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Mitral Valve Replacement Health Feed

Can CABG + AVR (Aortic valve replace) do at same time for an Obese patient? Is is vill success even the CABG for him is second time?

Dr.Udaya Nath Sahoo 91% (2203ratings)
MBBS
Internal Medicine Specialist, Kendujhar
Can CABG + AVR (Aortic valve replace) do at same time for an Obese patient? Is is vill success even the CABG for him ...
Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned both can be done at a time and there is no problem at all and CABG will be successful even after second time. Thanks
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I had a Mitral Valve Repair back in June 2016 due to Mitral Valve Prolapse caused by marfan Syndrome. I just want to know that How Alcohol consumption and smoking can impact my health?

Dr.Sameer Gupta 86% (56ratings)
MBBS, Diplomate, American Board of Internal Medicine , Diplomate, American Board of Cardiology , Diplomate, American Board of Interventional Cardiology , Diplomate, American Board of Endovascular Intervention
Cardiologist, Delhi
I had a Mitral Valve Repair back in June 2016 due to Mitral Valve Prolapse caused by marfan Syndrome.
I just want to ...
Hi. Hope you are doing well after the surgery. Alcohol intake after surgery would be dependent on multiple factors. Smoking is best avoided completely. Please let me know if you should need more help.
7 people found this helpful
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Hi, Doctor this is regards to my father he is 67 years old suffering from severe aortic stenosis. His previous medication history was he is a asthmatic patient and taking medication from pas 15 years and he is not an alcoholic and smoker here the doctor advised to have a valve replacement is it safe to have if it so what will b the complications kindly suggest me.

Dr.Rajiv Bajaj 94% (2929ratings)
MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Operation is sometimes needed. For deciding about surgery, doctors check symptoms, ECG and echo pictures. Please post his ECG and echo graphics for a better opinion.
1 person found this helpful
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40 years old. Sir I have problem of aortic stenosis. My lv ejection fraction was 68% one month ago now it is 61%.my doctor suggested replacement of aortic valve due to corona virus there is a delay so suggest about surgery can I delay what is your opinion?

Md Rajja 92% (693ratings)
MBBS MSc, MSc Internal Medicine
Internal Medicine Specialist, Motihari
40 years old. Sir I have problem of aortic stenosis. My lv ejection fraction was 68% one month ago now it is 61%.my d...
Good evening ejection fraction above 60% is ok for wait. But as soon as situations are normal replacement of aortic valve should be done. Thank you.
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Doctor can I take Telvas 20 mg in place of Telvas 40 mg, does it make any difference as I had a valve replacement surgery happened in 1995. As they prescribed for bp maintenance or for the heart functioning, I don't know exactly. I am using Acitrom 2 mg daily on the basis of INR and prothrombin time test.

Dr.Bhagyesh Patel 94% (8331ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Doctor can I take Telvas 20 mg in place of Telvas 40 mg, does it make any difference as I had a valve replacement sur...
Hello dear Lybrateuser , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * Can consume Telvas 20 if BP and all other parameters remain under control . Hope this clears your query . Wishing you fine recovery . Welcome for any further assistance . Regards take care .
3 people found this helpful
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Reasons Behind Heart Valve Disease!

Dr.Manan Desai 90% (224ratings)
M.Ch. CVTS
Cardiologist, Ahmedabad
Reasons Behind Heart Valve Disease!

Complications in the heart valve occur when the functioning of the heart valve is impaired. Valves of the heart allow the blood to flow in one direction and prevent the blood from flowing back into the ventricles of the heart.

Heart valve diseases can be classified as follows:

  1. Valvular stenosis: This condition occurs when the valves of the heart does not open completely due to stiffness. As the opening is narrow, the heart has to work hard to pump blood. This condition may lead to heart failure.
  2. Valvular insufficiency: This is a condition where the valve does not close tightly. This causes some of the blood to flow back to the valve. As this condition deteriorates, the heart has to work harder to pump blood. 

Types and Causes of valve diseases:

  1. Acquired valve disease: The structure of the valve changes due to various infections or rheumatic fever. Rheumatic fever is caused by bacterial infection that had not been treated. It tends to occur in children and cause inflammation of the valve.
  2. Congenital valve disease: This condition usually affects the pulmonary valve where the size of the valve is abnormal.
  3. Bicuspid aortic valve disease: It is a type of valve disease that impairs the aortic valve. Instead of the regular three cusps, the bicuspid valve only has two. This may cause the valve to be stiff or cause it to leak.
  4. Mitral valve prolapse: This condition causes the valve to flop back when the heart contracts. This condition also causes the leaflets of the valve to turn irregularly and cause it to stretch. This condition causes the valve to leak.

SymptomsThe symptoms of valve diseases are as follows:

  1. Weakness: This condition may cause weakness and cause severe discomfort while performing daily activities.
  2. Palpitations: Symptoms such as irregular heartbeats, skipped beats and rapid heart rhythm occurs in this condition.
  3. Rapid weight gain: This condition can cause you to gain weight very rapidly.
  4. It may cause swelling in your ankles, abdomen and feet.
  5. This condition causes shortness of breathIf you wish to discuss about any specific problem, you can consult a Cardiologist.
2893 people found this helpful

Aortic Valve Stenosis: Tests and Diagnosis

Dr.Sunil Beniwal 90% (55ratings)
MBBS, MD - Internal Medicine, DM - Cardiology
Cardiologist, Jaipur
Aortic Valve Stenosis: Tests and Diagnosis

Aortic valve stenosis is a heart condition in which the valve to the biggest artery- the one which provides oxygen-rich blood to our body, called aorta, is narrowed. This prevents the valve from opening fully, obstructing the blood flow from your heart into your body.

When the aortic valve doesn’t open, your heart needs to work harder to pump blood to your body making the heart muscle weak. If left undiagnosed aortic stenosis is fatal.

Symptoms

These symptoms should spur you on to seek medical care right away:

  1. Chest pain or tightness

  2. Feeling faint with exertion

  3. Shortness of breath

  4. Fatigue after increased activity

  5. Heart palpitations — rapid, fluttering heartbeat

  6. Heart murmur

The disorder doesn’t produce symptoms right away and is usually diagnosed during routine physical exams when your doctor listens to your heart with a stethoscope. He usually hears a heart murmur resulting from turbulent blood flow through the narrowed aortic valve.

Diagnostic Tests

There are other ways to diagnose aortic valve stenosis and gauge the severity of the problem, like:

  1. Echocardiogram – This produces an image of your heart using sound. It is the primary test to diagnose a heart valve problem. Sound waves are directed at your heart here and these bounce off your heart and are processed electronically to provide images of your heart. This test helps your doctor check diagnose aortic valve stenosis and its severity plus chalk out a treatment plan.

  2. Electrocardiogram (ECG) –  In this test, patches with electrodes are attached to your chest to measure electrical impulses given out by your heart. These are then recorded as waves on a monitor and printed on paper. Though this can’t diagnose aortic stenosis directly, it can tell you that the left ventricle in your heart is thickened which normally happens due to aortic stenosis.

  3. Chest X-ray This allows the doctor to see the shape and size of your heart directly. If the left ventricle is thickened, it points to aortic stenosis. It also helps doctor check the lungs. Aortic stenosis leads to fluid and blood in the lungs, causing congestion.

  4. Exercise Tests – Exercise is used to increase your heart rate and make your heart work harder. This test is done to see how your heart reacts to exertion. Exercise test may be contraindicated in severe AS. MRI and X ray not much helpful to diagnose AS. 

  5. Computerised Tomography (CT) Scan –  This means a series of X-rays to create images of your heart and observes the heart valves. CT is helpful in planning for nonsurgical valve replacement. Cardiac Catheterisation is usually needed prior to surgery.

  6. Magnetic Resonance Imaging (MRI) –  This uses powerful magnets and radio waves to create images of your heart and valves.

Once aortic valve stenosis is confirmed, you may have to go in for monitoring or heart valve surgery according to your doctor’s advice. If you wish to discuss about any specific problem, you can consult a Cardiologist.

2764 people found this helpful

Heart Valve Disease - What Causes It?

MBBS, MD, DM - Cardiology
Cardiologist, Bangalore
Heart Valve Disease - What Causes It?

Complications in the heart valve occur when the functioning of the heart valve is impaired. Valves of the heart allow the blood in one direction and prevent the blood from flowing back into the ventricles of the heart.

Heart valve diseases can be classified as follows:

1. Valvular stenosis:
This condition occurs when the valves of the heart do not open completely due to stiffness. As the opening is narrow, the heart has to work hard to pump blood. This condition may lead to heart failure.

2. Valvular insufficiency:
This is a condition where the valve does not close tightly. This causes some of the blood to flow back to the valve. As this condition deteriorates the heart has to work harder to pump blood. 

Types and Causes of valve diseases:

1. Acquired valve disease 
The structure of the valve changes due to various infections or rheumatic fever. Rheumatic fever is caused by bacterial infection that had not been treated. It tends to occur in children and cause inflammation of the valves of the heart.

2. Congenital valve disease
This condition usually affects the pulmonary valve where the size of the valve is abnormal.

3. Bicuspid aortic valve disease
It is a type of valve disease that impairs the aortic valve. Instead of the regular three cusps, the bicuspid valve only has two. This may cause the valve to be stiff or cause it to leak.

4. Mitral valve prolapse
This condition causes the valve to flop back when the heart contracts. This condition also causes the leaflets of the valve to turn irregularly and cause it to stretch. This condition causes the valve to leak.

Symptoms:

The symptoms of valve disease are as follows:

1. Weakness: This condition may cause weakness and cause severe discomfort while performing daily activities.
2. Palpitations: Symptoms such as irregular heartbeats, skipped beats and rapid heart rhythm occurs in this condition.
3. Rapid weight gain: This condition can cause you to gain weight very rapidly.
4. It may cause swelling in your ankles, abdomen and feet.
5. This condition causes shortness of breath
 

2981 people found this helpful

congenital Bicuspid Aortic Valve Mild AS Normal Biventricular function This is the impression of my son's echo test report He is 1 Month old. Pls explain what is this? Is this a serious issue or completely curable?

Dr.Nash Kamdin 94% (6762ratings)
MBBS
General Physician, Mumbai
congenital Bicuspid Aortic Valve
Mild AS
Normal Biventricular function
This is the impression of my son's echo test r...
Dear lybrate user, - In this congenital disorder the aortic valve has two cusps instead of the normal four from birth - the progress in life depends on if some problem develops due to the valve & the child becomes symptomatic, there may not be any problem till adulthood - later on can be corrected by surgery.
1 person found this helpful
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I have an aortic bicuspid valve and am newly prescribed Adderall. Is this a serious or not?

Dheeresh K H 93% (749ratings)
MBBS, MD - Internal Medicine
Internal Medicine Specialist, Bangalore
I have an aortic bicuspid valve and am newly prescribed Adderall. Is this a serious or not?
Aortic bicuspid is fairly common in normal people. You may need regular followup, but usually its asymptomatic. Why were you prescribed adderall? Did your doctor know about your conditions? If your doctor knew, its fairly safe.
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