Doctor insights on:
How Can One Estimate The Life Expectancy For Someone With Aortic Valve Regurgitation
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
A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more
AI: Aortic insufficiency likely is always abnormal, serial clinical monitoring in mild AI is all that's needed absent other clinical factors ...Read more
Aortic valve: We have no specific steps other than good medical care. If hypertensive it needs treatment, anti atherosclerotic therapy is also appropriate. ...Read more
My echo showed a mild to no more than moderate regurgitation on my aortic valve. What other tests should be done and should I get a 2nd opinion?
What other: Tests or if you need a second opinion depend on what your symptoms are and what the docs are looking for. I can see you have had a previous MI and have stents and it sounds like your heart pumps normally but I don't know your question or current problem. I don't even know your meds. Sorry ...Read more
What are the underlying causes of aortic valve cusp prolapse? Is there always regurgitation with it?
Yes: The aortic valve (the valve that leads from the left ventricle to the rest of the body), if that valve leaks then the blood that was to go out to the body is coming back into the heart. A new batch of blood is entering in to the lv from the left atrium across the mitral valve, and this needs to go through the aortic valve to the rest of body. The lv has to work twice as hard and fails over time. ...Read more
Usually acquired: Aortic regurgitation is usually an acquired disease. Some forms of congenital vascular disorders are associated with aortic valve problems such as Marfan's Syndrome and this can involve the aortic valve. This is rare. Marfan's is inherited in an autosomal dominant pattern. Even more rarely it can also occur as a spontaneous mutation in someone who has no family history. ...Read more
Had ECHO, came back 'normal' noticed it listed 'trace' triscupid, mitral and aortic valve regurgitation. Is trace regurgitation normal?
I have a severe bicuspid aortic valve regurgitation I am 22 years of age I have symptoms how will I know if im about to die?
Surgery: The most important factor is that u r symptomatic. Severe ai in this setting requires surgical intervention. Don't wait, waiting can cause left ventricular dysfunction which can be irreversible. Seek an experienced surgeon, some bicuspid valves can be repaired with a good long term result. Minimally invasive approach is also possible. ...Read more
Husband, 31, had meningitis in 2015. Now he has aortic regurgitation. No other problems. Do you think the meningitis attacked the aortic valve?
No: Totally unrelated issue. The spaces involved in the infection are widely different. Meningitis generally starts when the germ enters the blood through the nasal passages and travels into the blood supply of the brain & its coverings. The infection is occasionally found in the venous blood but is not known to attack the aortic valve. ...Read more
What are the implications of mildly scleroric trileaflet aortic valve, adequate opening, mild mitral and tricuspid regurgitation in 57 year old female?
Valve: With the sparse info provided can't predict future evolution. Could well be relatively benign. ...Read more
Husband (31) had bacterial meningitis in 2015. Now he has aortic valve regurgitation. No other problems. Maybe the bacteria attacked the aortic valve?
Possibly yes: Some types of bacterial meningitis (for example, pneumococcal) sometimes cause heart valve infection (endocarditis) at the same time. This could lead to aortic regurgitation. Others (e.g. meningococcal) are unlikely to do so. Probably he is under the care of a cardiologist; s/he should be able to answer this. Good luck! ...Read more
29yo male I have a bicuspid aortic valve with minor to mild concentric aortic regurgitation how concerned should I be for problem in the near future?
Minor: Need to be on a surveillance program coordinated with cardiologist to follow aortic insufficiency and aortic enlargement. Need to avoid hypertension and be careful about activities that cause rapid rise in blood pressure like heavy weightlifting or strenuous abrupt effort. Maintain good weight and activity ...Read more
I made an echocardiographic, the conclusion is. Sclerotic aortic valve, ef ls32%, mild mitral regurgitation&dilated l.A. Am I in ddinger. Lam 47 y?
This is concerning:
Of the findings you reported, I am most concerned at this time about your ef of 32%. This needs to be further evaluated as to the cause. Low ejection fractions tend to cause symptoms of heart failure as well as markedly increase your risk of sudden death.
Aortic sclerosis, mild mitral regurgitation and dilated left atrium are findings that need to be monitored; they may progress in the future. ...Read more
My heart ultrasounds says findings: Trace tricuspid regurgitation. It also says aortic valve is trileaflet. Is this normal?
I have a bicuspid aortic valve with a mild aortic regurgitation measuring 3.78 cms. Can I jog on a treadmill at an average speed of 7-8 km/hr.?
If you have: No symptoms of aortic insufficiency then yes you may certainly exercise but continue regular followups with your cardiologist. ...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. 6-Mode
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
Bicuspid aortic valve, aortic root dilated at 4.6cm, no stenosis, trivial regurg, cardiologist not worried at all, I'm really anxious, should I be?
No you shouldn't.:
bicuspid aortic valve is very common, affecting 1 to 2% of the general population. In fact, it is the most common congenital heart defect. Most people who have a bucspid aortic valve have a well functioning valve - like you do. The only recommendation is to continue to have follow up visits with your cardiologist and maintain a healthy lifestyle. ...Read more
Plz xplainEcho says EF 60% Mild mitral valve prolapse. Left Atrium mildly dilated. Mild mitral regurg. Cannot rule out bicuspid aortic valve considerTEE?
Had a cath?: The echo says there might be a structural abnormality of the aortic valve and a leak of the mitral valve with resultant dilation of left atrium. If you had the cardiac cath you list any time recently, more information should be available from that. A TEE is a transesophageal echo which gives us better pictures than a transthoracic echo. You should discuss this echo with your Doc ...Read more
AVR: Aortic valves can be replaced with either mechanical valves or bio prosthetic, taken from animals and treated to prevent rejection. There are different reasons for choosing either valve such as age and treatment with anticoagulants. Individuals who do not wish to be on meds such as Coumadin (warfarin) may have a bioprosthetic valve, however, younger individuals usually have mechanical valves. ...Read more
Check with your doc:
If you have your aortic valve replaced with a tissue valve, some surgeons do not recommend warfarin at all, others may suggest you take a blood thinner for a short while e.g. 1-3 months.
If you have any other problems such as an irregular heart beat like atrial fibrillation, you may have other reasons that you would need warfarin.
It would be best to check with your doctor. ...Read more
Is a root canal safe to do one week before aortic valve replacement? Or better to wait 6 months after surgery?
Prep. For aortic valve repl. Pls discuss 'wisdom' of choosing mech. & lifelong implications of coumadin (warfarin). One doc rec. That b-cuz of my 'young' age. Thx?
Depends..: The newer biological, non metals valves last much longer and do not require coumadin (warfarin). In addition, if you valve starts to not function properly in 15 years, you may be a candidate for a catheter based procedure. Coumadin (warfarin) has a 3% risk of bleeding per year. A long discussion with your surgeon and cardiologist is in order. Good luck. ...Read more
I have a bicuspid a aortic valve what changes in my life should I makei as for drinking and exercising?
Talk to cardiologist: Any limitations that you may have will depend on how the valves are functioning. A cardiologist can evaluate the valves and advise you regarding any limitations you may have. ...Read more
May be decades: Mechanical valves are the most durable of all heart valves. The "biological valves" or "tissue valves" usually last a decade or so but have the advantage or lower risk of clotting and less need for anticoagulation. Patients with mechanical valves general should be anticoagulated with Coumadin (warfarin). People who have a long life span and have low risk with anticoagulation are best for mechanical valves ...Read more
Bicuspid aortic valv: Yes it is one of the causes of aortic insufficiency ...Read more
None currently: Typically none with mild or moderate stenosis as long as there is nothing else going on, but should be monitored by a cardiologist over time and your individual case discussed. ...Read more
Lethal: If you think you have an aortic dissection, you should be in the er since the mortality rate until diagnosis rises by the hour. ...Read more
Aortic valve disease: The two major aortic valve abnormalities are stenosis and insufficiency (regurgitation). Stenosis is like a door that doesn't open sufficiently and insufficiency is like a door that doesn't close sufficiently. When there is too much stenosis blood flow out of the heart is impeded. Too much insufficiency and the heart has to pump lots of extra blood to compensate. They can coexist. ...Read more
Had echo due to palps&svt. It showed mild thickening of several aortic leaflets&mild regurgitation of aortic, mitral, tricuspid&pulmonic valves. Worry??
Echo: Likely the findings are of no significant consequence ...Read more
What is "normal"?: A patient will undergo that procedure if it will save him or her or at least improve quality of life. If the procedure will keep a patient from going in and out of heart failure or allow him to at least perform reasonable functions in life, it is probably worth having done. Will someone run a marathon, probably not, but even so--i'll bet that there has been at least one or two who have done so. ...Read more
Variable: Like any drug, alcohol has its own pharmacologic profile and metabolism with acute and chronic adverse effects possible. If the aortic stenosis is mild to moderate or less, modest alcohol intake may have little to no effect. If the aortic stenosis is severe or critical, then instability of blood pressure or heart rhythm may result and create clinically important problems. ...Read more
Not first treatment: Homeopathy is not the first treatment to be used in aortic stenosis. Full cardiology evaluation -- and depending on how much the valve problem is impacting cardiac function and the patient's life, possibly surgery -- is required. That said, there are a few homeopathic remedies known to help. But you definitely need a professional homeopath for this. Care should be collaborative w/cardiology. ...Read more
The aortic valve is one of 4 valves in the heart, each of which separates 2 cardiac chambers. It opens when blood is actively ejected from the left ventricle into the aorta artery, to be carried to the rest of the body. It then closes firmly to prevent blood from flowing backwards, while it passively continues to flow forward to body's vital organs. When next heartbeat ...Read more
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