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Doctor insights on: Aortic Stenosis And Blood Pressure

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92 year old grandmother has blood in her urine she has no pain. Could this be caused by her aortic stenosis?

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

Dr. Eric Weisman
2 Doctors shared insights

Blood Pressure (Definition)

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


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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

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

Not likely: Moderate aortic stenosis (or was it aortic valve?) is unlikely to cause fainting. More significant is the cardiac hypokinesis, which could indicate a heart attack. Please review with your Dr or cardiologist! ...Read more

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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

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

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Could you tell me about aortic stenosis in children?

Could you tell me about aortic stenosis in children?

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

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I am not feeling like myself. What are the symptoms of aortic stenosis?

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

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Can you have a baby with aortic stenosis?

Can you have a baby with aortic stenosis?

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

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Can having an ASD mimic aortic stenosis?

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

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Are infants affected by mild to moderate aortic stenosis?

Are infants affected by mild to moderate aortic stenosis?

Peds cards: Depends on several factors. Recommend that you find a good pediatric cardiologist to talk to. ...Read more

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What is the average life-expectancy for aortic stenosis as?

Depends: On severity and specific symptoms. Prognosis is poor once heart failure, angina or syncope is present. ...Read more

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What is the typical lifespan of someone with aortic stenosis?

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

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What is the average life span if someone that has aortic stenosis?

What is the average life span if someone that has aortic stenosis?

It depends: If your valve is severely steno tic you have a life limited expectancy of less than 5 years unless it is corrected by replacing the valve. ...Read more

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What would be the average lifespan of someone with aortic stenosis?

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

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What are the tests for valvular aortic stenosis?

Several: Echo-cardiogram comes to mind but some are doing cardiac mri's & even functional cardiac mri's. ...Read more

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What causes a fever when my child has aortic stenosis?

What causes a fever when my child has aortic stenosis?

Normal things: A child with aortic stenosis can get sick like anyone else. The most important thing is prolonged fever may be an indication of endocarditis (heart valve infection). If fever is persistent then blood cultures should be done. ...Read more

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Can you join the military with aortic stenosis murmur?

Unlikely: If you have aortic stenosis, your exercise capacity will be somewhat limited (depending on the degree of stenosis), so it's unlikely you will be able to join the military. ...Read more

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Can aortic stenosis cause chest pain in a 5yo?

Can aortic stenosis cause chest pain in a 5yo?

It depends....: Hello sophia, if the aortic stenosis is significant it can cause chest pain even a 5 year old because the heart muscle is working harder to pump blood. Typically the aortic stenosis would be treated with balloon dilatation or surgery (valvuloplasty or a ross procedure). ...Read more

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What are some treatments for aortic stenosis surgery?

What are some treatments for aortic stenosis surgery?

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

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Why does renal or aortic stenosis usually cause hypotension?

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

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When does surgery have to be done for valvular aortic stenosis?

When does surgery have to be done for valvular aortic stenosis?

Many factors: 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

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Valve surgery recommended at what point if you have aortic stenosis?

Valve surgery recommended at what point if you have aortic stenosis?

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

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Would a valvuloplasty work on asymptomatic, severe aortic stenosis patient?

Would a valvuloplasty work on asymptomatic, severe aortic stenosis patient?

Temporarily: It would work temporarily but you wouldn't want to assume the risks of this procedure in an asymptomatic patient. Aortic valvuloplasty is largely considered palliative. ...Read more

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I have aortic stenosis and will be have open heart done soon--is this safe?

I have aortic stenosis and will be have open heart done soon--is this safe?

Yes: The risk of major complications related to this procedure should be less than 5%. Recovery should be less than 5 days. The procedure can also be performed with minimally invasive, small incision techniques. ...Read more

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Valve surgery recommended for you at what point, if you have aortic stenosis?

Valve surgery recommended for you at what point, if you have aortic stenosis?

Symptoms: Symptomatic aortic stenosis or aortic stenosis that has started to affect the heart (enlargement, decrease in ejection fraction) even in the absence of symptoms are indications for surgery. ...Read more

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Could valvuloplasty work for patients with asymptomatic severe aortic stenosis?

Could valvuloplasty work for patients with asymptomatic severe aortic stenosis?

No: 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

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What would be the ball park figure life expectancy of inoperable aortic stenosis?

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

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Should you be able to hear an aortic stenosis in your child without a stethoscope?

Depends: If you listen with your ear applied to your child's chest, you may be able to hear the heart murmur associated with aortic valve stenosis. ...Read more

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I had to cardiologist say I have aortic stenosis one says moderate and other says moderate to severe should I see a another cardiologist?

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

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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

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Aortic stenosis --is it serious?

Depends: Depends upon degree, other underlying disease and history of progression. It certainly can be serious, but with todays sophisticated echocardiography, we see a lot of mild aortic stenosis that is identified incidentally that will never amount to much. ...Read more

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Can one live with aortic stenosis?

Can one live with aortic stenosis?

Yes: The majority of people with aortic stenosis actually die from something else. If it is severe and untreated it can cause sudden death. ...Read more

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How does the condition aortic stenosis occur?

How does the condition aortic stenosis occur?

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

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How will aortic stenosis affect other parts of my body?

How will aortic stenosis affect other parts of my body?

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

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What is the definition or description of: Aortic stenosis?

What is the definition or description of: Aortic stenosis?

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

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Can you tell me how is a diagnosis of aortic stenosis made?

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

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I know someone with aortic stenosis. Is it a very bad thing?

I know someone with aortic stenosis. Is it a very bad thing?

Variable: It can vary anywhere from mild to critical. What did your friend's doctor say? ...Read more

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What could cause an aortic stenosis with apico-aortic conduit?

Calcium: This operation is rarely used but is done when the ascending aorta is too calcified to operate on. ...Read more

Dr. Roberto Rodriguez
641 Doctors shared insights

Aortic Stenosis (Definition)

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


Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more