FAQ - Aortic Valve Prolapse
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How would sounds be affected by A-V valve prolapse? aortic valve stenosis? Pulmonary valve stenosis? A-V valve

AV valve prolapse will produce a non-ejection click. Aortic stenosis will produce softening of aortic component of second heart sound, an ejection click and a mid systolic murmur. Pulmonary valve stenosis will soften the pulmonary component of second heart sound, an ejection click and a mid systolic murumur.  (+ info)

what does it mean if a 6 years old aortic valve is a little big?

Took my 6 year old to the cardiologist, because my oldest son has mitral valve prolapse and the connective tissue Dr. wanted my younger son to be checked for mitral valve prolaspe, the Dr. said my 6 years old son mitral valve is fine, but his aortic valve is a little big, and this could be a sign of a connective tissue disorder, she is going to monitor him, so he has to go back in 2 years, do anyone know more about this and should I be worried.

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What is the effect of a pacemaker after aortic valve replacement surgery?

My father, aged 46, had open heart surgery on Wednesday and had his aortic valve replaced with a mechanical valve.

His heart has not yet started up again on it's own (although he is awake) and they are now going to put in a pacemaker on Monday.

I don't really know what all this means. Is it common? What risks are involved? The doctors seem fairly relaxed about the procedure and have ensured us there is nothing to worry about.

Any information would be greatly appreciated.

"His heart has not yet started up again on it's own (although he is awake) and they are now going to put in a pacemaker on Monday."

Your Dad's heart is a muscular organ with four chambers designed specifically to work efficiently , reliably, and continuously over his lifetime. the muscular wall thereof contract on a regulated sequence, which then pumps blood as required by the body while expending as little energy as possible during each heartbeat.

The contractions of the muscle fibers in the heart itself is controlled by electricity that flows through the heart in a precise manner along distinct pathwaysand at a controlled speed.

The electrical current that begins each and every heartbeat originates in your Dad's natural pacemaker, that is the sinus or sinoatrial node, which is located directly at he top of the upper right heart chamber or right atrium. The rate at which your Dad's natural pacemaker discharges its electrical current determines his heart rate. This rate is influenced by nerve impulses and by levels of certain hormones in his bloodstream.

In adults at rest, the normal heart rate is usually between 60 and 100 beats per minute. However, lower rates are possible in young adults, especially if physically fit. Yet, the heart rate is considered by doctors to be normal ONLY when the heart rate is inappropriately fast or is irregular, but also when the electrical impulses travel along abnormal pathways.
Age-related changes in the heart's electrical system make make some arrythmias more likely, possibly as in your Dad's case. An overactive thyroid gland, sometimes...no cause can be found to identify one.

Most arrythmias neither cause symptoms nor interfere with the hearts ability to pump blood, and pose little or no risk, although they can cause considerable anxiety if someone becomes aware of them. However, some , harmless in in themselves, can lead to more serious arrhythmias. Thus, any arrhythmia that IMPAIRS THE HEART'S ABILITY to pump blood adequately is serious stuff. How serious depends on whether the arrhythmia originate in the natural pacemaker of the heart, in the atria, or in the ventricles. Those that originate in the ventricles are more serious than those that originate in the pacemaker. However there are exceptions....

Your Dad's aortic valve replacement may possibly have been due to abnormal rhythms (arrhythmias) that are also known as sequential heartbeats that are irregular, too fast, too slow, or conducted via an abnormal electrical pathway through the heart. For with harmless arrhymthmias, reassurance is treatment enough. In your Dad's case, which I deduce is serious, an artificial pacemaker has been decided to help him regulate his heartbeat.

Please note that sometimes the area of the natural pacemaker were your Dad's surgeon intenionally felt safe to cut into sometimes gets damaged in heart surgeries. ...as all heart surgery are purported to be the taking of risk ...and in a risky situation, some things just happen ...unknowingly and without malice.

The natural pacemaker of your Dad's heart, the sinoatrial node, has two places involved, where when one portion of this natural pacemaker is damaged, the other takes up the slack. Sometime this 'slack' isn't strong enough or does not occur. Thus a pacemaker implant is the decision of the Doctors that will act in place of your Dad's own pacemaker to his benefit. They implant it surgically under the skin, usu. below the left or right collarbone,...then connect it to the heart by running wires inside of the brachiocephalic vein. It's low-energy circuitry and battery designs now last a patient about 10-15 years undesturbed.

When you Dad's heartbeat, after placement, slows below a certain threashhold set by the doctors on the pacemaker, the electronic pacemaker will begin immediately by firing the necessary electrical impulses to assist your Dad in increaseing his heart rate accordingly.

I hope this helps...
Much Love and Respect


I agree with POPO: Your best answers are going to come from the cardiologist who is caring for your father, don't be afraid to ask.  (+ info)

What is the best alternative way to treat Mitral Valve Prolapse?

I was diagnosed with Mitral valve prolapse yrs. ago, but this has got worse and very troublesome and is interfering with daily routines stay inside away from people because of panic attacks and anxiety feet legs ,hands, and under eyes swell up like b***ons and causes discomfort.I sweat *** the time and catch infections very easly.Is their any over the counter medicenes or vitamins that will help my condition?

Mitral valve prolapse is a structural abnormality of the heart. Over the counter self-treatment is not going to be effective for what can be a very serious problem.

The panic attacks that you describe are not a part of MVP. That sounds like a separate anxiety-related issue.

You need to see a physician for a thorough history and physical, plus cardiac workup to evaluate the severity of your problem, and to distinguish the cardiac issues from the anxiety issues. You may need to be on prescription medications to optimize your heart function. The last resort for mitral valve disease is valve replacement surgery.

People with MVP are susceptible to SBE - subacute bacterial endocarditis, which is an infection of the heart. It is difficult to treat and can lead to further heart problems.

If you let things go too long, your condition may progress to the point where little can be done. Make an appointment with a doctor ASAP and get yourself sorted out. This is nothing to fool around with.  (+ info)

How does alcohol affect someone who has been diagnosed with aortic valve stenosis?

My brother has been diagnosed with aortic valve stenosis and also is a smoker and does drink alcohol on the weekends. He knows smoking should be elimated but what about the effects of alcohol? Does this also contribute to his stenosis?

Hi dear....I think we all know, even the youngest person on this site knows, there are no GOOD things that come from smoking or alcohol. They are both addicting drugs that people do to appease themselves. Think about it.

Alcohol plus smoking are stimulants. A stimulant acts on the body by constricting the blood vessels. Caffeine too. Constricting means to make smaller. He has a valve that is smaller than it should be. No one knows what causes this but hereditary plays an important part.

Anyway, since it is naturally smaller, then one goes and drinks or smokes, the entire aortic artery itself gets smaller, along with the other arteries of the body.

Take a hose. Turn the water on a good strong ways. Then bend the hose on a spot making it difficult for the same amount of water to flow what was earlier. The water coming out the end is not as strong, yet the origin or the water is as strong at the spigot. All this water is being pushed against the bent area but is not getting through fast enough.

The spigot would be the heart. It is still pumping at the same strength it was before the drinking or cigarette, but it is pumping against a brick wall so to speak. The blood is not flowing through the constricted valve, and now not so good through the constricted artery, so it is backing up somewhat as well as the heart tries to pump harder to get it through.

It is a perfect recipe for congestive heart failure in the not too distant future. The heart muscle will enlarge as the muscle is being worked too hard, and that is NOT a good thing for a heart. It will be the ventricle that enlarges. The left ventricle pumps the blood through the lungs and since the enlarged ventricle is larger, it it not as effective, so the blood moves through the heart a little slower than normal and the lungs will pick up excess fluid from the blood and deposit it in the lungs making it very difficult to breathe. Left untreated it can kill you. However, the good news is: Surgery can cure the valve. He can have open heart surgery, and a replacement valve placed. My step dad had this and he was like a new man after. Naturally, he quit smoking after smoking for more than 60 years. He was 72 when he had the surgery.

Anyway, I think you can tell him all this, but he may not listen. That is just the way it is. Give him the knowledge. He will do with it what he will. Say a little prayer.

God bless you and him.

Checkout www.healthline.com. It and www.webmd.com are wonderful sites to find out all about medicines and disease processes.

I am an RN  (+ info)

Is it normal to take days to wake up after a aortic valve replacement surgery?

My grandfather just had Aortic Valve replacement surgery on Tuesday and is still not waking up....he is almost completely breathing on his own and his vital signs are good but not waking up or moving his body hardly any. He has only moved his left arm and leg very little.

Normally, it is normal for the patient to get out of anesthesia (depending on depth of anesthesia). But it's a long time for him, might be the doctors have sedated him , for reasons they know better.  (+ info)

What happens before, during, and after an aortic valve replacement?

Ok so i am 16 years old, and i have Aortic stenosis, bicuspid aortic valve, aortic regurgitation and an Enlarged aorta. I am soon going to be getting an aortic valve replacement. I am just wondering what happens before and after the surgery and how long i will be in the hospital, how long in the ICU, what kind of tubes/machines will i need? any information will help. thanks :)

Mechanical valve will last for ever. But the red blood cells will be damaged and clot will be formed in the implanted mechanical valve. In order to prevent the formation of blood clot, the patient has to take warfarin (a blood thinner) for the rest of his/her life.
If pig valve is used, there is no necessity to take the medicine (warfarin) for the rest of his/her life. But the tissue valve will function only for 15 years.
Since you are too young, you have to opt for mechanical valve and to take the medicine for the rest of your life.
Valve replacement is indicated for virtually all who can tolerate surgery. In younger patients, the patient's own pulmonic valve can be used, providing good durability; a bioprosthesis is then used to replace the pulmonic valve (Ross procedure). Most often, the aortic valve is replaced with a mechanical or bioprosthetic valve.
You will stay in an intensive care unit for the first 2 or 3 days following the operation. Your heart functions will be monitored constantly. The average hospital stay is 1 - 2 weeks. Complete recovery will take a few weeks to several months, depending on your health before surgery.  (+ info)

Is it safe for someone with a mitral valve prolapse to have children?

I have mitral valve prolapse (which means that my mitral valve doesn't close properly). I am not ready to have children yet. I was just wanting some information before I have kids.

The mitral valve is located in the heart. It means you have a broken heart. You can't love, and you need to find love to have children. Sorry, sister, you're out of luck.

Just playing with you. Take care of your heart, and your doctor will tell you if you can handle the strain on the heart from pregnancy. It may be unlikely, but you can always adopt.  (+ info)

Can Mitral Valve Prolapse by aggravated by medication?

My doctor suspects that I have mitral valve prolapse, after listening to my heart when I went in for chest pain last week. I've had this happen several times in my life, and it was always triggered by taking a medication. I go in for an ultrasound on my heart next Wednesday. I can't find anywhere that says that MVP is aggravated by medication though. Has anyone else heard of that?

You'll be happy to know that the vast majority of people who have mitral valve prolapse suffer no symptoms and have no change in their life expectancy or likelihood of developing valvular dysfunction later in life. It is a common physicial finding at 2-5% of the entire population.

That said, I can not say I have ever met a person with MVP who is not on the scale of things, an anxious individual. With anxiety comes a host of other issues including heart palpations, chest pain, shortness of breath and other physical manifestations. Unfortunately these people often attribute the other symptoms they have experienced to the MVP...and of course there is a certain logic there. Regardless, MVP remains without symptoms, treatment, complications, or need for antibiotics before dental procedures. Therefore it is an interesting physical finding, like noticing you have blue eyes.

As for a medication triggering heart palpations...yes, there are certain medications that can do such things. Usually they are stimulating medications, like cold medications or asthma medications as examples. The heart palpations are harmless, though annoying. If you do not care for the side effects, I would recommend you simply avoid the medications.

Good luck. I hope this was helpful.  (+ info)

Is it safe to get a tattoo if you have Mitral Valve Prolapse?

My mom wants to get her first tattoo, but she has a heart condition called Mitral Valve Prolapse. It's sort of like a really bad heart murmer. At one time, a doctor told her that she should have penicillin before having anything done (like dental work). Would that apply to having a tattoo?

Absolutely, she needs to get antibiotics from her family Dr. because she is at a very high risk to develop endocarditus, which is an infection involving her heart. She must speak with her family Dr. first.!!  (+ info)

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