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Back surgery to be done. Echocardiogram done. Found extra heartbeat. Should I be concerned?

Apr 2013
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Answered by

General Surgeon
Practicing since : 2009
Answered : 5665 Questions
I have a few questions for a cardiologist. My husband had pre op examination before his surgery on Nov. 26, 2012 My husband had back surgery, he needed clearance before the surgery. Everything was fine. In his results from his echocardiogram there were a few things I didn't understand. First the cardiologist said he has an extra heartbeat. His echo showed: 1) a mild pulmonic regurgitation 2) a 1+ mild aortic regurgitation 3) abnormal tissue doppler of the mitral annulus is consistent with abnormal left ventricular relation 4) an atrial septal aneurysm 5) a trace of tricuspid regurgation. His cardiologist said he was clear for the surgery. All this sounds serious to me. Can you explain this to me.
Posted Sat, 23 Mar 2013 in Hypertension and Heart Disease
Answered by Dr. Ivan R. Rommstein 1 hour later
It is routine procedure to do cardio work up before every surgery especially when general anasthesia is planned. These tests you ve mentioned showed mild dilatative heart disorder which is usual finding at this age.This regurgitation means that there is some amount of blood which flows backward, but it is not significant for his circulation and isnt contraindication for surgery. During surgery there are many medicines which can improve heart condition and I am sure that his anasheologist will have his heart condition on mind and do everything to prevent any incident.

If you have any question I am here for you.
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Follow-up: Back surgery to be done. Echocardiogram done. Found extra heartbeat. Should I be concerned? 4 hours later
I have another question. Thankyou for answering my question. I have an identical twin sister, age 72 who went to a new internist for her yearly examination. Because her doctor retired. She is very healthy, eats a healful diet, consists of fish, skinless chicken, lots of veggies, fruit. meat once a month. no white flour, pasta, or breads, only whole grain, no sugar or sweets. her HDL is 82, LDL 99, triglyserides 45
exercises 30 per day, and walks. She goes to the doctor & of course she get the white coat syndrome. He checked her and he told her she has a slight murmur, that blew her mind and mind. She had a ekg & he said its good, now he is sending her for an echocardiagram & doppler. She is in a state of panic & so am I, because she is my identical twin sister. I need something posit, before we give our selves heart attacks. I forgot to mention she was uder stress for 6 months. The findings was a mild mitral valve leak, which er doctor told her not to worry. But of course she is worried and so am I, because we are close and identical twins. Please tell me we shouldn't worry. She said she will be going for an echo every year. By the way her doppler was very good.
Answered by Dr. Ivan R. Rommstein 8 hours later
Hi again. Well if you ve meant that you are worried about the same diagnosis you should know that this heart disease isnt only geneticly depending. Life habits and activities, also some viral infections and many other factors can cause heart regurgiations. But as I said the most important thing is how you feel. It means do you have fatigue, stenocardias, get tired fast or dizinesss.
Heart attack comes from other causes such as adiposity, smoking, stress and atherosclerosis. If you dont have those risks the you dont need to worry. Just go often to do workups.
Every time when echo is done some abnormal parameters are found ,also it is operator dependent test. The most important parameter is ejection fraction, it should be above 45%. Just try to relax. Tell her to continue healthy life and then everything s gonna be alright. You must trust me.
Wish you good health.
Above answer was peer-reviewed by
Follow-up: Back surgery to be done. Echocardiogram done. Found extra heartbeat. Should I be concerned? 35 minutes later
Now I'm even more nervious when I read heart disease. For all these years her and I went to an interenist and he never told us that either one of us had a murmur. This is a new doctor who my sister went to, because our doctor retired. I am going in another 2 weeks to see if I have the same. We are both becoming basket cases over this. We feel so good, that people always say that we are so active and healthy and lucky to look and be the way we are. Sometimes we think people envied us, because we never complained. Although we are 72 years old, we were taken for 50 years old, thats how good we keep ourselves. Thats why this murmur and a mild mitral valve leak is upsetting us and now its controlling our lives. Our mom passed away 3 years ago at the age of 95, with no health problems, just natural causes. Our dad, passed away at the age of 55 from a heart attack. He never watched his diet, he smoked, drank and was a bit overweight. That is why we are so concerned.
Answered by Dr. Ivan R. Rommstein 48 minutes later
There is no point of thinking like that. You need to be optimistic beacuse you are probably much healthier than other people at you age. It would be a miracle if your heart is perfectly health.
There is a rule in medicine which says that you never need to treat parameters, you need to treat people and their symptoms. Some mitral murmur can mean nothing, why are you worrying about it if you dont feel any consequances.
Your goal is to give your best and care for your health as much as possible. Everything else is in some other hands.
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