mild lvh with mild mitral regurgitation. Cardiologist said its nothing to worry about. Need a second opinion. Is he right?

Echo shows mild lvh with mild mitral regurgitation. Cardiologist said its nothing to worry about.  Need a second opinion.  Is he right?

conditionally yes: As long as you're cardiologist is going to monitor you with periodic echocardiograms you have nothing to worry about. The criteria for prophylaxis prior to a dental procedure or colonoscopy has been updated to state that mild mitral regurgitation does not require antibiotic treatment before or after the treatment. ...Read more

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