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Surgery or medicines for aortic regurgitation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3512 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   Hello doctor
User :   I wanted to know about a good cardilogist in bangalore
User :   it is regarding my father
Doctor :  
ok
Doctor :  
you can find that in our website page
Doctor :  
you will have to go to www.healthcaremagic.com
User :   we did echo-cardiogram for him and he is found with mild aortic regurgitation
Doctor :  
click on 'doctors'
User :   ok
Doctor :  
it will show the options to choose frm
Doctor :  
as per 'location'
Doctor :  
and 'speciality'
User :   ok
Doctor :  
it will show the cardiolohists available in the area of your choice
Doctor :  
in that once you decide the doctor to whom you want to approach,
Doctor :  
you can fix the appointment with that doctor
Doctor :  
and after consultation give a brief review too about that particular doctor
User :   ok
Doctor :  
Have you followed what I said?
User :   yes
Doctor :  
ok
Doctor :  
Is there any thing else I can help you with?


User :   in general i wanted to know about aortic regurgitation
Doctor :   ok
User :   they have told mild aoritic regurgitation
Doctor :  
do you want to know anything specific about it?
User :   can it be solved by medicines or will he require some urgery and all
Doctor :  
ok
Doctor :  
i will give you a brief overview about it
User :   ok
Doctor :  
it is known to afftect about 10% of all patients with valvular heart disease.
User :   ok
Doctor :   that is patients in whom the valve in the haert is defective
Doctor :  
It is characterized by an abnormal backward leakage of blood from the aorta into the left ventricle (LV) of the heart during the diastolic phase of the cardiac cycle when the heart pumps the oxygenated blood into the aorta to be distributed to the whole body.
User :   ok
Doctor :  
is it clear uptill here?
User :   yes
Doctor :  
this will affect the aortic valve cusps, that is the leaflets of the aortic vavle and the aortic root
User :   ok
Doctor :  
on physical examination, it manifests as a heart murmer
Doctor :  
with certain characteristics, to distinguish from other heart valve diseases
User :   ok
Doctor :  
if the backflow is large, then the symtoms also become more and patient might go into failur
User :   ok
Doctor :  
so the manifestation and symptoms depends on the amount of the backflow of blood into the heart
Doctor :  
it can be mild, moderate or severe
Doctor :  
as in your father's case, it is mild
User :   yes
Doctor :  
so the blood that is flowing back into the left ventricle is very less
User :   ok
Doctor :  
Echocardiography is the most important imaging modality in the diagnosis of aortic regurgitation; it is also useful in the determining of the causes and severity of aortic regurgitation, as well as to decide management strategy.
Doctor :  
Chronic aortic regurgitation patients may remain asymptomatic for years
User :   ok
Doctor :   prognosis to recover with treatment is good for asymptomatic patients who are not into failure or into left ventricle dysfunction
User :   ok
Doctor :  
treatment includes medical and surgical management depending on the severity and symptoms of patients,
Doctor :  
which may vary from patient to patient
Doctor :  
Medical management is the initial choice of treatment
User :   ok
Doctor :  
Are you following what I am telling you?
User :   yes
Doctor :  
in case of doubts please ask
Doctor :  
so medical management involves
Doctor :  
medications to control
User :   ok
Doctor :  
load on the heart, treatment of symptoms, and also prophylactic treatment of any bacterial infection which may lead to 'subacute bacterial endocarditis' in which the condition will become worse
Doctor :  
subacute bacterial endocarditis can also be picked up by echocardiography
User :   ok
Doctor :  
which will show it as growths on the valve leaftlets or cusps
User :   so when i show the report to a cardiologist he can tell me exactly what has gone wrong right
Doctor :  
and in that case chances of stroke becomes high, therefore adequate medications is necessary to prevent this
Doctor :  
yes very much
Doctor :  
he will be able to explain to you in detail what is excxactly happenning
User :   since in this case they have mentioned it as mild is there a possibility of correcting the issue with medicines only? Also I wanted to know what all reasons for this issue because my father did not have major health issues
Doctor :  
i meant he will be able to explain to you in detail what is exactly happenning
Doctor :  
ok
Doctor :  
since it is mild, it can be controlled with medications
User :   ok
Doctor :  
correction of this condition will need surgery
User :   ok
Doctor :  
for which outcome is usually good
User :   ok
Doctor :  
and with positive results
User :   ok
Doctor :  
with improvement in quality and quantity of life
User :   ok
User :   I am planning to meet Mr. AAAAAAA Bhat working as cardilogist in Mallya hospital.
Doctor :  
ok
User :   I saw him in the doctor's list
Doctor :  
you can also take a look into our website doctors
Doctor :  
which covers almost all eminent doctors
Doctor :  
including Dr. Devi Shetty
Doctor :  
causes for aortic regurgitation can be many
User :   ok
Doctor :  
but most importantly it is rheumatic heart disease.
Doctor :  
which is seen mostly in young people
Doctor :  
Degenerative aortic regurgitation is seen in elderly patients
User :   ok
Doctor :   Rheumatic disease is also known to affect elder people
User :   ok
Doctor :  
other causes include
Doctor :  
infection and perforatioon of valve cusps
Doctor :  
cusp shrinkage
Doctor :  
abnormal cusps
Doctor :  
dilatation of cusps
User :   ok
Doctor :  
so these are the few causes that affect elder people
Doctor :  
any of these could be the cause for your father's condition
Doctor :  
the echo report should figure out most of these
User :   so this may not be a sudden problem, could have started from some time back. I wanted to know what will be the external symptoms.
User :   like he feels tired if works for long time these days
Doctor :  
yes it could have started few yeas back
Doctor :  
say from when your father was about 40 and above
User :   ok
User :   my father is 59 now
Doctor :  
i will teel you few common symptoms
Doctor :  
ok
Doctor :  
most common is dyspnea, that is breathing difficulty
Doctor :  
more on exertion
User :   ok
Doctor :  
other symptoms include
Doctor :  
night sweats
User :   ok
Doctor :  
profuse sweating
Doctor :  
chest pain
User :   ok
Doctor :  
infective endocarditis symptoms, that may include chest pain, severe breathing difficulty, fever
Doctor :  
fall in blood pressure
User :   ok
Doctor :  
feeling of pounding in the heart
User :   ok
Doctor :  
slow heart rate
User :   ok
User :   ok
Doctor :  
so have you followed what i have said?
User :   yes
Doctor :  
hope your queries are cleared
User :   yes
Doctor :  
Is there any thing else I can help you with?
User :   no thank you.
Doctor :   ok
Doctor :  
Please fill the feedback form say done when done.
User :   ok
Doctor :   Thanks for consulting Healthcare Magic. Bye for now. Please refer your friends to our service.
User :   ok
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