A cautionary tale for transcatheter aortic valve implantation

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  Aortic Regurgitation (AR) is rare complication following surgical aortic valve replacement (AVR). Contrary to AVR,  AR is common following transcatheter aortic valve implantation (TAVI). In the picture, the blue arrow represents normal flow, yellow regurgitation  (leakage). TAVI was developed as an alternative therapy for patients who no longer are candidates for traditional aortic valve replacement or repair, procedures that …

Statin usage in low-risk patients

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Cardiovascular disease (CVD) is ranked as the number one cause of mortality and is a major cause of morbidity world-wide. Reducing high blood cholesterol, a risk factor for cardiovascular disease (CVD) events in people with and without a past history of coronary heart disease (CHD) is an important goal of pharmacotherapy. Statins are the first-choice agents. Previous reviews of the …

A poor heart function and congestive heart failure

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Q: My husband is 62 and has Congestive Heart Failure.  He recently had an echocardiogram which showed his heart at 25%.  We were told that this was serious and that he should see his cardiologist ASAP.  We have an appointment tomorrow, but I would like to know what is normal procedure as far as tests etc. for a person who …

Is trivial valve leakage dangerous?

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QUESTION: A recent echo showed that I have a trivial mitral and tricuspid valve regurgitation. I was wondering if this is something that can be temporary. Also I have. Read that the echo’s are so sensitive that the leaks may not even be there. I was hoping you could provide me with you expert opinion on the issue. Thanks. ANSWER: …

Third lead for ICD

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Q; My husband is 70 and in great shape.  He has and EF of 25% and had a two lead ICD 3years ago at Cleveland Clinic.  Last year they tried to add a lead but were not able to because of scar tissue.  The other option was surgery through the chest.  His doctor has said that the risks would not …

A Tale of Two Valves

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Two percutaneous heart valve procedures have been introduced recently, the Transcatheter Aortic Valve Implantation (TAVI) and the mitral clip, both still investigational devices. One promises a solution to a very difficult problem, the other doesn’t. TAVI is presently researched for select patients with severe symptomatic aortic stenosis (narrowing of the aortic valve opening) who are not candidates for surgery and …