Recently Answered Questions
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Does mouth breathing indicate worsening of my bicuspid aortic valve?
Query: Hello doctor, For the last one week, I am breathing through my mouth. I was told ARND six to seven years before in echo that my aorta valve is biscupid and it mildly leaks. So every one or one and half years I was doing echo and it was mild. Now yesterday, I again had an echo and the doctor said i... Read Full »
Answer: Hi, Welcome to icliniq.cm. Bicuspid aortic valve is the most common congenital cardiac anomaly. It usually does not cause any symptoms or complications but occasionally, it may lead to aortic dilatation and aortic regurgitation. Nothing to worry right now. Only if you have hypertension it should b... Read Full »
My echo showed a drop in the ejection fraction. Please help.
Query: Hello doctor, I am a 57-year-old male and the results of my recent annual resting echo showed the following. Tri-leaflet aortic valve with well-compensated moderate regurgitation (2-3/4) as well as mild aortic sclerosis but no stenosis. Normal size left ventricle (130 mL) and no evidence of hypertro... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Firstly, since it is a moderate regurgitation and compensated, it is not expected to damage your heart that badly and drop your ejection fraction. Also, echo is a subjective investigation and while calculating, a slight change in cursor pos... Read Full »
Can height and weight play a role in aortic regurgitation?
Query: Hello doctor, I am 57 years old. I had a recent echocardiogram to monitor my moderate aortic regurgitation and mildly dilated aortic root and ascending aorta of 41 mm. Both remained stable. My rest echo report indicated the following such as normal left ventricular size, overall low normal systolic... Read Full »
Answer: Hello, Welcome to icliniq.com. I have evaluated your echocardiography report. In your case, the echo clearly shows that AR (atrial regurgitation) is due to a localized prolapse of the anterior half of RCC (right coronary cusp). So it is not due to coaptation failure. By general rule, tallness ... Read Full »
For aortic regurgitation, is follow-up needed if no changes are seen in three consecutive ECGs?
Query: Hi doctor, I have a query for a cardiologist. It is about trace aortic regurgitation. I was found to have this 14 years back. I followed up around 11, 8, and 5 years back, but no changes were noted. I was advised for further follow-up. Is it fine? Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. Trace AR (aortic regurgitation) is of no significance. No need to repeat echocardiography in less than 5 years. Keep a control of your blood pressure. The rest of the aortic valve structure is normal, so future progression is very less likely. I ho... Read Full »
What are the causes for bounding pulse?
Query: Hi doctor, I had a glandular fever a few weeks ago, and since then, my heart has been beating really strong. I have a heart rate of 56 bpm at the moment and still have swollen lymph nodes. It has never been that slow before. Can you please help me? Read Full »
Answer: Hi, Welcome to icliniq.com. Regarding heart rate, please reply to the following questions. What is your age? Did you have any cardiac issues? What medicines are you taking for glandular fever? Do you have any thyroid or liver issues? Do you exercise regularly? How long are you feeling strong beats... Read Full »
I get occasional sharp pain in chest and increased HR while walking. Please help.
Query: Hi doctor, My history: I am a patient of aortic regurgitation (moderate-severe) with a bicuspid valve. SB III (as per my last checkup). My question is, many times I feel a sudden sharp shooting pain in the middle and slight left of the chest which shortens the breath and gets normal within a few se... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly it is a moderate to severe AR (aortic regurgitation) with normal heart function and normal LV dimension. So there is no significant damage to the heart. And also since you do not have symptoms of aortic regurgitation like palpitations or shortness of breath wit... Read Full »
My maid has a heart problem from birth. How to manage her issue?
Query: Hi doctor, My maid has a heart problem since her birth. She complains of pain in heart, a sudden increase in heartbeat, feels hot and leg pain. Now, she feels very weak. Her echo was done recently and I have attached that here. Read Full »
Answer: Hi, Welcome to icliniq.com. Her echocardiogram (attachment removed to protect patient identity) shows three heart valves have been affected, mitral regurgitation (MR), tricuspid valve regurgitation (TR) and aortic valve regurgitation (AR). Her LVEF is 38% (left ventricular ejection fraction). Her... Read Full »