Doctor insights on:
Dimensionless Index Aortic Stenosis
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
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
Whether end systolic with dimension 3.2 CM and end diastolic with dimension 4.9 CM are normal heart condition (mitral valve)?
Dimensions: Those are normal left ventricular dimension measurements. ...Read more
5.5 cm: Start thinking about it at 5.5 cm. If you have marfan's syndrome, 5 cm. ...Read more
Echocardiography report, left ventricle, prominent septal bulge 1.2cm without tract obstruction, also resting wall motion abnormalities were present, spectral doppler shows impaired lv diastolic filli?
Complicated : To understand a report one needs to talk with one's physician. Resting wall motion abnormalities means areas of the heart are damaged and not contracting or squeezing normally. That is the heart "walls" are not moving correctly. Sometimes this can cause the wall inside the heart that separates the right and left side to "bulge". Impaired filling means the heart does not "relax" normally. ...Read moreSee 2 more doctor answers
MRI=C3-4 disc herniation stenosis ap 0.7cm c4-5 c5-6 bulging disc w impression on anterior thecal sac?Loss normal lordotic curvature? What are risks?
What are symptoms: What the risks are of not treating those anatomical findings depends and what your symptoms are. The spinal stenosis is of more concern as it may lead to a more severe neurological deficient and the potential for permanent damage a concern. If there are no symptoms, the risks may be less. In any event, best talk to you Doctor. ...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
My recent thoracic MRI for scoliosis shows right-sided aortic arch& right-sided descending thoracic aorta..possible congenital heart dis. Can u die ?
Chill out: If you lived to the ripe age of 31 before finding out you had this anomaly, you will likely live a full life without problems. The process is likely a "laterality sequence". This originates early in fetal formation. Those with bad heart defects show up early in life. You need further study, and consultation with a geneticist. The worst of these is more common in males. ...Read more
L ventricle wall mildly increased, ivs thickness mildly increased, aorta root mild dialtion, right coranary artery oblique course? Normal in 14 yo?
MRI =Mild" thickening of heart muscle not HOCM.Tortuous descending aorta. Aberrant right subclavian artery which courses posterior to the trachea. ??
Mild thickening's OK: See my comment to your previous post regarding the other findings (tortuous aorta, subclavian artery). The mild thickening of the heart muscle is common, and not necessarily from HCM. It could be the effects of long-standing hypertension. Keeping ur BP low with a -pril or a -sartan (Enalapril, Valsartan, etc.) could even reverse the thickening of the heart. Thanks 4 ur question on HealthTap, & GL! ...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
Echo1.Old myocardial infraction (inferior+posterior+antero septal+apical)
2.Severe left ventricular systolic dysfunction. What medicine you prefer?
A few: Assuming no medication side effects and normal vital signs in addition to no comorbidities that may play into this- daily aspirin, a beta blocker, statin and often an ace inhibitor. Each patient may need different things based on what else is going on. Have a conversation with your doc about it ...Read more
On labetelol tambocor (flecainide) diathazide severe PVC hypertension recent angiogram show ascending thoracic aorta prominent with 3.7 CM dilation. Concerned?
Close observation: It sounds like you have a couple different issues that require regular observation. While your aortic root diameter does not suggest that surgery is needed at this time, your blood pressure needs strict control and regular imaging studies can detect enlargement. And if your pvcs are not well controlled on tambocor (flecainide) or if you have more than 10-15, 000 per day, catheter ablation can be a good option. ...Read more
TAPSE: This is an attempt to measure right ventricular function. Unfortunately we don't have great success with this or other measures as independent useful indicators of RV function. They can be useful in certain clinical situations as part of an overall assessment trying to quantitate RV function. ...Read more
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