Doctor insights on:
How To Treat Absent Pulmonary Valve Quickly
Every person unique: I urge you to contact your cardiologist. They are the only doctors in a position to evaluate you child and determine how quickly the condition is changing, if at all. ...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
Pulmonary edema: Get the water out of the lungs either using diuretics if there is enough renal function left to allow this to happen or remove the water acutely using hemofiltration. If this is due to renal and heart failure, the heart failure also has to be managed aggressively. ...Read moreSee 1 more doctor answer
Is valve replacement surgery will be needed for physiologic mitral valve regurgitation to treat pulmonaryHTN?Even if not so severe?
Is it possible to have valve surgery even if presented mild MR to treat pulmonary HTN
To prevent further complications?
Valve surgery: Some left heart valve problems can cause damage to the lung circulation and right side of the heart (such as pulmonary hypertension.) Mild mitral valve disease would be very unlikely to cause this. Consultation with a cardiologist or pulmonologist experienced at treating pulmonary hypertension should define your options. ...Read more
Sort of...: It is possible to place a clip on the leaflets for an alfieri-type result. Also, annuplasty rings can be placed in the coronary sinus to change the configuration of the mitral valve. However, these maneuvers don't work too well. Ultimately, if the mitral valve really needs repair then surgery by a cardiothoracic surgeon with a *particular expertise in mitral valve repair* is the way to go. ...Read moreSee 1 more doctor answer
Is it possible to have valve surgery even if presented mild MR to treat moderate pulmonary HTN
To prevent further complications?
Unless underestimate: If MR is truly mild, there is no indication for valve surgery. If there is any question of a potential underestimate of the MR (ex. the left atrium looks unusually big, the MR jet is eccentric), then a transesophageal echocardiogram is needed to more clearly assess the MR. https://professional.heart.org/idc/groups/ahamah-public/@wcm/@sop/@smd/documents/downloadable/ucm_462851.pdf ...Read more
PH Treatment : Treatment of pulmonary hypertension (ph) depends on the cause. Group 1 pulmonary arterial hypertension (pah) is treated with medication designed to widen the pulmonary arteries thereby lowering resistance to blood flow and reducing the need for the right ventricle to generate high pressures i.e. Ph. Mitral valve disease may be treated entirely differently depending on the severity. ...Read moreSee 1 more doctor answer
Gently.: It's a careful balance between taking the fluid out of the lungs with something like Lasix (furosemide) and not taking too much out as to cause dehydration or kidney problems. The pneumonia itself is likely contributing to the pulmonary so proper antibiotics are key, as well as using something like an incentive spirometer. ...Read moreSee 1 more doctor answer
How does Rheumatic Heart Disease lead to rhythm issues? Which ones are common with RHD? How does RHD present on echocardiogram?
Atrial arrhythmia : Rheumatic heart disease results in one or multiple valves becoming stenotic or obstructed thereby leading to increased intracardiac pressures in the upstream chambers. That in turn causes dilatation of the atria And electrical instability (arrhythmia). Valve morphology on echo would be highly suggestive of RHD as it has a tell tale pattern well described. Treat valve disease to heal ...Read more
What is severe subpulmonary stenosis due to mitral valve chordal apparatus with a peak gradient of 72 mmhg? Can it be treated?
Is it possible to have valve surgery even if presented mild MR to treat diagnosed moderate pulmonary HTN, To prevent further complications?
Valve: The specific situation of the individual's physiology suggests the appropriate intervention. You need to discuss with the physician who knows your situation best. ...Read more
Can mycoplasma pneumoniae cause pulmonary embolism and/or deep vein thrombosis? If so, how do doctors treat these issues?
What does it mean "physiologic" valve regurgitation?
Does it need surgery to prevent pulm HTN to get worse?
No surg for physiol.: Most people have a "physiologic" or "trivial" amount of valve regurgitation, particularly in their tricuspid or pulmonic valve. Trivial/Physiologic is the degree less than mild, which is less than moderate, which is less than severe. In fact, having trivial tricuspid regurgitation or pulmonic regurgitation can be very helpful in making calculations about pulmonary pressure. ...Read more
Is pulmonary arterial hypertension more of a respiratory or cardiac condition. How can I assist my gp to determine if pah exists.
The heart has 4 chambers. The right ventricle is the pumping chamber whic h pushes blood into the lungs so oxygen can be put into the blood. When the right ventricle squeezes, the pulmonary valve opens and blood flows into the lungs. When the right ventricle relaxes to fill, the pulmonary valve closes so blood can't flow backwards ...Read more
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