Doctor insights on:
Aortic Stenosis Life Expectancy
2 questions: Aortic stenosis w/o symptoms has good prognosis. Symptomatic as has 5, 3, and 2 yr life expectancy depending on symptoms. Chest pain (5), passing out (3) and heart failure (2) yrs. This improves if the valve is replaced. Mitral valve prolapse does not significantly affect your prognosis by itself. Some though can worsen and begin to leak. This can also lead to heart failure. ...Read moreSee 1 more doctor answer
Variable: Mitral stenosis can cause disabling heart failure in the 40s or lesser symptoms later in life. The disease is becoming quite uncommon in United States and is more often seen in patients born overseas. In cases detected early, and the valve is repaired or replaced, the life expectancy should be the same as a healthy patient of the same age. ...Read moreSee 1 more doctor answer
Normal: In the bad old days, these people would live normal life spans but remain tiny and simple-minded, like children. Read about "cretins". To allow this to happen to a child today is a disaster, but a few million children in our world suffer from this just from iodine deficiency because of misplaced priorities. ...Read more
Unknown: Life expectancy depends not just on the presence of a diagnosis but also on its severity, comorbidities, and its cause. If the aortic insufficiency is mild and there's no underlying cause (say inborn), chances are the expectancy is minimally decreased if any. Whereas in other cases such as valvular abnormalites as a result of infection or immune process or severe heart defect it may be worse. ...Read more
Too broad: If the valve is replaced in a timely fashion then life expectancy is good. If left untreated and is severe, life expectancy is severly limited . The ultimate measure of the pts long term mortality is the left ventricular ejection fraction. The more normal it is the better the mortality rates. ...Read more
Stage 4 kidney dz: Stage 4 chronic kidney disease ( kidney function of 15-30%) occurs for many reasons. People with stable stage 4 disease can live fairly normal lives. However, if the kidney disease is progressing rapidly, it can be associated with more complications (anemia, bone disease, end stage renal disease with dialysis). It is important to follow closely with a nephrologist. ...Read more
My son had s.U.A, born with pfo, 3 pulmonary veins, coarctation/hypoplastic aorta, bicuspid aortic valve, l/t/b malacia. Future pregnancy tests recomended?
Is mod to sever aorta stenosis with peak/mean pressure gradient of 57.06mmhg/37.30mmh requiring aorta valve replacement stat?
It could be: It depends upon whether symptoms are present. If the aortic stenosis is causing chest pain, congestive heart failure, shortness of breath or blackouts then this is usually regarded as a reason for prompt treatment. If there are no symptoms then watchful waiting is sometimes appropriate. BTW some patients in this age group qualify to have the valve implanted through a catheter via the groin. ...Read moreSee 1 more doctor answer
Depends...: On severity. Many patients with appropriate treatment can lead full lives. ...Read more
Summary of my resent echogram;
1-Low normal left ventricular function. Ejection fraction is est.52%
2-Mild left atrial enlargement.
3-Mild to moderate aortic valve regurgition.
4-Moderate aortic valve stenosis.
5-Mild tricuspid valve regurgitation.
Need cardiologist!: There are a number of concerning findings on your echocardiogram. The left ventricular function (how strong your pump is) is just a little low; I'm not that concerned about that. The valves, especially aortic, are the biggest problem: to have both aortic regurgitation (back flow across the valve) and narrowing (stenosis) is very concerning. Follow up soon with your cardiologist. Good wishes:) ...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 moreSee 1 more doctor answer
Is aortic stenosis from old age common? What percent of people will get it? More women or men? Life style increase risk?
Aortic stenosis...: At old age is usually senile calcific aortic stenosis and occurs on previously normal valves. Younger patients with stenosis tend to abnormal leaflets (2 vs 3). Mechanical stress may lead to calcium buildup on the valve. Smoking, diabetes, hypertension and male sex are other risk factors. There are similar links to atherosclerosis of the coronary arteries. But you can have one without the other. ...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 moreSee 2 more doctor answers
What would experts say? Could a hole in your heart and aortic stenosis be a life threatening illness?
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 moreSee 2 more doctor answers
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
Several: 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
If untreated: Eventually if it goes untreated. Once patients become symptomatic from severe aortic stenosis (chest pain, shortness of breath, passing out) then the 2 year survival is only about 50%. Therefore patients with aortic stenosis should see their cardiologist regularly. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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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