HomeAnswersCardiologyheart valve diseaseMy 14-year-old sister is diagnosed with a hole in her heart valve. How should we proceed?

What is the best possible treatment for a hole in the heart valve of a 14-year-old girl?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 9, 2023
Reviewed AtAugust 4, 2023

Patient's Query

Hello doctor,

My query is about my sister. She is 14 years old now. When she was seven years old, she had suddenly started shaking and falling. She used to get unconscious and would recover after a few minutes. She used to have on-and-off episodes of fever twice a month. But two to three times, she took Phenobarbitol 30 mg. So she has been fine for nine months. But when she stops it after one month, again the same reaction happens. We went to the cardiologist, who diagnosed her with a hole in the valve, and they said she needed surgery. Why does she experience all these symptoms? Does she have any issues in her head? Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. Regarding the symptoms of fits, did you do any tests such as MRI (magnetic resonance imaging) brain or EEG (electrocardiogram)? What do cardiologists say about hole in the heart? Did she do echocardiography? If done, please send the reports to me so I can guide you further. If not done, I advise you to take echocardiography and consult me or any cardiologist you like. For symptoms of the brain (fits), consult a neurologist. Regarding your question, is there only a heart problem or another problem in the head, so the answer is that there is a problem in the brain that is different from the heart. In rare situations, heart problems can also cause fits or convulsions, but as there are no other heart symptoms, there is a problem in the brain. I hope this helps. Thank you and take care.

Investigations to be done

The investigation to be done is echocardiography (to confirm or exclude structural heart disease).

Treatment plan

Continue Phenobarbital.

Regarding follow up

Regarding follow-up, consult a neurologist for fits, consult a cardiologist after echocardiography, you can consult with me also.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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