Trans catheter aortic valve implantation (TAVI)

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  There are many patients with severe aortic stenosis and coexisting conditions who are not candidates for surgical replacement of the aortic valve. For those patients trans-catheter aortic-valve implantation (TAVI) may be an option. Once severe aortic stenosis is diagnosed, a less than 50% survival rate in the first 2 years after symptoms appear is projected. Traditional Aortic valve replacement …

I have three leaking heart valves

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Q: I have 3 valves leaking one is mild and 2 are moderate. i also have high blood pressure and high cholesterol.I am not really understanding what this means. i do know that my mother passed away at 53 from a heart attack but not sure what that means as far as my health goes. would like to know more …

Sudden death in young athletes

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Q: My grandson has a bicuspid heart valve.he is very active..wants to be on the football team. the coach is really encouraging him to join.iam very worried that something will happen . the whole summer is mainly practice. not much of a break. in fifth grade the coach almost caused him to pass out due to running.please let me know …

Funny chest pains

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Hi, I am a 36 year old male with no real history of any medical problems.  I have a poor family history of heart attacks/bypasses.  My father had a large one at 62.   Lately, I have been having very small sharp pains in my chest/heart area.  These seem to occur randomly.    I have been chalking them up to being stress …

This new technique of Mitral valve repair with a mitral-valve clip does NOT offer any advantage

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Percutaneous Repair or Surgery for Mitral Regurgitation (the EVEREST II study), published in the NEJM on April 4th, compares the use of a mitral-valve clip with traditional surgery for repair or replacement of a leaking mitral valve. The authors concluded: “Although percutaneous repair was less effective at reducing mitral regurgitation than conventional surgery, the procedure was associated with superior safety …

Teenage Obesity and future diabetes, heart disease

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Obese teenagers are at risk for diabetes and heart disease in the future In a new study, published in The New England Journal of Medicine (1), 37,000 Israeli teen aged men  were followed for 17 years. Body Mass Index (BMI) was recorded regularly during the follow-up period. A higher BMI at age 17 was associated with an increased risk for …

In itch and cough in my chest

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Q: “I am 18, 5’11”, Korean American, and have a normal heart except when I expel air forcibly. (longer tones and higher pitches) The cough feels like an itch in my chest, rather than my throat, and cough drops do not help. The chest movements are the biggest source of concern, as a doctor has told me that the heart …

Duchenne’s Muscular Dystrophy and heart disease

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Q; I have a 19 year old son with Duchenne’s Muscular Dystrophy. He also has Supraventricular tachycardia.  He has under gone an atrial flutter ablation and still has arrhythmias.  He is not on any heart medication. His latest EKG showed RSR rime in V1, non specific T wave changes and sinus rhythm. His heart rate is 100bpm. When he has …