Trivial Early Diastolic Murmor in the Aortic Area

[krissai1983]

Hi All,
I am having regular Chest pain and breathing problem and i visited a cardialogist and he has taken ECG, Echo and Stress tests.

In his report he mentioned that:

His blood pressure was 140/80 and heart rate was 92 sinus rhythms.  His examination was normal in all respects except for a trivial early diastolic murmur in the aortic area.


His transthoracic echocardiogram showed normal LV size and systolic function, ejection fraction 60%, normal cardiac chambers, bicuspid aortic valve, normal other valves and normal pericardium.  Colour Doppler examination revealed mild+ aortic regurgitation and trivial mitral regurgitation.

His exercise stress echocardiogram was negative for ischaemia.  He exercised for 10 minutes on a standard Bruce protocol and did not develop any ST segment change or regional wall motion abnormality.  He achieved 98% of his target maximal heart rate.  He did have chest pain before starting the exercise but it did not change as he finished the exercise

His recent total cholesterol was 4.7 with triglyceride 4.4, HDL 1.0 and LDL 1.7.  Fasting blood glucose was normal at 5.5.  His TSH was elevated at 3.88.  Full blood counts, EUCs and liver function tests were all normal.



WHAT IS THIS MEAN WHETHER I AM HAVING ANY CARDIAC PROBLEM OR IT IS DUE TO MY ACIDITY PROBLEM CAUSED BY GERD

WHAT IT MEANS HIGH TRYGLIGERAIDS IS IT A CAUSE FOR HEART STROKE EVEN THOUGH ALL OTHER TESTS ABOVE ARE NORMAL.


Please help me relieving this tension.


chaithanya

[CCF HeartMD3]

Chaithanya,

It is difficult to give you a definitive answer via email but I do think your recent testing was productive. The most important discovery was the fact that you have a bicuspid aortic valve. The aortic valve typically has three separate leaflets but in your case two of the leaflets are fused together. These fused leaflets can make it difficult for blood to be pumped out of the heart resulting in aortic stenosis. Aortic stenosis can cause symptoms similar to what you described (although multiple other things can as well). The majority of patients with bicuspid aortic valves will require surgery at some point; although, the timing of when to have surgery depends on many different factors.  

Your triglycerides are on the high side. I would suggest that you work on modifying your diet to cut out sugars, fatty foods while increasing consumption of fishes, fresh vegetables and whole grains.

Hope that this helps.

[krissai1983]

Hi thanks for the immediate Reply.

Can i ask some more doubt like am i suffering with CARDIAC problem or this is GERD Problem itself.

High Tryglycerides a cause for chest pain and breathing problem i am facing or it is purely due to GERD.

IS this Biscuspid valve operation a major operation to Heart. Since i am only 27 Years old and i can do all activities after the operation as normal or else i have to take precautions which Heart patients take after surgery.