Saturday, December 4, 2010

Can someone please answer my questions on heart valve disease


Can someone please answer my questions on heart valve disease?
I know that a symptom is shortness of breath (especially with excersise) but can you have shortness of breath just when sitting still and resting and not with excersise?? Can the shortness of breath be on and off?? SO maybe you will feel short of breath for a few days then for a few days, weeks or months you will feel fine?? Will you have more then one symptom with heart valve disease?? And will a doctor hear a murmur if you have it??
Heart Diseases - 4 Answers
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1 :
Well if you have heart failure either right or left, you would have shortness of breath. Shortness of breath, weakness, fatigue, edema, orthopenea, paraoxysmal nocturnal dyspnea... Also, heart failure can start with a valve problem that progressively leads to hypertrophy of a ventrical, them ischemia of the muscle etc... If you have pulmonary edema, you'll hear a crackling sound when you breath it will be worse when you sit down cause not as much is distributed lower in you legs, and thus, more is in ur lungs. This will be even worse if you lie down flat. Off and on? I'm not sure why that would happen... go see a doctor... Yes you can have symptoms when at rest... it depends on how bad it is. You'll prob want to treat it with diuretics, inotropes and calcuim blockers, and maybe reduce ur body weight to ease the strain on your heart...
2 :
How did you arrive that you have a heart valve disease? Some persons have congenital defects such as bicuspid aortic valve and septal defects (a hole in the heart) such as atrial septal defect or ventricular septal defect and detected during adolescent stage. Rheumatic fever during childhood may cause endocarditis, mitral or aortic stenosis, mitral or aortic regurgitation/ insufficiency. In such cases, the doctor will hear a heart murmur through a stethoscope. ECG and Echocardiograhy may reveal the heart problems. You may undergo complete heart check-up including cardiac stress test, Echocardiography, etc.
3 :
Depending on the degree of the condition, the person might only have shortness of breath during exercising. It also depends on what kind of valve defect they have. There could also be other symptoms, but without knowing which valve is affected, and how, I can't say what else could be expected. A doctor should definitely be able to hear a murmur, and would then send the patient to a cardiac specialist.
4 :
If you have shortness of breath from an underlying heart valvular disease, then you would expect the shortness of breath to develop with exertion. As the disease worsens, then symptoms could occur also at rest. If you have symptoms at rest, then you would definitely have symptoms with exertion. Shortness of breath related to a heart valve disease is not usually intermittent. It tends to be reproducible with the same activity and may worsen with time and develop with less activity. Shortness of breath from heart valve disease does not disappear for weeks or days and this suggests an alternative diagnosis like asthma. I guess it is possible to have exacerbations of symptoms and improvement. The symptoms produced by heart valve disease depend on which valve is involved. Valve disease on the left side of the heart (aortic, mitral valves) is classically associated with shortness of breath. Right sided heart valve lesions should not produce shortness of breath and are more likely to cause swelling in the lower legs. Chest pain can occur with heart valve lesions, especially aortic stenosis (narrowing of the aortic valve). Palpitations and abnormal heart rhythms like atrial fibrillation can also occur with heart valve disease. Passing out (syncope) is classic for aortic stenosis, but can occur with other types of heart valve abnormalities. If you have a significant heart valve lesion, then your doctor should hear a murmur on exam. The loudness of the murmur does not always correlate with the severity of the valvular lesion. I hope this helps you. Good luck



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