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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I had a mitral valve replacement in 2008...in and out

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 6198 Questions

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Posted on Wed, 23 Jan 2019 in Hypertension and Heart Disease
Question: I had a mitral valve replacement in 2008...in and out of A-fib...several cardio versions...and 2 ablations...my heart beat is irractic...I’ve been doing well for the past year...but for about a month my legs have become heavy and week...could this be heart related...I take Coumadin and lasix and carvedilol.....
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Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would like to know if leg swelling is present.

If your legs are swelling, it could be related to heart failure.

Other possible options to consider would be low blood pressure, electrolyte imbalance, possible neuropathy, vitamin D deficiency, etc..

Coming to this point, I would recommend performing some tests to investigate for the possible causes underlying your complaints:

- a cardiac ultrasound an NT pro BNP levels for possible heart failure
- blood electrolytes for possible imbalance
- complete blood count for anemia
- a Doppler ultrasound for possible venous insufficiency
- vitamin D and vitamin B12 plasma levels for possible deficiency.

Nerve conduction studies may be needed, in case of decreased reflexes during physical examination.

Hope you will find this answer helpful!

Kind regards,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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