Is 'versed' medicine for anesthesia ok for use with mvp regurgitation

[nymomof5]

I am having a total hip replacement next week. I have mild MVP with moderate or possibly moderate/severe reguritation.( 2 different DX from 2 different cardio's  - figure its somewhere in the middle)  My cardio said anesthesia, post op pain meds would be no problem. In talking to some one who has gone thru it..they said if you have an epidural and then medicine to make you sleepy, that medicine is "versed" that you take. Now I think I recall people with MVP on another message board said they try to avoid medicine that is "versed".  I do have alot of PVC's daily, sometimes every 4-8 beats, so I don't want to make it worse.  But do you know if "versed" medicine is at all bothersome to a person with MVP and a pretty leaky valve?
And any explanation of the term "versed" would be great! Thanks so much for your time and this is my last question for another 6 months at least!

[Cleveland Clinic]

NYmomof5,

Thanks for the post. Versed is a medication in the benzodiazapine class which is an anxiolytic, meaning it will help you relax and has amnestic properties, meaning it will help you forget the porcedure.

It is a very common medicine and while it can lower blood pressure, has no real significant effects that will interact with your PVCs or  
mitral valve problems.

good luck

[Momto3]

Hi mom!

Like you, I have MVP with at least moderate regurgitation of the mitral valve. I've been through about 6 procedures over the last 3 years where versed was used.  Prior to all of them, I was experiencing thousands of pvcs.  However, once the versed was administered, the ectopics slowed, or nearly stopped.  In fact, one doctor told me he found the solution to my chronic pvcs - a versed drip...LOL.  Only problem, I'd be "out of it" all day...Not a good plan : )

Good luck with your upcoming surgery.

[nymomof5]

Thank you guys for the comments!  Makes me feel better!

[nymomof5]

Before I can have the hip surgery I need a stress test now!  
Anyone have a drug induced nuclear stress test and can tell me about it?  Thank you!

[msmma]

Kind of an off question...

Can you have one or more of your heart valves have a tiny leak within "normal" guidelines, and still NOT have MVP?

I'm confused as to what the difference is..??

--Mike

[Momto3]

Mike,

Don't know if this will help, but maybe...

http://www.clevelandclinicmeded.com/diseasemanagement/cardiology/mitralvalve/mitralvalve.htm#mrpathophysiology

As I understand it, MVP is one potential cause of MR.  However, I believe they can exist independent of one another.  Here is an excerpt from http://edition.cnn.com/HEALTH/library/DS/00504.html

"Complications (of MVP)

Although most people with MVP never have problems, complications can occur. Complications tend to occur in middle-aged or older adults. They may include:

Mitral valve regurgitation. The most common problem is mitral valve regurgitation (mitral insufficiency) — a condition in which the valve is particularly leaky and allows excessive blood back into the left atrium. If the regurgitation is severe, surgery may be recommended to repair or even replace the valve in order to prevent the development of complications, such as congestive heart failure. This regurgitation of blood also increases the likelihood of acquiring an infection called bacterial endocarditis, which can affect the mitral valve or the heart's lining. Because of the risk of developing bacterial endocarditis, antibiotics are given to people with MVP who have also been diagnosed with significant mitral valve regurgitation around the time of dental procedures and certain types of surgery.

Rhythm problems. Irregular heart rhythms can occur in people with MVP. These most commonly occur in the upper chambers of the heart and while they may be bothersome, they are not usually life-threatening. Doctors have reported cases of sudden cardiac death associated with MVP; however, such fatalities are extremely rare and are not necessarily related to the valve problem. When fatalities do occur, these sudden deaths appear to result from an arrhythmia. People with severe mitral regurgitation, or severe deformity of their mitral valve, are most susceptible to serious rhythm problems.

That's probably more than you wanted to know, but I hope it helps.

Connie

[wmac]

I love versed!!!! When I had my two eps versed was the ticket. I also had the scope they put down the throat and a colonoscopy not a problem. Maybe thats why they couldnt indcuce the vt.mmmm. I would love versed all day but your right it would make me sleep all day. cant do that. haha  good luck
wmac

[StephPT]

Even better than Versed seems to be propafol (sp?), another medication used to sedate with an amnesic effect, but shorter acting, so they can bring you "in and out" much more quickly if needed.  I just had an EGD (upper end scope) to r/o GERD as the cause of my swallowing induced tachycardia (all fixed now after my 4th EPS and 2nd ablation at OUMC) and they gave me propafol...GI guy said i was funnier than 7 martinis.  When i had my TEE, they gave me versed AND propafol AND phentynal (sp?), basically enough to knock out a horse.  Beware, the amnesia can last for several days, and i am still having a little trouble remembering things, but i am blonde, so i have an excuse.  Bottom line, in my experience with these medications, they have made the procedures much more tolerable, with little risk.

Good luck!

[discobeat]

The drug induced nuclear stress test isn't that bad. With the treadmill, they sometimes stop you early, but the drugs open up the blood vessels like you are exercising.  I think its more consistent.  Also, with the exercise induced test, it takes two days, drug induced is all in one hour, more or less.

[nymomof5]

Thank you for letting me know its not too bad of a test! It helps!

[NanaRose]

I am having an EGD and colonoscopy with biopsies on Thursday.  I had to stop my Plavix this morning.I also stopped all aspirin and my Iron pills.   I will start getting Lovenox injections on Monday morning thru Wednesday and start them again on Friday for another 4 days.  I resume my Plavix and baby spirin Friday morning after the procedure.   They are calling in a Anesthesiolgist to monitor me so I do not have an A-Fib attack or a heart event.  I do have some asthma and some sleep apnea and have a history of post anesthesia of either very low BP or high BP....drug induced.  This is why they want an anesthesiolgist in with me for thesee very simple procedures.

I had my nuclear stress test 2 weeks ago.  It was drug induced.

Good Luck.

[hackster1]

I am a 45-year old male with MVP since I was in my teens.  At age 26 I started taking Lopressor as prescribed by my cardiologist.  My heart used to do some seriously wierd stuff as far as beating goes.  After treatment with the Lopressor, a bete blocker, I only rarely have extra beats and these are usually after being excessive with caffiene, under high stress or not getting enough rest or too much overexertion.