Doctor insights on:
Nursing Diagnosis For Aortic Stenosis
Echocardiogram: Physical exam can be helpful, but echocardiography (cardiac ultrasound) is generally the diagnostic study of choice. Using echo, you can examine the morphology and movement of the valve leaflets, and measuring blood flow velocities, you can estimate pressure gradients to assess severity of obstruction. Cath can sometimes be helpful in assessment and may allow intervention in some cases. ...Read more
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
New dx: Mod. Aortic stenosis w/?? Mild Hypokensis of Apex. Had a PFT /fainted p 2nd MDI dose. Could new diangosis cause fainting on PFT? S.O.B. exertion
May start from birth: Aortic valve problems may start from birth if the aortic valve was abnormal due to a birth defect. As one ages, there can be progressive wear and tear of a bicuspid valve present since birth. There can also be wear and tear of a previously normal aortic valve in the elderly. Rheumatic fever can also cause scarring of the aortic valve in a child or adult. ...Read more
Aortic Stenosis: Aortic stenosis is the abnormal narrowing of the aortic valve. As the aortic valve develops progressive narrowing, 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, or loss of consciousness. Severe aortic stenosis requires valve replacement. ...Read more
Calcium: This operation is rarely used but is done when the ascending aorta is too calcified to operate on. ...Read more
The heart must push harder which is a strain and causes "muscle bound" left ventricular hypertrophy and later heart failure.
The muscle needs more oxygen to pump and coronary flow is interfered with causing angina or heart attack in some.
Low forward flow can lead to fainting syncope.
It is related to degree if stenosis- narrowing of this door!
think of it as a door which does not open fully. ...Read more
Left-sided narrowing: Aortic stenosis involves obstruction to blood flow out of the left ventricle (the major pumping chamber in the heart). Most commonly, narrowing is at the level of the aortic valve itself, but subvalvar (below the valve) and supravalvar (above the valve) aortic stenosis also occurs. Aortic stenosis may be congenital (you are born with it), or acquired. Symptoms depend on the degree of obstruction. ...Read more
Congenital: Ebstein anomaly is a congenital condition affecting the tricuspid valve and its position inside the heart. Clinical symptoms are dependent on which structures are affected in addition to the valve. Aortic stenosis is a condition where the aortic valve opening is smaller than normal. This can be congenital or acquired. ...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
SAVR AND TAVR:
Traditionally, surgical aortic valve replacement was the best method for treating significant aortic stenosis. Some patients, unfortunately, were too ill for the procedure. Transcatheter aortic valve replacement (tavr) has proven an excellent alternative for these patients.
Talk to your thoracic surgeon and cardiologist to see if you are eligible. ...Read more
Valve replacement: If aortic valve stenosis is critical will require an aortic valve replacement. ...Read more
Needs expert eval: Aortic valve stenosis and chest pain, if it is angina, is an ominous combination. Angina means that there is pain related to inadequate blood flow to the heart muscle to meet the needs of the heart. In as, the work being done by the heart is high due to the obstruction, and there is potential for blood supply to be limited. Find an expert is structural heart disease to evaluate your symptoms. ...Read more
The symptoms ranges: From mild to severe. Aortic valve stenosis signs and symptoms typically develop when narrowing of the valve is severe and can include: chest pain (angina) or tightness, feeling faint or fainting with exertion, shortness of breath, especially with exertion, fatigue, especially during times of increased activity, heart palpitations sensations of a rapid, fluttering heartbeat, heart murmur. ...Read more
Degeneration: The aortic valve connects the heart (left ventricle specifically) to the aorta, which carries blood throughout the body. Aortic stenosis is obstruction at the valve level to flow through the valve. This increases the workload on the left ventricle. Senile calcific as is a degeneration of the valve, which calcium deposition in the valve. This is different than a congenitally abnormal valve. ...Read more
Symptoms: Symptoms of aortic stenosis are syncope (passing out), angina (chest pain) and heart failure. Weight lifting may actually increase the heart muscle thickness (although the right heart may be affected more). With aortic stenosis, the left heart gets thicker. Weight training is probably okay, but you need to discuss it with your cardiologist. ...Read more
People are reluctant to give pre op patients with critical aortic stenosis inotropes. They stimulate the heart, but in the case of dobutamine and milrinone (most common phosphodiesterase inhibitor) they also drop the aortic pressure past the valve, and that can be very bad.
Post op, PDE's can be preferable to other inotropes because sympathomimetics worsen the stiffness of the thick LV. ...Read more
I presumed: He is under the care of a cardiologist already. It is best that you addressed these questions / concerns with the specialist as he has all the test results and can give you a more meaningful answer pertinent to your son's case as far as restrictions/ activities goes and preventive measures. ...Read more
If I have surgery to correct severe aortic stenosis, will I be likely to have a fairly normal lifespan?
What happens if you don't have any treatments done for your son's aortic stenosis, will it eventually resolve?
Is aortic stenosis from old age common? What percent of people will get it? More women or men? Life style increase risk?
Aortic stenosis...: At old age is usually senile calcific aortic stenosis and occurs on previously normal valves. Younger patients with stenosis tend to abnormal leaflets (2 vs 3). Mechanical stress may lead to calcium buildup on the valve. Smoking, diabetes, hypertension and male sex are other risk factors. There are similar links to atherosclerosis of the coronary arteries. But you can have one without the other. ...Read more
Finished amox500mg3xday today, isitok to take 600mgclindamycin before root canal tomorrow as prophalxis for aortic stenosis?
Ask YOUR Dr.: Dr. Davantzis gave you an excellent answer and I fully agree with him. The only thing that I would like to add is this: patients should always discuss these types of issues with the health care provider that is actually treating them, and should not rely on internet research or even asking doctors online for what medications to take. We try to be helpful but your own doctor is the one responsible. ...Read more
3 month old Son diagnosed with mild aortic stenosis. Trileaflet with slightly thickened commissures. Will he outgrow this? What does the future holds?
Is a congenital deffect with which your son is born with.
No he will not outgrow it but fortunetly it is not severe
he will need an evaluation by a good pediatric cardiologist who will monitor this as he grows
he will lead a normal life but will need coverage with antibiotics as a prophylaxis on the advise of the cardiologist ...Read more
See below: The accepted indications for surgical treatment are syncope (fainting) which may indicate critical narrowing. Chest pain which may be due to poor flow to the coronary arteries which start just beyond the aortic valve and shortness of breath which may be due to congestive heart failure are the two others. ...Read more
CXR's show mild cardiamegaly 4 many yrs. Could it with Type II DM & Asthma cause Mod. Aortic Stenosis &? Mild hypokensis of Apex. This DX A.S/HA new
Possibly.: It would make more sense for the cardiomegaly to result from aortic stenosis because the heart would build up muscle of the left ventricle pumping against the stenosis to get blood to the rest of the body, but they may be unrelated. Hypokinesis may represent ischemia or lack of adequate oxygen to your inferior heart. Diabetes certainly plays a role in heart disease especially atherosclerosis. ...Read more
Aortic stenosis...: Is narrowing or restriction of the aortic valve leaflets. When it occurs at old age it is usually senile calcific aortic stenosis and occurs on previously normal valves. Younger patients with stenosis tend to abnormal leaflets (2 vs 3). Mechanical stress may lead to valve thickening and fusion of the leaflets, which limits flow across the valve. With time, calcium may buildup on the valve as well. ...Read more
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