Nuvigil and mild mitral regurgitation

[napman]

I have severe sleep apnea and hypersomnia. I also have mild mitral regurgitation along with a mild case of heart ischemia, I believe. The report showed no signs of prolapse. A pulmonologist wanted me to try nuvigil for the hypersomnia. I read that nuvigil should be avoided by people with mitral valve prolapse. My first question is, "Would this go the same for people with mild mitral regurgitation"?

My cardiologist report also mentions left and right ventricles bordeline dilated, borderline left atrial enlargement, and aortic valve leaflets are slightly thickened. It also said, "Distribution of radionuclide within the left ventricle revealed a small area of photon reduction involving the apical region. The degree of photon reduction is moderate. Rest imaging showed complete improvement in this defect".The very last sentence of the report reads, "These findings suggests mild ischemia in the LAD coronary artery territory. No evidence of prior infarction". Those were the parts of the report I put heavy focus on. My second question is, "Does this mean I have mild heart disease"?. I don't see were the report states a diagnosis of that.

[napman]

Thank you for showing me the connection between my aortic valve condition and aortic stenosis. I definately don't want that to develope. I was able to bring my cholesterol levels within range except the HDL, which is 32. I must admit, my lifestyle habits aren't as good as they where 3 years ago, as I started mixing my diet with more junk food, and getting less excercise. Now I've developed have highblood pressure also. It goes up and down, but it stays withing range most of the time with medication. I've also just been diagnosed with mild to moderate kidney disease. My doctors are trying to keep my blood pressure down to offset the kidney problem, however they said they're not that bad for me to have to worry. I may be able to improve the diet, but the excercise is becoming a very big challenge lately. It feels like walking is the only thing I can do with out getting too exhausted. That doesn't keep the fat down as well as the weight training and cross training equipment I'm used to using. However now I'm motivated, becasue these new conditions are starting to worry me, the CAD and the kidney disease in particular. I'm now back to the beans, nuts, brown rice, fruits and vegetables, fish, and poultry. I feel better already. Again thanks for clearing me up on things.

[ed34]

"and aortic valve leaflets are slightly thickened"

I would check your lifestyle and make some big changes where possible. You have Coronary artery disease and your aortic valve is starting to form stenosis. How is your
cholesterol and stress levels? Keep a close eye on your blood pressure too.

[napman]

Thank you very much for taking the time to reply to my concerns.

[kenkeith]

The report indicates there is some leakage (backflow of blood from left ventrical back into the left atrium.  Prolapse would indicate leaflets bellow back into the left atrium from the pressure when the left ventricle contracts.  You don't have that condition.  You have slight leakage that usually indicates the leaflets do not tightly close over the valve opening.  Not an unusual and considered medically insignificant.

'The report indicates there is some blockage of the LAD vessel usually due plaque.  If that is your true condition, you would have coronary artery disease (CAD).  Many people as they age will have some buildup of plague in the arteries.