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Heart Disease (Expert Forum)
Blood clot in heart
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Blood clot in heart
by Virginia, Dec 19, 1999 12:00AM
I have had 3 episodes of DVT in the past 4 years and now a TEE reveals a clot around the aortic valve also some minor leakage from the mitral valve. Also an MRI shows multiple mini strokes in my brain.I have had hypertension for 35 years and have episodic elevations ,the cause of which has not been determined.I am on coumadin and also take Prednisone for PMR and ? of Temporal Arteritis and BP meds. I am a 78yr old female and would like any information on the above medical problems, especially the heart problems.Thankyou.
Doctor's Answer
by CCF CARDIO MD JMF, Dec 20, 1999 12:00AM
It would be important to rule out underlying clotting disorders. The prednisone could be causing this or your underlying temoporal arteritis.
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Nelva Ancona-P
This decision is up to your cardiologist and yourself. You should very likely have some form of revascularization. Please be advised that some trials have shown that diabetics do not do as well with angioplasty and/or stenting as non-diabetics. You may wish to ask your cardiologist about the adjunctive role of Reopro in this situation if you are to have a stent.
If you disease is fairly significant and involves your LAD you may wish to consider surgery as a more lasting approach to revasulcarization.
Medical therapy is unlikely to be the answer in your situation.