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Heart murmur, 19 months baby - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   Hi my son was born june 1, 2009. he is 19 months old. when he was born he had heart murmur for few days only, and it was gone after 1 week. The cardiologist in the hopsital ck him and said that his heart is very good and function very well, how ever he has bicuspid valve with no stenosis or regeneration. he saw my son after 1 month and now he is seeing him once/year. he told me not to worry. nothing wrong with his valve ,no murmur, and left ventricle is working fine. he even said that if in the hospital they wouldnt call him to ck his murmur maybe this conditon would never be diagnosed. and last vist he mentioned his valves are working better than people who have tricuspid valve. however, i am very worried, and everytime i go to the cardiologist i am waitting for a bad news. i even saw the letter he send to my sons GP. and in the letter he wrote everything is normal, and he anticipate no chang in next visit. so please tell me should i be worried all the time,
Doctor :   Hi
Doctor :   I am
User :   hi
User :   so whats your respons regarding my q?
User :   hi Dr. did you read my question
Doctor :   reading
Doctor :   I read ur query
Doctor :   Normally Aorta has 3 valves
Doctor :   But ur son has 2 valves
Doctor :   But as long as the valves are functioning properly there is no need to woory
Doctor :   *worry
User :   the reason that i am so worried, because everytime i google about it it tells me all this horribe and scary thing about it
Doctor :   When the valved are fused, there will difficuly for blood to flow thru it
User :   so are you saying when you have BAV the valves are fused
Doctor :   When the valves are leaking, the blood pools in chambers and puts more stress on the heart pump
Doctor :   No
Doctor :   The present valves are not fused
Doctor :   They are working properly
Doctor :   You do not need to worry
Doctor :   I am informing what kind of abnormalities will be there in general
Doctor :   Google and books have lot of information
User :   i know this is a silly q to ask but at what age should i expect a problem. I am pregnant again and i had fetal ecocardiogram. the doctor said the heart is fine, and she even said not to worry, because BAV is diffeerent way of normality. is this true
Doctor :   But in practice, we go with what is the present status
Doctor :   ur sons status is GOOD Functioning valves
Doctor :   Yes
User :   is this a genetic conditon. because his cardiologist said its not genetic
Doctor :   YEs , it can happen in family ememberss
Doctor :   The incidence of bicuspid aortic valve can be as high as 10% in families affected with the valve problem.
Doctor :   In many cases, a bicuspid aortic valve will cause no problem
Doctor :   However BAV may become calcified later in life, which may lead to varying degrees of severity of aortic stenosis that will manifest as murmurs.
Doctor :   This usually happens in 60 s
User :   and i read in the news that they said people with BAV are more prone to have bleeding in their brain, and sould get i beleive ct scan every 10 years after they are 18, is it for notmal valve or people with disese
Doctor :   You do not need CT Brain
Doctor :   THe more common problem with BAV is stenosis /fusion of valves
Doctor :   This causes High blood pressure
Doctor :   And that might cause blood in brain
User :   thank you, is there something elese i need to know, i wished i never would have found out about his condition
Doctor :   But Now the valves are good
Doctor :   I recommend you just get Echocardiogram every year
Doctor :   And make sure the valves are not fused and functioning well
User :   sure, but as you said this usually happens in 60
Doctor :   As long as the valves are good there is no intervention required
Doctor :   Yes
Doctor :   Usually calcium deposits in valves
Doctor :   That happens alte life
Doctor :   *late
User :   and based on american heart association he does not need premed, right
Doctor :   no
User :   how about activity, and i am following a very healthy diet for him
Doctor :   No restrictions
User :   my last q is what causes calcium deposits in valves
Doctor :   It is old age process
Doctor :   I can not say any substance will cause
Doctor :   It is just body reaction to age
User :   ok thats a relief. bc i thought by the time he is teenager or in his 20's he will face a problem. but thx for you advice
Doctor :   Yo welcome
Doctor :   Thank you for consulting me
Doctor :   Bye
User :   bye
Doctor :   bye
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