apollo
  • female
  • 60 Years
  • 14/08/2025

The echo report shows severe MS with MVA 0.7 cm2 and high gradient 23/16 mmHg along with severe PAH at 92 mmHg - is heart surgery like MVR absolutely necessary or can we still try managing with medications for now given there's normal LV function and no RWMA

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I'm a bit concerned after getting my Holter test results back. It says I had 17 ventricular beats in tachycardia at 100 bpm and no bradycardia, with a sinus tachycardia peaking at 162 bpm just once. The doctors mentioned this might be normal for someone who drinks and smokes, and they advised me to quit both. The test was done because of an irregular pulse. Could you help me understand what all this means and how serious it is?

The holter test report indicates ventricular beats at 17%, beats in tachycardia (>=100 bpm) at 15%, and no bradycardia. Sinus tachycardia was noted at 162 bpm (maximum only once). It is advisable to quit alcohol and smoking, as advised by your doctors. The irregular pulse may be related to these habits. To help with the irregular pulse, you can take Metoprolol (brand name: Lopressor) 25mg twice daily. This medication can help regulate your heart rate and reduce the occurrence of irregular beats. Regular follow-up with your healthcare provider is recommended to monitor your progress.

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I recently got an ECG and 2D Echo done and the results show acyanotic congenital heart disease with severe valvular PS, mild PR, mild infundibular stenosis, significant RV hypertrophy, mild TR, and a moderately restrictive PDA with LR shunt gradient of 50 mmHg. The report also mentions RV hypertrophy, RA MPA dilation, but normal LV systolic function. Can you explain what this condition means and whether surgery is the only option to treat it? What would be the estimated cost for surgery and is there any chance of managing this with just medication? If I don't get surgery, how long can I expect to live with this condition and are there risks of a heart attack?

Consult a cardiologist with detailed Echo report (both hard copy and cd) This is a congenital malformation in your heart The definitive treatment is surgery Risk of heart attack per say because of this disease doesn't increase many fold but a potential risk of heart failure is always there Consult a cardiologist as advised earlier

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I'm currently taking 4mg of Acitrom because I had an AVR procedure. My doctor suggested adding Ecosprin 150 mg, but since Ecosprin is also a blood thinner, I'm feeling a bit uncertain about taking both. Could I be at risk for any complications, or is this combination really safe?

Taking Ecosprin 150 mg along with acitrom can increase the risk of bleeding due to their combined blood-thinning effects. It is important to follow your doctor's advice, but if you have concerns, it is best to discuss them with your doctor.

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