Tuesday, November 9, 2010

The problem of rheumatic heart disease

Patient: Female 54 years old

disease: two valve stenosis with moderate

two valve regurgitation mild

mild aortic regurgitation degrees

no special symptoms: a virtual walk will be Chinese, their legs will go a long time acid

Is this the case must be done for valve operation? there are other treatment methods do.

currently do not need surgery.

this should be more positive,

even, do not necessarily need balloon dilation.

Why?

The problem is that patients are no obvious symptoms of heart failure (at least, no right heart failure symptoms)

and only moderate stenosis.

after valve replacement, a series of questions,

after the end of the story is not the surgery.

anticoagulant therapy is a big problem,

If there is no atrial fibrillation, anticoagulation is not required,

, however, must be strong resistance after valve replacement condensate.

proposal,

do not take into account the recent surgery,

balloon, there are strict indications for surgery,

If there is indication

can be considered,

life, pay attention,

to avoid heavy physical activity,

prevent colds and infectious endocarditis is priority,

with appropriate medical treatment can,

if heart failure symptoms,

and, drug ineffective,

consider surgery late.

sometimes,

not listen to the doctor,

because many doctors are now without virtue,

like a open the network, how to fish to allow it to run away

- they can either fish or small fish.

I wish your mother healthy and safe.

the normal mitral valve area is 4 to 6 square centimeters. When the valve area reduced to 1.5 to 2.0 square centimeters, as mild stenosis. In heavy physical activity symptoms; 1.0 ~ 1.5 cm2 when moderate stenosis, moderate physical activity at the onset of symptoms; 1 cm2 or less, is a severe stenosis, in light physical activity symptoms. Can not stop the flow of mitral stenosis, left atrial enlargement occurs, pulmonary edema, left atrial thrombosis. Require surgery. Drug treatment can play a role in easing the symptoms, not solve the fundamental problem. The current valve surgery is generally safe. Recommended for over 60 years of biological valve, 60 years of age for machinery moving.

careful consideration to health or to find the authority of the hospital, regular treatment!

cultivation is best to consider surgery. To the national hospital security

and the chances of success to a large number.

Hello, moderate mitral stenosis, while there sweating and other symptoms after the event, suggesting decreased cardiac function, need for surgery, 54-year-old may be repaired valve may also be replaced.

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