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Bicuspid aortic valve,palpitations - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Congenital Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I am a 27 year old male, 300 pounds, 6'2". I have been diagnosed with a bicuspid aortic valve. I have undergone an ECG study based out of under , but I never got to see the results of the tests. Over the past five years, I have been experiencing a strange phenomenon. My heart will occasionally skip a beat and it will take a full 1 - 2 seconds before the sinus rhythm continues. During these 1 - 2 seconds, I feel a pressure build up in my chest followed by a "popping" feeling in my heart and then all is normal. When it first started happening, about 5 years ago, it would happen around once a month. Now it is happening around 3-5 times daily. It has me very worried and I am currently between jobs with no medical insurance so I am worried about going to get it checked out. Please let me know what this is and if I should be worried.
Doctor :   please give me some time to read this
Doctor :  
u there?
User :   yes
Doctor :   bicuspid aortic valve is normally congenital
Doctor :  
that is which comes by birth
Doctor :  
but clinically u may notice the problem any time in our life
Doctor :   i will explain what will happen in bicuspid aortic valve
User :   ok
Doctor :  
aortic valve is the valve which controls outflow of blood from left ventricle to aorta which is the biggest artery
Doctor :   our entire body will get blood from aorta and its branches
Doctor :   in BAV the valve will become either small or stiff over a period of time
User :   this is due to the stenosis?
Doctor :  
which will lead to aortic steniosis /aortic regurgitation
User :   ok i'm following :)
Doctor :   if u are very sure that u are missing a beat then it might be because of steonosis/regurgitation
Doctor :  
regurgitation means back flow blood back into ventricles due to stiff valve
Doctor :  
but we cannot diagnose stenosis or regurgiatation just by missing periods
Doctor :   do u have difficulty in breathing?
User :   ok so the feeling of the popping is most likely because of the valve not performing properly?
User :   normally, no
Doctor :   may be
Doctor :  
do u have breathing difficulty
Doctor :  
User :   normally, i have no problems breathing
User :   what is a palpitation?
Doctor :  
feeling of ur own heart beat
User :   yes all the time
User :   i can see my chest moving with my heart beat sometimes
User :   sometimes i count my pulse just by looking at my chest
Doctor :  
Doctor :  
if that isthe case ..then i am sorry to tell u that u should be more concerned now
Doctor :  
u need further investigations to know the status of ur heart valve and ur heart
Doctor :  
like echocardiogram/mri
Doctor :  
and physical examination of ur heart to see if there is any week pulse,enlaarged heart,heart murmur whioch is an abnormal sound coming from the heart other than normal heart sounds
User :   ok. do you think this is something i can put off for another year? I am currently in school and do not have health insurance for another year or so
Doctor :   i cannot comment with out echocardiogram/MRI
Doctor :  
and physical examination
Doctor :  
with out whichb i will not get a cvear picture about the severity of the scenario
User :   i had an MRI in 2005 for my neuropathies. Would the doctors be able to look at those scans or would i have to get new ones?
Doctor :  
u may need heart valve replacement also,lets hope nothing is wrong
Doctor :  
MRI OF which part?
User :   well, i had 2. i had a full body mri one time and then the second time was a brain mri, so i dont think that one will be useful
Doctor :  
yes that is not usefull
Doctor :  
u need to see a GP/cardiologist as early as possible atleast to know the status of ur heart
User :   ok i will do that
Doctor :  
depending upon that oif it is not serious themn u can postpone surgery
User :   i hope thats the case
User :   can i ask you a different question?
Doctor :   sure
User :   in the brain MRI I had, they found a single sclerosis but they did not diagnose me with anything. should i be worried about that?
User :   my neurologist kind of brushed it off like it was no big deal
Doctor :  
Doctor :  
then no problem nothing to worry
User :   ok. she said i have some wierd mitochondrial DNA mutation. I am a freak of nature lol
Doctor :   ohhh
Doctor :  
that is the reason u are having multile congenital problems
User :   you think the BAV is caused by this dna thing?
Doctor :  
Doctor :   may be
Doctor :  
cos BAV is a congenital anomaly which means .it comes by birth
User :   ok thanks. i think thats it lol
Doctor :  
Did you follow what I said? Please get back to me in case of doubts.
Doctor :   hey dont get depressed
Doctor :  
lkets hope that nothing will go wrong
Doctor :  
happy new year
User :   yes i understood everything. I am going to go see a cardiologist as soon as i get unsurance
User :   you too
Doctor :  
Please fill the feedback form say done when done.
User :   all set
Doctor :   bye take care AAAAAAA once u get the repots get back to me.
User :   ok i will do.thanks
Doctor :  
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