What on an echo can indicate potential cardiac arrest October 25, 2023 04:03PM |
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Re: What on an echo can indicate potential cardiac arrest October 25, 2023 06:30PM |
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Re: What on an echo can indicate potential cardiac arrest October 25, 2023 08:35PM |
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Re: What on an echo can indicate potential cardiac arrest October 25, 2023 09:27PM |
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Re: What on an echo can indicate potential cardiac arrest October 25, 2023 10:05PM |
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Re: What on an echo can indicate potential cardiac arrest October 25, 2023 10:16PM |
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cornerbax
Assuming a ct scan shows no
Coronary Artery Disease, what
Specifically on an echo would
Indicate potential cardiac arrest?
I know Carey has mentioned cardiac
Arrest is ventricular and not atrial so I'm
Assuming the left ventricle would be
A very specific area to watch closely.
I'm sure Ejection Fraction is also very
Important but other than that is there
Anything specifically that would be overly
Concerning to potential cardiac arrest?
Re: What on an echo can indicate potential cardiac arrest October 25, 2023 11:02PM |
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cornerbax
I am sure nothing can guarantee 100% but if I got a regular echo and nothing deteriorated Worse than why would I want to rush the mitral valve Repair surgery?
Re: What on an echo can indicate potential cardiac arrest October 25, 2023 11:11PM |
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Re: What on an echo can indicate potential cardiac arrest October 25, 2023 11:26PM |
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cornerbax
And the severe regurgitation I would Rather monitor with Echos and tests Vs doing the mitral valve surgery
Immediately.
Re: What on an echo can indicate potential cardiac arrest October 25, 2023 11:57PM |
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Re: What on an echo can indicate potential cardiac arrest October 26, 2023 01:29AM |
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My question is "Why wait,"
Re: What on an echo can indicate potential cardiac arrest October 26, 2023 03:14AM |
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Re: What on an echo can indicate potential cardiac arrest October 26, 2023 03:38AM |
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cornerbax
What are your thoughts on all of this in my case?
Re: What on an echo can indicate potential cardiac arrest October 26, 2023 04:02PM |
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cornerbax
then the doctor told me it is still Open Heart
Surgery,
there is some risk and there is a 1 in 300 chance of Death from the Robotic Valve Repair.
Either by stroke from the surgery or cardiac arrest, (from all Mitral Valve Repairs) is about
1 in 300. This was from a top Surgeon at Cedars-Sinai, so my very next question was are
those the numbers HERE AND WITH YOU? They said at Cedars, the number is about 1 in
1500.
Re: What on an echo can indicate potential cardiac arrest October 26, 2023 08:19PM |
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Number 1, I think you're overthinking it. Number 2, I think you're forgetting that as those 3, 5, 10 years progress your valve issues will cause more deterioration in other areas of your overall health. Number 3, I think you're ignoring the mortality risks you face on a daily basis just going about living your life.
Re: What on an echo can indicate potential cardiac arrest October 26, 2023 09:12PM |
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cornerbax
It definitely can't hurt to get a 2nd opinion on that, and PROS/CONS at my age for the MitraClip vs.
and Ablation. I never asked the Surgeon about the MitraClip but I know that they don't do MitraClips which correlates with
what you said in that this is with an Interventional Cardiologist. I will check into this as well as time frame, and report back
when I know.
Re: What on an echo can indicate potential cardiac arrest October 26, 2023 09:32PM |
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Re: What on an echo can indicate potential cardiac arrest October 26, 2023 10:04PM |
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Actually your surgeon should be able to tell you if your particular form of mitral valve prolapse could be fixed with a MitraClip, even though he himself doesn't place them. It was Dr. Trento (cardio-thoracic surgeon at Cedars Sinai) who recommended the MitraClip for me. EPs, in general, may not know so much about it. Probably one of the reasons that they haven't been placing many MitraClips in younger people is that it is fairly new (2003 in Europe and approved in the US in 2013), so they don't have long-term data. However, I was told that if for some reason it failed down the road, they would then simply go in and do the minimally invasive robotic procedure.
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I would recommend a second opinion from an interventional cardiologist.
Re: What on an echo can indicate potential cardiac arrest October 26, 2023 10:45PM |
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cornerbax
I will look into a highly rated interventional cardiologist and from that I should defiintely have more than enough
info to know what I need to do and when I need to do it. Thank you again.
Re: What on an echo can indicate potential cardiac arrest October 27, 2023 03:17AM |
Registered: 6 years ago Posts: 151 |
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cornerbax
@Mark,
thank you for your response, kind words and information. Do you have BOTH
Severe Mitral Regurgitation and AFIB as well? If so, what is your EF and level
of Regurgitation?
I am dealing with an aortic valve vs mitral valve. i am not eligible for a TAVR. I do have aFib as well. LVEF in the 62/67 range. This was improved from my last echo which was in the mid 50 range. Regurgitation currently described as moderate. This was better than “moderately/severe on my last echo. So results of my last echo are more encouraging than the previous one. Not that I want to rain on my parade, but I don’t know how reliable or accurate echos are from one testing to another. Don’t know what the measurement error is or how tech experience fits into subsequent administrations. Maybe someone can comment on this. As a sidelight, I was placed on Losartan several years ago. Apparently Losartan and similar medication are related to the concept of “remodeling” which purportedly allows the heart to do some “healing” by helping to reduce its workload. My cardiologist thought perhaps “remodeling” may have played a part on the improvement from my last echo. Don’t know if that applies to mitral valve regurgitation or not.
Edited 1 time(s). Last edit at 10/27/2023 03:20AM by Mark.
Re: What on an echo can indicate potential cardiac arrest October 27, 2023 07:08PM |
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Re: What on an echo can indicate potential cardiac arrest October 28, 2023 02:35AM |
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Re: What on an echo can indicate potential cardiac arrest October 28, 2023 04:11AM |
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Mark
All my other readings were “normal” except one cited as upper limits of the normal range. As I mentioned, I’m not sure what the measurement error is from one echo to another. The interventionalist I consulted does not put much stock in echos and prefers a TEE to make his recommendations which makes a lot of sense at that decision making level. But I understand that TEEs probably can’t be given on a regular basis—for a variety of reasons.
Re: What on an echo can indicate potential cardiac arrest October 29, 2023 02:16AM |
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I was told that TEEs are better for visualizing valves
Re: What on an echo can indicate potential cardiac arrest October 29, 2023 03:15AM |
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Cornerbax
Do you think
they still should of requested a TEE? I'm rthinkingr that's a question I should DEFINITELY ask,
but being they already suggested a non "urgent" surgery of my mitral valve, i'm guessing they
would say they saw the Mitral Valve clear enough to NOT request a TEE? What do you think?
Re: What on an echo can indicate potential cardiac arrest October 29, 2023 03:23AM |
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Re: What on an echo can indicate potential cardiac arrest October 30, 2023 08:55PM |
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Daisy thanks for your response. Cornerbax, i think that depending on their training and experience one cardiologist could be confident with one set of diagnostics while another could prefer a different set of diagnostics. And they both could be right. We are both treading water or in a sort of limbo. Asking if there are any additional diagnostics that would help clarify your diagnosis or help in your decision making would not be unreasonable. After that, as someone upthread said, overthinking and paralysis by analysis sets in. I think you’re doing your due diligence and while your decision will be a “difficult” one it will be the right one.