FAQ - Aortic Stenosis, Subvalvular
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What is the sign in physical exam with which we can say aortic stenosis in a case is not severe?


I mean only by physical exam, it tells us that AS is not severe?
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There are several physical signs which indicate that aortic stenosis is severe. These should be absent.
Low volume pulse
Heaving apex beat
Long ejection systolic murmur
Late peaking of systolic murmur

In other words, pulse volume should be normal, apex beat should be normal, ejection systolic murmur should be short and early peaking, if aortic stenosis is not severe.  (+ info)

Can a lady operated for severe aortic stenosis become pregnant?


I am Mrs.Deepa Gobinath. We are married last Dec 2005.In the month of july 2006 doctors have diagnosed severe aortic stenosis and said that my heart has to be operated.Lady doctors have said if the heart problem is over I can have a child.My husbamd and their family members are angry with me and they have decided to divorce me if I will not have a child? Can I have a child ?
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It is probably not wise to get pregnant before an operation to correct your aortic stenosis.

After the operation, whether or not you can get pregnant really depends on how well your heart is functioning after the operation. If the aortic stenosis has resulted in no significant damage to your heart, then it is quite likely that you will be able to have a normal pregnancy, albeit with a few precautions along the way.

If your heart is severely damaged, then it may not be safe for you to be pregnant. Bear in mind that pregnancy places great stress on the heart owing to the increase in the amount of blood that the heart has to pump around. If your heart is not strong enough, then heart failure may result, which would endanger your life and the life of the foetus.  (+ info)

Does mild to moderate aortic stenosis affects infant's growth?


my 1-month old son was diagnosed with aortic valve stenosis with mean gradient of 30 mm HG. So far he does not show any symptoms and thrived well since his birth, but would it affect in the future if the stenosis remains mild to moderate?
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Children with aortic valvar stenosis are usually asymptomatic and in normal health. A heart murmur is the most common sign detected by a physician indicating that a valve problem may be present. Children with mild-to-moderate degrees of aortic valve stenosis will have easily detectable heart murmurs, and are typically without any symptoms at all. Symptoms occur only with severe aortic stenosis. A newborn with critical aortic valve stenosis develops heart failure in the first days of life. This is an emergency situation that requires immediate treatment, either balloon dilation of the valve or surgery. Children with mild aortic stenosis rarely require treatment. However, it is important to note that aortic stenosis may be progressive, and that children with mild disease may eventually require treatment later in life. It is also important to understand that all treatment for aortic valve stenosis is palliative (that is, it does not return the valve to a normal condition). Therefore, before and after successful treatment it is important that all children with aortic stenosis be followed carefully by a qualified cardiologist.
I add a link, with internal links, containing details of this subject

http://www.mayoclinic.org/
aortic-valve-disease/
aortic-stenosis.html

Hope this helps
matador 89  (+ info)

To medical professionals: is there any way to improve my stamina even though i have aortic stenosis?


I was diagnosed with this defect after birth. I occasionally lose stamina and become tired bery quickly due to it. Is there any exercise program I can follow that would aid my stamina and strengthen my cardiovascular system?
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It is pretty difficult to place a percent risk on your exercise routine. The take home message is that as your valve stenosis progresses, you will start to develop symptoms that usually include chest pain, shortness of breath, or heart failure symptoms. You will most likely experience a decrease in exercise tolerance. If you start having chest pain, heart failure symptoms or pass out (syncope), those are indication that your valve may need replaced sooner than later.

I respect that you have a desire to improve your stamina and wish more people would do the same. But I would recommend working closely with your doctor to determine when your rigorous exercise routine is less safe. The time to symptoms is different for everyone aortic stenosis is different. It is impossible to predict now when you may start to have problems.

So, before you resort to any 'stamina improving' exercise, evaluate your condition with the help of your cardiologist.  (+ info)

Are you living with aortic stenosis? Have you had your valve replaced? If your a guy is it interfering with


your love life? are herbal remedies worth getting??? I don't want to mess with viagra.
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A family member of mine has had it since birth. He has had a baloon valuloplasty of his valve, but so far thats it. He has moderaste stenosis. Herbal remedies DO NOT help!! Aortic stenosis will not affect our love life unless its really sever and your dr has told you to abstain.  (+ info)

question for people living with CONGENITAL aortic stenosis?


I would like to know what life has been like...including surgeries, procedures, activity levels, surprises(good or bad), and the ages of those living with CONGENITAL aortic stenosis...my son is 3 and was born with critical AS with BV and has had 2 valvuloplasty so far.. I would like to hear any of your feedback..thanks so much....mom.
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You might try the Adult Congenital Heart Association website - www.achaheart.org. Hope this helps and good luck to you and your sone!  (+ info)

What are some treatments for the Aortic Stenosis surgery?


i am doing a project and I need some information on this surgery.
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Patients with mild aortic stenosis do not require treatment. Patients with moderate aortic stenosis (valve are 1.5 to 1.0 square centimeters) are advised to avoid strenuous activities such as weight lifting or even sprinting. Aortic stenosis can progress over a few years. Therefore, patients are usually examined annually and evaluated by echocardiography periodically to monitor disease progression. Since endocarditis is a serious complication of aortic stenosis, these patients are usually given antibiotics prior to any procedure in which bacteria may be introduced into the bloodstream. Patients with symptoms of chest pain, syncope, or shortness of breath appear, usually undergo cardiac catheterization. If severe aortic stenosis is confirmed, aortic valve replacement is usually recommended. The overall mortality risk for aortic valve replacement surgery is about 5%. I hope this helps and I hope you ace your project! :)  (+ info)

Is valvuloplasty effective in asymptomatic severe aortic stenosis patient?


URGENT URGENT URGENT ! ! ! !
I have heard there is only symptomatic improvement with aortic valvuloplasty in most bicuspid aortic valve patients, but objective improvement in aortic valve area is usually only modest and SHORTLIVED.
Is it also true for young adult patient?.
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I have never heard of valvuloplasty being done on anyone without very severe symptoms who is not a candidate for valve replacement surgery. And you are correct, the results are modest and short-lived. It is used as a palliative measure for the most part to make people a bit more comfortable for a short time.  (+ info)

My father has aortic stenosis. his heart valve is suppose to be the size of a quarter, however it has closed?


to the size of a pen head. open heart surgery is a must, he is having it in a week, but the doctors give him a 50/50 chance. anyone have any experiences with this to share? i am sick with worry, he is in his 80s and im afraid of loosing him.
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If his surgeon gave him those odds, then he must not be in the beat of health to begin with. I've seen some sick people have open heart surgery and survive.

Since he's in his 80's, there WILL come a time when you will lose him. It's never easy to lose a parent. Spend time with him before the surgery. Also, make sure that he has a living will and, if possible, a health care power of attorney.

Best of luck to you and your dad.  (+ info)

Do you know how to treat Aortic Stenosis?Who's the best HEART DOCTOR in Grants Pass OREGON area?


My 68 year old mother has aortic stenosis with her heart. I am worried about her. She was diagnosed about eight years ago. She had an eckocardiogram done the other day and they saw a decrease however small.

She's a diabetic and she is the only living person in her family. She has a doctor but I want the best for her.
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I wish I could tell you something about aortic stenosis, but I can at least share our experience with Cardiology Consultants in Medford and Grants Pass.

I would start by reading the bios of all the cardiologists there. They work primarily out of Rogue Valley Medical Center in Medford, but have a satellite in Grants Pass.

Here's a link:
http://www.ccpcso.com/ccpc-bios.htm

They diagnosed my wife's cardiomyopathy quite early and have a strong team of doctors. So I think it's an excellent place to begin. If she requires a particular type of procedure and they do not perform it regularly, they will be helpful in finding someone to do that procedure. (They were helpful in suggesting other doctors to see at OHSU, but we settled on a doctor at Stanford because of his specialization in cardiomyopathy.) OHSU will probably be your best bet, but a lot depends on your ability to travel and stay in your mother's comfort zone, as well as the need to find a specialist for the procedure in question. And then there's insurance issues... (feh)

The only real problem that I have with this cardiology group has nothing to do with the doctors, but with the population base of the Rogue Valley. There just aren't enough people to have a significant case load of cardiomyopathy patients. You may find that your mother's problem is more common and so you feel comfortable with a surgeon there.

I hope this helps. Please feel free to send me a private message if you want any further details.

-Mark (Ashland)  (+ info)

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