Doctor insights on:
When Does Mitral Stenosis Become A Problem For A Patient
Right heart failure: Blood backs up in the left atrium which overflows into the two vena cavae which lead to distention of these veins which swells the liver and the ankles. If it becomes more severe, then, the right ventricle distends and blood backs up into the lungs and causes shortness of breath. This is called right heart failure. Also, insufficient blood gets to the rest of the body because the left ventricle. ...Read more
Extremely variable: The two entities are usually unrelated. First, sinus node dysfunction. As people age, this usually becomes worse, and (especially if there is need for certain cardiac or BP meds), frequently causes dizziness, fatigue or fainting. Mitral valve prolapse can progress with more "stretching" of the valve over time, and hence becoming leaky, but it is a minority of people who develop significant leak. ...Read moreSee 2 more doctor answers
What does can't exclude a functional bicuspid valve on a Echo? I have a mild to moderste Aotic stenosis for several years.
Normally the aortic: valve is trileaflet (three leaflets) but in some individuals it is bileaflet (two leaflets.) This is called a bicuspid valve. The interpreter of the ECHO is unable to see the valve clearly enough to make a distinction so he says he can't exclude the possibility that the valve is functioning as though it is bicuspid rather than normal. ...Read more
Yes: Mitral prolapse is a "normal" abnormality of the mitral valve seen in approximately 10% of the population. It usually does not cause any major heart problem but may be associated with chest pain and palpitations. There is no problem bearing children with usual mitral valve prolapse. Rarely a severe leak of the valve leads to surgical repair/replacement and could impact child bearing. ...Read moreSee 1 more doctor answer
How often shld a Bicuspid Aortic valve be chkd., once diagnosed. Mild Regurgitation. And when should surgery become an option?
Bicuspid aortic valv: This is a common abnormality. We generally get two studies about a year or two apart at first to establish whether things are progressing rapidly or stable. If stable the follow ups can be moved out further in time. We don't consider surgery unless serious valve leak is present and the heart is dilating in response to it. ...Read more
When does a rectocole need repaired? If left untreated will it get worse? Is surgery for this out patient or requires hospital stay?
Depends on patient: Small rectoceles can be repaired as an outpatient. Extensive ones may require more extensive surgical repair. Each case is different. Your surgeon will need to guide you through the treatment options. ...Read more
Why does a partial or full avsd cause a holosystolic murmur? Is it because associated valve regurgitation? Thanks.
Typically: Iin an avsd, there will typically be a systolic ejection murmur from increased flow across the pulmonary valve related to pulmonary overcirculation. The vsd shunting will often be low velocity and not produce an audible murmur, so any holosystolic murmur would usually derive from av valve regurgitation, a common problem in this defect. ...Read moreSee 1 more doctor answer
Certainly: Degenerative changes in the spine do not typically affect fertility. Depending on where the problems are, sometimes the assoiated pain can actually improve with pregnancy. Other degenerative changes, especially in the lower spine an sacrum, can feel worse during pregnancy. ...Read moreSee 1 more doctor answer
If a person is on a ventilator, and does not have a trachea, how long do hospitals (namely icu's) allow this?
Tracheotomy: I am assuming you are asking about a tracheotomy or tracheostomy. If the person is expected to be on a ventilator long term or has been on the it long term (> 2 weeks) usually a "trach" is done. Sometimes, a trach is done initially if there are airway issues. A trach allows the person to be more comfortable, allows easier nursing care, and prevent future airway complications. ...Read moreSee 2 more doctor answers
Can you have a long anterior leaflet without having marfans or a connective tissue disorder? Does it always mean myxomatous valve disease?
Depends: Asymptomatic pts even with severe as have a good prognosis. 1 percent per yr death rates. With symptoms rates much worse. 25 percent 1 yr and 50 percent 2 yr mortality. 50 percent of these deaths are sudden. When pts have angina , pts usually have their event around 5 yrs from onset of symtoms , 3 yrs for syncope (fainting) and 1-2 yrs heart failure. ...Read moreSee 1 more doctor answer
Dental prophylaxis: Mitral valve prolapse (mvp) is a minor variation of the structure of this heart valve. Mvp does not by itself usually cause any symptoms, but sometimes it is part of a syndrome that includes other symptoms, such as palpitations and back pain. People with mvp have increased chance of infection on the valve (endocarditis), and should take antibiotics before dental procedures (ask your doctor!). ...Read moreSee 1 more doctor answer
Intermittent: MVP is dependent on loading conditions - thus it can be intermittent. In that regard, it could happen "suddenly" and disappear just as suddenly. Note that MVP is a variant of normal but presents a spectrum of severity, usually mild but rarely severe. Unless there is a chordal rupture, it generally doesn't cause symptoms. ...Read more
- Talk to a doctor live online for free
- Why does a patient with mitral stenosis lay on his left side during auscultation?
- Mitral stenosis
- Why does dialysis patients become incoherent?
- Ask a doctor a question free online
- When does shingles become contagious
- When does constipation become serious
- When does cancer become terminal
- When does pregnancy become visible
- Talk to a cardiologist online