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290386?1193630481
Mukesh Garg, MD  
Male
Kansas City - MO

Specialties: Cardiology, Internal Medicine

Truman Medical Center
816-404-7000
7900 Lee's Summit Road
Kansas City - MO
Dec 08, 2008 11:19PM in the Interventional Cardiology Expert Forum
Ask your cardiologist about monitoring with an event recorder to try and capture the heart rhythm during an episode to help decide the nature of the problem
Dec 08, 2008 11:16PM in the Interventional Cardiology Expert Forum
Shunts can be intermittent at times and are best evaluated by using various manuovers to change intracardiac pressures (like Valsalva) during TEE with bubble study
Dec 08, 2008 11:12PM in the Interventional Cardiology Expert Forum
If the leads are OK only the generator (Battery under the skin) needs to be replaced and is not very invasive
Dec 08, 2008 11:11PM in the Interventional Cardiology Expert Forum
Bubbles seen in the left side of the heart after the 5th cardiac cycle can be from the natural passage of blood through the lung blood vessels and may not represent a residual shunt
Dec 08, 2008 11:08PM in the Interventional Cardiology Expert Forum
It is reassuring that all your heart tests are normal. A non heart related cause for your symptoms seems more likely
Dec 08, 2008 11:05PM in the Interventional Cardiology Expert Forum
An enlarged heart may be suggestive of poor heart function which can lead to Congestive Heart failure. An Echocardiogram would help to evaluate this