Doctor insights on:
Enlarged Artery In Heart
Larger than normal: The aorta is the largest blood vessel carrying blood from the heart to elsewhere. Enlargement of vessel means a dilation (ballooning out as pictured here) to larger than it should be. It right next to the heart--aortic root, it can cause the valve to leak, and if severe it can cause much problem. Enlargement further down may burst, that causes serious problem too. Consult doc. Good luck. ...Read more
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Yes: Family history is a risk factor & inc. Chances. See your md, or a cardiologist for more info. ...Read more
My carotid artery feels enlarged and it's beating really hard off and on, also my heart is feeling discomfort/pains.
Please see your Dr.: I recommend you see your doctor as soon as possible to have these concerns evaluated. ...Read more
A pulmonary artery that is 31 mm and aortic artery is 3.7 and a borderline enlargement heart is that classified as pulmonary arterial hypertension?
No. Need RVSP.: To diagnose pulmonary arterial hypertension (PAH), you need to have (1) a description of symptoms that you experience that is consistent with PAH, and (2) a measurement or estimate of the pulmonary arterial pressure - either by echocardiogram or by Swan-Ganz (right heart) catheterization. Only after a doctor has obtained this information can you diagnose PAH. Use HealthTap Prime to discuss. ...Read more
Is congestive heart failure due to high blood pressure and obesity reversible? Heart is enlarged and stiff, but there's no plaque buildup in arteries.
I have connective tissue disease. My chest X-ray showed slightly enlarged pulmonary artery. The symptoms are occasional sob, heart palpitations, bad dizziness andintermittent chest pain. The symptoms come and go to extreme. I am having tte next. Cause?
CTD: Connective tissue disease (ctd), an autoimmune disease, can attack almost every organ in your body. In advance disease, pulmonary hypertension, cardiomyopathy, pericarditis, even coronary syndromes (less likely) can complicate the disease. Examples: lupus, polymyositis, scleroderma and mixedctd. Agree with tee. Close follow up necessary. ...Read more
It depends: This really depends on the clinical circumstances. The heart has three main arteries that supply the heart blood. I have had patients who have blocked off two of the arteries and thus were living off one artery which formed collarterals, or "natural bypasses" to other areas of the heart. With medications and monitoring in my opinion it is possible to have a reasonable quality of life. ...Read more
Risk modification: I am assuming you have coronary artery disease and possibly an ischemic event. We are dealing with secondary prevention. Do not smoke, aggressive lipid modification with statins drugs (lower LDL less than 100 and less than 70 if dm and cad), diabetes treatment, BP less than 130/80, Aspirin 81mg a day, Plavix (clopidogrel) if CAD and revascularization done (pci/stent), weight control, physician manage exercise. ...Read more
Yes: Heart is a very metabolically active organ and needs several nutrients to function well like coq10, l-carnitine, magnesium, ribose etc and lack of these will cause the vessels to have greater stiffness. Also indiscriminate of calcium supplements is causing abnormal calcifications of the whole body and arteries. ...Read more
Arteries pump too!: The arteries are lined with muscle, which aid in the movement of blood through the body. The "pulse" one feels is the contraction of these muscles. Additionally, veins, unlike the arteries, have no muscular lining and thus do not pump blood. They move blood through the assistance of the skeletal muscles and valves found in the veins. ...Read more
Myocardial ischemia: When the heart muscle can't get enough blood flow to supply its needs we call that ischemia. Narrowed arteries, anemia, overgrown muscle and other things can cause it. Chest pain, weakened heart muscle, rhythm problems and other abnormalities may result. It is treated by a combination of therapies. ...Read more
Yes: I don't know specifics but depending on severity a percutaneous vs open heart surgery approach to open up the arteries can be perform. Also if not that severe a medical approach with medication can be done too. All above when rightly perform, the results are excellent. Plenty of alternatives in medicine now a days for coronary artery disease. ...Read more
No definitive answer: Foods high in fat content are processed differently by different people. Depending on their ability to process them by the liver and that depends on genetics. Also, there is more to clogging up arteries than just diet. Exercise, high blood pressure, diabetes, smoking, cholesterol level, and stress can also cause different amounts of plaques in the arteries in different people based on genetics. ...Read more
Various choices.: If you know your arteries are not clogged, they don't really need checking. If you are having no symptoms, but want to know if there is early plaque, a ct calcium score is sensitive for this. If you are having chest pain and you and symptoms are not high risk, a stress test can help sort it out. A ct coronary angio would give more detail about the degree of blockage. Cardiac cath (cont). ...Read more
What is the best test to see if my heart arteries are clear besides the heart cath? Whatever is the most accurate.
BP 117/72, LBBB, slight elevated EDP 20, EF 50-55, heart function fine. Arteries large, clear. Exercise limited at times. Diseased or dysfunction? Cure?
Diastolic: It sounds like you have diastolic dysfunction. You should discuss with your cardiolologist to get an explanation of what is possible in diagnosis and therapy. ...Read more
Usually pain: A clogged artery in the heart prevents oxygen from being delivered to the heart muscle. This will cause pain especially when the heart is being stressed as during exercise or in cold weather. The pain is usually experienced as squeezing or pressure and can be present in the chest, neck, back, or arm. A person may also get sweaty and feel short of breath. ...Read more
Symptoms?: If you have symptoms (angina or heart attack), you need to be under a doctor's care. For everyone concerned about arteriosclerosis: don't smoke, eat a Mediterranean Diet, keep BP under control, try to be optimal weight, exercise daily. If you're >65, have diabetes, or known blockage, take aspirin daily (at least 75 mg). ...Read more
Ensure blood supply: The question is a little vague but I will try to explain. The small arteries to the heart (the coronary arteries) are what supply blood to the hearyt to keep it pumping. The big artery from the heart supplies the systemic circulation. If the small arteries get blocked, then you have a heart attack and may die. Any surgical proceedure may put enough stress on the heart to have a heart attack. ...Read more
I am assuming you: Are talking about coronary artery disease in the form of an atheromatous plague occlusive disease. Also I am assuming you don't have a heart attack. If above is right, you are supposed to be under the care of a cardiologist now. Drug treatment, stress test, 2d echocardiogram, cardiac catheterization and evaluation for a possible revascularization procedure already possibly done. ...Read more
Not often: A ct angio may be a reasonable alternative. Sounds like the cath is being performed because it can be not because it needs to be. ...Read more
Cholesterol and time: Untreated high chol, high bp, and time usually are the big factors. Family hx also plays a key role. ...Read more
Forever: For the majority, they last forever. 5-10 % heal with an exuberant scar. That occurs even less often with a drug eluting stent. ...Read more
Is the hearts output in one beat the only thing that makes the BP what it is or could the pressure on the arteries be effected by something else?
Your question is interesting when I see that you have had a number of "sophisticated" cardiac tests.
Yes one heartbeat initiates circulation at a given pressure but a lot of disorders affect the VESSELS which require the heart to beat at a higher pressure.
Hope this helps!
Dr Z ...Read more