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What Is The Prognosis Of An Elderly Person Suffering From Hypertension And Heart Murmur?

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Posted on Sat, 12 Nov 2016
Question: Lady age 70 with history of hypertension with murmurs om examination , CAD , Non Q MI , Asthma , steroid induced diabetes and Mitral valve regurge .
What is the possibility of Valvular Heart problems in future based on the reports , what will be the prognosis and treatment required in future for heart valve related ailments .
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Answered by Dr. Sukhvinder Singh (2 hours later)
Brief Answer:
plese see details below.

Detailed Answer:
Dear Sir
The prognosis in a given single patient can not be predicted with accuracy. The data is derived from populations and is applicable to populations (group of patients) only. Statistic can not be applied to a single patient. With this comment, I have following observations about the query.
As per the ECHO report, the degree of mitral regurgitation is trivial and there is no associated prolapse of mitral valve.
In a female with 70 years of age, this much mitral valve regurgitation is possibly a normal variant. It is not associated with any pathology. We do not routinely follow such patients for valvular assessment.
In this ECHO report, there does not seem to be any valve related problem and in such patients, likelihood of development of any valve related problem as progression is very low.
A major valve related problem may arise only after a long period of degeneration which may be 10-15 years down the line or some acute event like a heart attack may cause it.
Hope this clarifies the issue. Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Sukhvinder Singh

Cardiologist

Practicing since :1998

Answered : 1306 Questions

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What Is The Prognosis Of An Elderly Person Suffering From Hypertension And Heart Murmur?

Brief Answer: plese see details below. Detailed Answer: Dear Sir The prognosis in a given single patient can not be predicted with accuracy. The data is derived from populations and is applicable to populations (group of patients) only. Statistic can not be applied to a single patient. With this comment, I have following observations about the query. As per the ECHO report, the degree of mitral regurgitation is trivial and there is no associated prolapse of mitral valve. In a female with 70 years of age, this much mitral valve regurgitation is possibly a normal variant. It is not associated with any pathology. We do not routinely follow such patients for valvular assessment. In this ECHO report, there does not seem to be any valve related problem and in such patients, likelihood of development of any valve related problem as progression is very low. A major valve related problem may arise only after a long period of degeneration which may be 10-15 years down the line or some acute event like a heart attack may cause it. Hope this clarifies the issue. Feel free to discuss further. Sincerely Sukhvinder