242508?1287427246
Cleveland Clinic  
Male, 36
Cleveland, OH

My Posts
Confused with results
Sep 13, 2010 in the Heart Disease Expert Forum
catheterization is the gold standard and that's what i would go by. The calcium score tests aren't very useful in my opinion.
MVP in children
Sep 13, 2010 in the Heart Disease Expert Forum
It's the most common cause of mitral regurgitations. I wouldn't be concered about this. Many patients, probably close to 50%, don't progress, the other 50% ends up needing valve surgery at one point in their lives. I would make sure that you continue with yearly follow ups and echocardiograms.
New Bradycadia Diagnosis help
Sep 13, 2010 in the Heart Disease Expert Forum
I don't think you need a pacemaker based on what you wrote above. I am not really sure what 4 X bradycardia means. If it means a 4 sec pause during sleep I am not very concerned at all,especially in an athletic young patient. Make sure that you bring your records with you, especially the holter results. Again, I would not rush to having a pacer implanted ...
Question on Atrial Septal Aneurysm
Sep 13, 2010 in the Heart Disease Expert Forum
This is a common finding and certainly isn't the cause of the chest pain or the near passing out. I would not be concerned about this finding. The passing out needs to be worked up further. You will probably need a Tilt Table Test.
heart disease
Sep 13, 2010 in the Heart Disease Expert Forum
He needs to have high blood pressure well controlled with medications. High blood pressure can cause chest pain without any blockages in the arteries in the heart. once his pressure is better controlled he should have a stress test. The ECG isn't always accurate.
Lightheaded,palpitations
Sep 13, 2010 in the Heart Disease Expert Forum
You may need to some salt loading either by adding on some extra salt in your diet or taking salt tablets. I would consider repeating the holter and maybe even another tilt table test. Make suer that the latter is a full TTT (45 minutes or so). if those are normal you should see a neurologist to assess for vestibular causes of dizziness.
On-going chest pain, shortness of breath and PVCs
Sep 13, 2010 in the Heart Disease Expert Forum
Don't have the tests redone. The pvcs are relateively benign and in your cases arent' that frequent at all. Ones that I consider very frequent are those that happend a couple of times in 6-10 seconds. I would suggest wearing a holter monitor to assess the total PVC burden in a 24 hour period. So far your caridac workup is negative.
Question about Ejection fraction
Sep 13, 2010 in the Heart Disease Expert Forum
I would suggest a second opinion especially that you are getting more fatigued. EF's are reported by the reading physician not by the machine. The latter is usually very incorrect in assessing EF because it only looks at one frame. I would say that if your EF is close to 55% that you should ahve your surgery soon.
Acupuncture for hypertension
Sep 13, 2010 in the Heart Disease Expert Forum
CArdiac cathteterization isn't very helpful in the setting of HTN. I wouild suggest getting a renal US to rule of renal artery stenosis. Otherwise, if all other tests are normal, you probbaly have essential HTN. I would recommend seeing a nephrologist who usually specialize in treatement of difficult HTN cases. Accupuncture won't hurt but I am not sure th...
Confusing tests & diagnosis
Sep 13, 2010 in the Heart Disease Expert Forum
How did you do after the PVC's were ablated? Are there still any PVC's left? It seems that your heart fucntion is getting progressively worse and there isn't any coronary or valvular heart disease. If the PVC's are truely eliminated, I would suggesting getting started on ACE inhibitors and beta blockers. They can help a lot. You already have a defibrilla...