Doctor insights on:
End Stage Aortic Stenosis
Mitral valve prolaps: Mitral valve has anterior (a) and posteriotr leaflets (p). Prolapse has 4 stages. Stage i is mild, stage 2 is moderate, stage 3 is moderate to severe and stage 4 is severe degree. Anterior leaf let has three sections labeled as a1, a2, a3. Stage ii a2 means: a2 section shows moderate degree of prolapse. ...Read more
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
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
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
Not good.: When a liver with cirrhosis is having trouble doing it's job, it's called end-stage liver disease. This means that the liver is beginning to fail. Generally, patient in this setting will die or need transplant within a few years. Having cirrhosis, however, is not the same as end stage liver disease. Only when the liver starts to fail do we call it end stage. ...Read more
ESRD options: Patients with esrd have 4 options. One is hemodialysis (h), either at a dialysis center, doing regular or nocturnal h, or doing h at home. The second is, peritoneal dialysis. Esrd patients can receive a transplant for either a living related or a cadaveric donor. The 4th option is one that very few patients consider, and that is not starting dialysis at all leading to a fatal outcome. ...Read more
5.5 cm: Start thinking about it at 5.5 cm. If you have marfan's syndrome, 5 cm. ...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
Good prognosis: It would be unlikely for a stage 2 rcc to cause regurgitation and pulmonary hypertension. Stage 2 (t2n0) has a good prognosis with recent publications showing that 75 to 95% of patients are alive 5 years after diagnosis. However, there are certain characteristics of the cancer that can make it more aggressive and have a worse prognosis. Talk to your doctor and discuss. Best wishes. Ariel. ...Read more
Dad 92, just went on hospice with CHF and third stage renal failure, ejection fraction of 35-40what is prognosis?
Hard to say: It sounds like your father is dealing with a lot of serious illnesses, and as people get older, everything can get more complicated. To qualify for hospice, typically death is expected within 6 months, and most families find hospice a very rewarding and dignified way to care for family members at the end of life. ...Read moreSee 1 more doctor answer
3 mos mortality risk: Used to prioritize allocation of deceased donor organs for liver transplantation. Meld is a prospectively developed and validated chronic liver disease severity scoring system that uses a patient's laboratory values for serum bilirubin, serum creatinine, and the international normalized ratio for prothrombin time (inr) to predict survival. ...Read moreSee 1 more doctor answer
Varies: End stage liver disease as the name suggests is the endpoint of any number of chronic liver diseases and its timing depends on the particular condition leading upto it and also what treatments and interventions are being done.There is no particular age when it shows up.Without having any information on the particular liver disease, lab work etc , it would be impossible to give you an age. ...Read more