Doctor insights on:
Abdominal Aortic Stenosis Symptoms
Is extreme fatigue a symptom of mod/severe aortic stenosis. Ava of 1.02 peak gradient 44. No other symptoms?
The abnormal narrowing of the aortic valve. Progressive narrowing of the aortic valve means the heart must work harder to contract and "squeeze" the blood through a smaller and smaller outflow orifice. This will eventually cause symptoms such as chest pain, dyspnea, ...Read more
Several: The most common symptom is chest pain with effort or in more advanced cases where the stenosis has been severe for many years, decreased exercise tolerance, shortness of breath, light headedness and palpitations among others. Check with your doctor, the diagnosis is usually straight forward. ...Read more
The symptoms ranges: From mild to severe. Aortic valve stenosis signs and symptoms typically develop when narrowing of the valve is severe and can include: chest pain (angina) or tightness, feeling faint or fainting with exertion, shortness of breath, especially with exertion, fatigue, especially during times of increased activity, heart palpitations sensations of a rapid, fluttering heartbeat, heart murmur. ...Read more
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?
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. ...Read more
Is mild aortic stenosis in 79yo with on/off symptoms(shortness of breath) serious?How should it be treated? He was put on beta blocker and that's it.
Without knowing the: exact findings and clinical situation it is difficult to assess but in general it would be entirely reasonable to treat with simple beta blockers as first line therapy and follow for symptom change over time. ...Read more
New dx: Mod. Aortic stenosis w/?? Mild Hypokensis of Apex. Had a PFT /fainted p 2nd MDI dose. Could new diangosis cause fainting on PFT? S.O.B. exertion
CXR's show mild cardiamegaly 4 many yrs. Could it with Type II DM & Asthma cause Mod.Aortic Stenosis &? Mild hypokensis of Apex. This DX A.S/HA new
Possibly.: It would make more sense for the cardiomegaly to result from aortic stenosis because the heart would build up muscle of the left ventricle pumping against the stenosis to get blood to the rest of the body, but they may be unrelated. Hypokinesis may represent ischemia or lack of adequate oxygen to your inferior heart. Diabetes certainly plays a role in heart disease especially atherosclerosis. ...Read more
May start from birth: Aortic valve problems may start from birth if the aortic valve was abnormal due to a birth defect. As one ages, there can be progressive wear and tear of a bicuspid valve present since birth. There can also be wear and tear of a previously normal aortic valve in the elderly. Rheumatic fever can also cause scarring of the aortic valve in a child or adult. ...Read more
Aortic Stenosis: Aortic stenosis is the abnormal narrowing of the aortic valve. As the aortic valve develops progressive narrowing, the heart must work harder to contract and "squeeze" the blood through a smaller and smaller outflow orifice. This will eventually cause symptoms such as chest pain, dyspnea, or loss of consciousness. Severe aortic stenosis requires valve replacement. ...Read more
Calcium: This operation is rarely used but is done when the ascending aorta is too calcified to operate on. ...Read more
The heart must push harder which is a strain and causes "muscle bound" left ventricular hypertrophy and later heart failure.
The muscle needs more oxygen to pump and coronary flow is interfered with causing angina or heart attack in some.
Low forward flow can lead to fainting syncope.
It is related to degree if stenosis- narrowing of this door!
think of it as a door which does not open fully. ...Read more
Left-sided narrowing: Aortic stenosis involves obstruction to blood flow out of the left ventricle (the major pumping chamber in the heart). Most commonly, narrowing is at the level of the aortic valve itself, but subvalvar (below the valve) and supravalvar (above the valve) aortic stenosis also occurs. Aortic stenosis may be congenital (you are born with it), or acquired. Symptoms depend on the degree of obstruction. ...Read more
Congenital: Ebstein anomaly is a congenital condition affecting the tricuspid valve and its position inside the heart. Clinical symptoms are dependent on which structures are affected in addition to the valve. Aortic stenosis is a condition where the aortic valve opening is smaller than normal. This can be congenital or acquired. ...Read more
Narrowed heart valve: The aortic valve is between the left ventricle and the aorta. It ensures that blood flows from the heart to the body and not backwards. When the valve is malformed, it does not open fully and the ventricle must work harder to push blood to the body. The medical term for this condition is stenosis. ...Read more
SAVR AND TAVR:
Traditionally, surgical aortic valve replacement was the best method for treating significant aortic stenosis. Some patients, unfortunately, were too ill for the procedure. Transcatheter aortic valve replacement (tavr) has proven an excellent alternative for these patients.
Talk to your thoracic surgeon and cardiologist to see if you are eligible. ...Read more
Needs expert eval: Aortic valve stenosis and chest pain, if it is angina, is an ominous combination. Angina means that there is pain related to inadequate blood flow to the heart muscle to meet the needs of the heart. In as, the work being done by the heart is high due to the obstruction, and there is potential for blood supply to be limited. Find an expert is structural heart disease to evaluate your symptoms. ...Read more
People are reluctant to give pre op patients with critical aortic stenosis inotropes. They stimulate the heart, but in the case of dobutamine and milrinone (most common phosphodiesterase inhibitor) they also drop the aortic pressure past the valve, and that can be very bad.
Post op, PDE's can be preferable to other inotropes because sympathomimetics worsen the stiffness of the thick LV. ...Read more
Multiple: Options for aortic valve surgery today include replacement with full sternotomy or mini- sternotomy, or percutaneous aortic valve replacement, which will likely be the standard of care in another 5- 10 years. Currently, surgery is still the best approach with the longest track record. ...Read more
They don't: Renal artery stenosis usually causes hypertension. In fact it can be difficult to control. Aortic stenosis doesn't cause hypotension until very late which can be dangerous if the heart has thickened. In my experience most of my patients with aortic stenosis have either normal or high blood pressure. ...Read more
The most important factor is, are you symptomatic? If you have any symptoms, surgical intervention is recommended. 50% of patients who develop symptoms from as will not survive more than 2 years. Other parameters to look at are the mean gradient > 40 , velocity > 4 m/s, and aortic valve area <1 cm2.
If any of these are met, you should consider surgery. ...Read more
See below: The accepted indications for surgical treatment are syncope (fainting) which may indicate critical narrowing. Chest pain which may be due to poor flow to the coronary arteries which start just beyond the aortic valve and shortness of breath which may be due to congestive heart failure are the two others. ...Read more
Not good results: Also results are suboptimal and procedural risk is high. ...Read more
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