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Mitral regurgitation
Hello!
I had a disapointing dr visit about 2 weeks ago and am looking for some feedback. I have already been diagnosed in August with a prior (silent) MI in the Left main artery, diastolic dysfunction, LBBB, 60% stenosis in right main artery and originally 50-55% ef. Mild mital regurgitation, wall motion abnormalities. I started coreg 25mg, lasix, lipitor 25 mg, renexa and imdur. Started cardic rehab January 4th.
I had a new echo done 2 weeks ago and the mitral regurgitation is now moderate, my ef is 40%, They mention in the echo that me left atrium is enlarged and the is inferoseptal wall dyskinetic and anterior wall is hypokinetic but the mitral valve is normal in size and thickness. I have shortness of breath daily and mild chest pain as well as being just plain exhausted which I assume is due to the meds. The doc increased my lipitor to 80mg.
I have been researching to te best of my ability and does it seem like mitral valve surgery would help any of this? Do they do this if it is not graded severe? I just want to feel better and am looking for any answers or direction. I don't see my doctor for 2 more months and I want to be prepared to ask some questions and hopefully get a direction. Can this mitral regurg go normally from mild to moderate in 5 months? Same with the ef?
Thank you for your time,
Kim
I had a disapointing dr visit about 2 weeks ago and am looking for some feedback. I have already been diagnosed in August with a prior (silent) MI in the Left main artery, diastolic dysfunction, LBBB, 60% stenosis in right main artery and originally 50-55% ef. Mild mital regurgitation, wall motion abnormalities. I started coreg 25mg, lasix, lipitor 25 mg, renexa and imdur. Started cardic rehab January 4th.
I had a new echo done 2 weeks ago and the mitral regurgitation is now moderate, my ef is 40%, They mention in the echo that me left atrium is enlarged and the is inferoseptal wall dyskinetic and anterior wall is hypokinetic but the mitral valve is normal in size and thickness. I have shortness of breath daily and mild chest pain as well as being just plain exhausted which I assume is due to the meds. The doc increased my lipitor to 80mg.
I have been researching to te best of my ability and does it seem like mitral valve surgery would help any of this? Do they do this if it is not graded severe? I just want to feel better and am looking for any answers or direction. I don't see my doctor for 2 more months and I want to be prepared to ask some questions and hopefully get a direction. Can this mitral regurg go normally from mild to moderate in 5 months? Same with the ef?
Thank you for your time,
Kim
Thank you so much for responding. I have read many of your posts and had hoped you would respond. Is it silly to ask my doc if surgery is in my future? I have been on coreg for 6 months and my ef went down but I know my doc is hoping this improves. I have been on 25 mg for 5 of those months.
I have also read that bi ventricle pacemaker could help the wall abnormalties and increase ef. I wonder if this is an option.
Thanks again for your help!
I have also read that bi ventricle pacemaker could help the wall abnormalties and increase ef. I wonder if this is an option.
Thanks again for your help!
Q: "I have been researching to te best of my ability and does it seem like mitral valve surgery would help any of this? Do they do this if it is not graded severe? I just want to feel better and am looking for any answers or direction. I don't see my doctor for 2 more months and I want to be prepared to ask some questions and hopefully get a direction. Can this mitral regurg go normally from mild to moderate in 5 months? Same with the ef?"
>>>>>>>>
Normal EF is 50 to 70% and that is the percentage of blood pumped with each heartbeat. Accoring to your report the wall that separates the left and right side of the heart is dyskinetic meaning there is a movement impairment, and front heart wall also has a movement disorder (hypokinesis) movements of different body segments are not well coordinated in dyskinesia. Your 40 EF is likely due to the heart wall movement impairment...loss of contractility, lower pumping strength.
I have had moderate to severe mitral valve regurgitation for more than 7 years, and there will be intervention if I have shortness of breath indicating reduced cardiac output as much blood backs up (regurg) into the left atrium rather than pumped into circulation.
When to intervene with a mitral valve repair or replacement may on who is evaluating the condition. I can tell you with information from a Mayo Clinic surgeon who has done thousands of operation on valves has stated publically that the biggest problem he has is the partien has waited too long. Waiting too long can cause the left ventrical and left atrium to enlarge and the loss of normal EF may never be restored subsequently.
Mitral valve replacement or a less invasive operation with a repair can decrease your symptoms. What appears to be happening the heart isn't pumping strongly enough for sufficient supply of blood to the system, but also there is a loss of blood output due to the regurgitation. The lower than normal cardiac output would be the underlying cause for your symptoms. With proper medication your heart may return to normal functionality. my heart returned to normal size and EF went from below 29% to currently 59%.
I hope this provides some insight into your medical concerns. And if you have any further questions or comments you are welcome to respond. Thanks for sharing, take care.
Ken
>>>>>>>>
Normal EF is 50 to 70% and that is the percentage of blood pumped with each heartbeat. Accoring to your report the wall that separates the left and right side of the heart is dyskinetic meaning there is a movement impairment, and front heart wall also has a movement disorder (hypokinesis) movements of different body segments are not well coordinated in dyskinesia. Your 40 EF is likely due to the heart wall movement impairment...loss of contractility, lower pumping strength.
I have had moderate to severe mitral valve regurgitation for more than 7 years, and there will be intervention if I have shortness of breath indicating reduced cardiac output as much blood backs up (regurg) into the left atrium rather than pumped into circulation.
When to intervene with a mitral valve repair or replacement may on who is evaluating the condition. I can tell you with information from a Mayo Clinic surgeon who has done thousands of operation on valves has stated publically that the biggest problem he has is the partien has waited too long. Waiting too long can cause the left ventrical and left atrium to enlarge and the loss of normal EF may never be restored subsequently.
Mitral valve replacement or a less invasive operation with a repair can decrease your symptoms. What appears to be happening the heart isn't pumping strongly enough for sufficient supply of blood to the system, but also there is a loss of blood output due to the regurgitation. The lower than normal cardiac output would be the underlying cause for your symptoms. With proper medication your heart may return to normal functionality. my heart returned to normal size and EF went from below 29% to currently 59%.
I hope this provides some insight into your medical concerns. And if you have any further questions or comments you are welcome to respond. Thanks for sharing, take care.
Ken
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