Doctor insights on:
Aortic Stenosis And Blood Pressure
92 year old grandmother has blood in her urine she has no pain. Could this be caused by her aortic stenosis?
Blood in urine: The blood in her urine is not likely to be caused by aortic stenosis, even if she were on Coumadin (warfarin) if she had a metal valve. What your grandmother needs is a consultation with a urologist who will probably order a renal ultrasound to assess her kidneys. She may need a urine culture and a cystoscopy if that culture is negative for a urinary tract infection. ...Read more
Blood pressure is a measurement of the force placed on the blood vessels and is comprised of the "systolic" pressure (the top number on a blood pressure meter) which is the peak pressure when the heart is pumping, and the "diastolic" pressure (the bottom number on a blood pressure meter) which is the pressure during the resting phase ...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
Valve disease: Classic aortic stenosis is obstruction to blood flow at the aortic valve. The aortic valve connects the heart (left ventricle) to the aorta, which carries blood to the body. A normal aortic valve has three separate leaflets. In typical aortic stenosis in children, there is partial or complete fusion between at least two of the leaflets of the valve, which restricts opening of the valve. ...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
Yes and yes: You can have a baby if you have aortic stenosis. Your doctor would need to know this and take certain precautions. Can you (normal) have a baby (with: who has) aortic stenosis? Yes, there is a type of aortic stenosis that could happen in babies rarely. Talk to baby's pediatrician. ...Read more
No.: The murmur from an ASD will be systolic but it will be heard in the pulmonic area. The symptoms will potentially be similar (fatigue, decreased exercise tolerance) but not until advanced shunting occurs which is unlikely. The long term prognosis is significantly different. ...Read more
Peds cards: Depends on several factors. Recommend that you find a good pediatric cardiologist to talk to. ...Read more
Depends: It is not just the presence of aortic stenosis, but the arrival of symptoms that determine whether the condition needs to be treated aggressively. With the development of chest pain, shortness of breath, and syncope, or fainting, the need for surgery increases. Otherwise, medical therapy may be all that is necessary for a long life. ...Read more
Vague question: You need t know the gradient across the stenosis. High gradients require valve replacement, as the left ventricle will begin to enlarge (hypertrophy) which can eventually lead to heart failure. Echocardiography and/or left ventricular angiography performed by an interventional cardiologist can define the gradient, then you both can decide on best treatment options. ...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
This is a temporizing measure for those too sick to undergo definitive treatment. In patients who can tolerate definitive therapy, it is unwise.
It would be foolish to choose it. While some may be seduced by its less invasive nature, it is no match for the results archived by surgical treatment.
Hope this helps. ...Read more
More detail: There is not much "inoperable" as. However, the patients overall frail condition, such as in the very elderly with other health problems, or perhaps a very damaged and poorly functioning heart may make this too high an operative risk. But it isn't the valve. Per se, that is inoperable. Some folks would try a percutaneous valve placement in this setting. ...Read more
Is extreme fatigue a symptom of mod/severe aortic stenosis. Ava of 1.02 peak gradient 44. No other symptoms?
I had to cardiologist say I have aortic stenosis one says moderate and other says moderate to severe should I see a another cardiologist?
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. ...Read more
Does an infant with borderline left ventricle and aortic stenosis and other associated problems can live a normal healthy life or will compromise?
Likely Compromise: Unfortunately, a "borderline" left ventricle and as will likely have some long term effect. That does not mean your child cannot live a meaningful and happy life. As a cardiologist, I can tell you that there are too many unknowns to begin to speculate. But if things go well (i.e. Surgery/cath) your child can do well and be happy. ...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
It will vary: Aortic stenosis means that the valve that allows blood to go from your heart to the rest of your body is narrowed. How this affects the rest of your body will depend on how narrow it is; if it's severely narrowed it affect blood supply to the rest of the body and coronaries but more importantly it will make your heart work very hard to pump blood out and this may produce long term damage. ...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
Echocardiogram: Physical exam can be helpful, but echocardiography (cardiac ultrasound) is generally the diagnostic study of choice. Using echo, you can examine the morphology and movement of the valve leaflets, and measuring blood flow velocities, you can estimate pressure gradients to assess severity of obstruction. Cath can sometimes be helpful in assessment and may allow intervention in some cases. ...Read more
Variable: It can vary anywhere from mild to critical. What did your friend's doctor say? ...Read more
Calcium: This operation is rarely used but is done when the ascending aorta is too calcified to operate on. ...Read more
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
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