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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I recently received a mechanical aortic heart valve. Early August

I recently received a mechanical aortic heart valve. Early August 2018. Before surgery and now after surgery I have felt a sharp pain and then belch. The pain dies not last and instantly goes away after I burp. For the last few weeks it has been more often. Several times per day. I have been thinking it is indigestion. I do need to take Prilosec and have been on it many years. I am also a diabetic. Should I be more concerned that this is heart related?
Mon, 22 Oct 2018
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doctor1 MD

Hello, I ve being suffering recently from unexplained symptoms such as light-headedness, dizziness, tachycardia, chest discomfort and some dyspnea. I have previously suffered a single episode of what was diagnosed as lone atrial fibrillation when I was 27 years old. I had a echocardiogram following this episode and this confirmed a structurally normal heart. Following this I had another echocardiogram a few months later which showed evidence of trivial mitral regurgitation and the report also stated that the aortic and pulmonary valves velocities were within normal limits but it didn t state if there is was any evidence of regurgitation or stenosis. The tricuspid valve doesn t have any stenosis or regurgitation. I m now 31 years of age and have been asymptomatic up until early November this year. I ve spoken to my own GP who s arranged a referral to see a Consultant Cardiologist but she seems unconcerned. In this time I ve been to A & E twice because of symptoms and an x ray and blood test were performed to check for a minor MI. Both results were negative. No signs of enlargement and no minor MI. The first A & E doctor performed auscultation and said normal heart sounds. On the second visit to A & E the doctor said there was no abnormal heart sound then said there s no significant murmur. I ve also used a walk-in centre twice and the GP s on both occasions performed a physical examination and they both said they couldn t detect any abnormal heart sounds. I have my own due headed stethoscope and have listen and can clearly hear a moderately loud S1 in the left fifth intercostal space. I assume it could be a sign of mitral stenosis? I ve learnt a lot about heart anatomy and have studied the structure and function in detail. Further to this I ve also read medical journals and case studies. I feel I have a heart murmur given what the second A & E doctor said. I know some murmurs are classed as functional or innocent but I think with the presentation of symptoms and the development of a new heart murmur that it must be pathological? I also know the previous findings on the echo report are a variation of normal. I intend to have a cardiopulmonary test and echocardiogram but it s the waiting as my appointment is just over five weeks time. Any expect/professional advice would be appreciated.

doctor1 MD

I ve had some episodes of nearly blacking out after strenuous exercise so I went to my doctor. My Aortic Bicuspid has slowly gotten narrower to the point where I am having troubles when my body demands more blood flow then can be pushed through the small valve. I m at 0.6cm whereas a normal heart valve can open to 2.6cm. And at 86mmHc mean Gradient which is considered severe / critical range. I m still going to get a second opinion or more accurately a second echocardiogram at a univercity hospital instead of my local towns clinic to double check the numbers but I m fairly sure the outcome will be the same because of the symptoms. I m just struggling with it cause I feel completely normal except for the fact of not being able to sustain a 5+ mph run for more then 1/8th a mile. I m only 32 years old. So if I get my valve replaced I m told and agree mechanical is the way to go for the chance I wont need reoperation ever. How Loud is it, how annoying is the noise?

doctor1 MD

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