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Cardiovascular Disease Prevention (Expert Forum)
aorta valve
Answered by
Lee Kirksey, MD - Peripheral Arterial Disease, PAD, Cardiovascular Disease, stroke, treatment, angioplasty, spider veins, laser ablation, wound treatment, surgery, leg pain, Prevention, Varicose veins
Penn Presbyterian Medical Center of the Univ. of Pennsylvania Healthcare Clinical Assistant Professor at The University of Pennsylvania School of Medicine
Philadelphia - PA
Questions in the Cardiovascular Disease Prevention forum are answered by Dr. Lee Kirksey, associate professor at The University of Pennsylvania School of Medicine.
aorta valve
by johninga, May 15, 2008 02:09PM
i have a icd pacemaker for 5 yrs. diag with cardioyopathy. gone from an ef of 10-15 to 40-45% take coreg. my question concerns my recent echo. it says that i have severe inferior wall hypokinesis and a thickened and calcified aortic valve with no aortic stenosis. does this mean i need a aortic valve replacement?
Doctor's Answer
by Lee Kirksey, MD, May 15, 2008 03:14PM
, May 15, 2008 03:14PM
To: Johninga
Hello
It sounds like your pacemaker has helped improve your ejection fraction. Without seeing the test itself, from the report finding it sounds like there is no evidence of aortic stenosis. The calcification is a result of chronic changes to the aortic valve over time, referred to as degenerative changes. It does not sound like it has affected the blood flow which would be seen in the form of aortic stenosis. Have you had a previous MI? Whats responsible for your inferior wall severe motion abnormality?
It sounds like your pacemaker has helped improve your ejection fraction. Without seeing the test itself, from the report finding it sounds like there is no evidence of aortic stenosis. The calcification is a result of chronic changes to the aortic valve over time, referred to as degenerative changes. It does not sound like it has affected the blood flow which would be seen in the form of aortic stenosis. Have you had a previous MI? Whats responsible for your inferior wall severe motion abnormality?
Member Comments (2)
by johninga, May 15, 2008 03:56PM
To: Lee Kirksey, MD
Thank you so much Dr Kirksey. In response about a MI, I wasn't told that I had an MI, just that my condition could mask a MI and I don't really know what caused this other than HBP. All I have been able to find out is that this problem(severe inferior wall lack of motion) is indicative of a heart attack. My LVs is 4.9cm and my LVd is 5.8. My estimated pulmonary artery sp=32 mmHg. Thanks again and I would appreciate any suggestions!
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