digoxin in aortic stenosis

He has a Bicuspid Aortic Valve, Moderate Vavular Aortic Stenosis, Severe Aortic Insufficiency, Moderate Aortic Dialation and Mild Left Ventricle Enlargement. He has been symptomatic for a couple of years controlled with 2.0 digoxin twice daily and 2.5 lisinopril twice daily. His energy level took a market decline in August. His peak velocity was measured in February as 3.7 and when we measured again in September (after the decline) it was 4.4.

I recently had a 2 d echo and I would greatly appreciate some explanation of the results. The abnormals are mitral valve leaflets thickened, aortic vavlular sclerosis, diastolic transmitral e/a ratio decreased suggesting diastolic relaxation impairment, mild mr and mild tr present I am 39 with a history of tachycardia. I am currently taking digoxin 250mcg twice a day. Even with that my heart rate is still in the high 90's resting.

Men with aortic stenosis due to bicuspid valves develop symptoms in their 40s and 50s.

If and when the aortic root narrows (stenosis), it can enlarge the left ventrical (pumping chamber) due to an increase of gradient pressure. An enlarged heart can cause arrhythmatic problems (irregular heartbeats) and if untreated the enlarged heart can/will enlarge to a degree that will severly reduce contractility and the heart will fail to pump sufficient blood/oxygen to meet system's demand with congested heart failure.

I had an aortic valve replacement (tissue valve), due to aortic stenosis, in January 2007, which I was told was unrelated to the AF. And I guess ablation may come up for discussion with the electrocardiologist.

My daughter is 2.5Y old,in his color doppeler test the evidence of aortic stenosis has found Report says Aortic valve opening 11.6mm closure ECCENTRAL Thickening ++ Mid systolic closure ABSENT Dimention Aortic root dimeter 15.2mm Left atrium 19.7mm RVID(ed) 11.3mm LVID(ed) 31.1 LVID(es) 19.4mm This discussion is related to <a href='http://www.medhelp.

If the aortic stenosis does not improve, the surgeons can open up the valve through a cath. The good thing about babies, is that their heart is still growing, so maybe he will outgrow it. Is he being monitored closely with doctors? Does he have to have echocardiograms every few months?

I am an 82 year old male with aortic stenosis (the valve remains open),a mitral valve problem, and congestive heart failure who has had a triple bypass and several stents. Is an aortic valve replacement a viable option for me?

You have mild aortic stenosis. A normal aortic valve normally does not generate any gradient at rest, and maybe only a small gradient with exercise. With this sized valve and your absence of symptoms you need no other treatment other than coronary artery disease prevention ( with a statin and maybe aspirin) and screening echocardiograms every 3-5 years.

I was diagnosed with Aortic Stenosis in August 2012. I have been living in an area that is at 8,500 feet in elevation. I am experiencing shortness of breath and a persistent cough while I have been living here. I become winded during the execution of small everyday tasks such as moving boxes, raking, and at times, even getting into bed or entering my pick-up. I am asking for an educated opinion as to whether or not I would need to move from my location and get back down to sea level.

Thank you for your suggestions. When I see my cardiologist in June I'll ask about digoxin. The other day my internest said I should drink lots of water to stay well hydrated because of my low blood pressure. Any comments? I really do appreciate your input.

Balloon valvuloplasty may relieve aortic valve stenosis and its symptoms, especially in infants and children. However, in adults, the procedure isn't usually successful, and the valve tends to narrow again even after initial success. For these reasons, doctors rarely use balloon valvuloplasty today to treat aortic valve stenosis in adults, except in patients who are too sick to undergo surgery (may provide a few years of relief without much risk!).

and he did a EKG and echocardiogram. The echo came back with mild aortic stenosis. However, I have trileaflets.....so that area if fine? There was some mention of regurgitation in mitral valve. My question is: are echo's always accurate? If I do not have a bicuspid condition, can you still have aortic stenosis? Should I be concerned? I am awaiting a referral to a cardiologist. Thanks!

2.7cm, my problem is that one Doctor suggest I have aortic valve replacement and other says no need for surgery now and he wants to put me on medification, CAPTOPRIL.Are you on any medification? what ?

The Cardiologist told me the reality of my condition and that 70% of patients with a bicuspid valve need to get a valve replacement. However, she also mentioned that since I am young, active, healthy, a non smoker, and taking care of it now that I could fall into the 30% category. If this is true, what sort of measures should I be aiming for to prevent surgery? Should I have a very strict diet and exercise regime?

Hello. I wanted to ask my son had an aortic valve repair using pericardial grafts in March this year. He is nearly 4 now and when I last took him to the doctor he said he could defiantly hear a stenotic murmur. As far as I was aware when he left hospital he had trivial regurgitation. His last echo summary states Mild TR Normal LV systolic function Trileaflet aortic valve Redundant NCC, trivial aortic regurgitation. Mild flow acceleration across aortic valve, V max 2.2m/s, mean gradient 10mmhg.

My daugher is 22 months old. We took her in last week for a possible ear infection. She did have an ear infection and we were also directed to make an appointment with a pediatric cardiologist. Forgive me as I'm still new with these terms. She was diagnosed with mild Aortic Valve Stenosis and mild Aortic Insufficiency with Ascending Aorta Dilation. Right now, since it's mild, we were told to just have her back in 6 months for another check up. No restrictions. What are we in for?

It is relatively imprecise, but can get a reasonable reduction in the stenosis. It creates a tear in the valve leaflets in the process. It can also create insufficiency in the process. It is important to understand that the valve will NEVER be made perfect. And, it does depend on the experience and skill of the interventional cardiologist as to how to balance the amount of reduction of stenosis with how much insufficiency is created.

You basically want to postpone doing any surgery on the root as far as possible in case you develop aortic stenosis or aortic regurgitation so that both can be dealt with at the same time. Of couse, once you go pass 6 cm in the root the risk of rupture or dissection increases and this is why we never delay surgery at that point.

Calcific aortic stenosis (three leaflets) and congenital bicuspid (two leaflets) aortic valve stenosis account for the overwhelming majority of aortic stenosis. Calcific aortic stenosis, however, affects approximately 2% to 3% of those older than 75 years. Hope this helped and do keep us posted.

it says that i have severe inferior wall hypokinesis and a thickened and calcified aortic valve with no aortic stenosis. does this mean i need a aortic valve replacement?

The cardiologist told us that echo showed dyskinesia on left ventricular walls and aortic valve stenosis with a severe audible murmur. He also told us that he suffered no MI and that the elevation in BNP and troponins was due to aortic valve problems. My dad suffered a syncope 6 hours after admission. We are considering transferring him to a hospital specialized in cardiac surgery. He is currently on a mechanical ventilator. Your opinion regarding this matter will be highly appreciated.

Dear Doctor, I am a 45 year old female who has been monitored by a cardiologist every 2-3 years due to a diagnosis as a child of mild-mod. aortic stenosis (bicuspid aortic valve) as well as mild pulmonary stenosis with regurgitation. At a routine follow up last month, my cardiologist informed me that the aortic stenosis had progressed from 2.5 years ago. The echo currently showed a severe stenosis ( .84 cm2).

Digoxin in aortic stenosis

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