Patient's Query
Hi doctor,
The patient is a 54-year-old female and had a 42 mm Hg mean gradient and 60 % LVEF. She was recommended aortic valve replacement surgery, and the next echo showed a 38 mm mean gradient and a 0.14725 square inches aortic valve area. We found another echo that was done six years ago. LVEF was the same, and the mean gradient was very close to todays: 37 mm Hg. She has fatigue on exertion. Should we focus on other diseases she has, such as chronic bronchitis and Hashimoto's, to alleviate the symptoms, or aortic valve replacement is urgent?
Thank you.
Hello,
Welcome to icliniq.com.
I understand your concern.
Based on the information provided, the patient's aortic valve disease seems to be progressing slowly, as evidenced by the relatively stable echocardiogram findings over six years. However, the patient's current symptoms of fatigue on exertion may be related to both her aortic valve disease and her other medical conditions, such as chronic bronchitis and Hashimoto's thyroiditis. In general, the decision to proceed with aortic valve replacement surgery is based on various factors, including the severity and progression of the valve disease, the patient's overall health and risk profile, and their symptoms.
In this case, further evaluation of the patient's symptoms and underlying medical conditions may be appropriate to determine if they are contributing to her fatigue and to develop a comprehensive treatment plan that addresses all aspects of her health. This may involve medications to manage her other medical conditions, lifestyle modifications to improve her overall health and reduce her risk of complications, and close monitoring of her aortic valve disease to determine if surgery becomes necessary in the future. Ultimately, the decision regarding aortic valve replacement surgery should be made in consultation with a cardiologist or cardiac surgeon familiar with the patient's unique circumstances.
I hope this information will help you.
Thank you.
Was this conversation helpful?
Answered byDr. Vandana Andrews
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
How can high BP be controlled in a patient with aortic valve replacement?
How to cure left ventricular ejection fraction of 25 percent in my father?
Diagnosed heart failure with 25% ejection fraction. Could alcohol and steroids be the reason?
My mother has undergone aortic valve replacement surgery. Is it fine to shift her from ICU?
What is the treatment and life expectancy for chronic bronchitis?
Will persistent dry cough, wheeze and rattling in chest end up in chronic bronchitis?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.