B
bramma11
I'm not sure if anyone can give me any more info than I already have...
Diagnosed w/aortic valve regurg in 1992/diagnosed hypothyroid 1992/diagnosed w/coronary artery disease in 2001 via angiogram for R&L ventricle/diagnosed w/lyphedema (arms only)1993/diagnosed w/celiac disease via endoscopy biopsy 2004/have one kidney (donor in 1992 for sister)/not over weight/smoking cessation w/help of chantix/now back on procardia(couldn't afford & no insurance for past year-now have insurance)/Synthroid level (88 to 1) for hypothyroid has been increased because of very recent tests including TSH=high/cholesterol test high as always =back on med for cholesteral.......
Below is a list or recent tests (w/in last 2 weeks):
Echocardiogram =
1. normal left ventricular size w/left ventricular systolic function at the lower limit of normal, estimated at 50% (EF)
2. left ventricular relaxation abnormality or grade 1 diastolic dysfunction
(More regrading tricuspid & mitral=mild)
Left ventricle = There was borderline global hypokinesis. Mitral inflow suggested left ventricular relaxation abnormality or grade 1 diastolic dysfunction.
The echo before this one was 4 years ago as follows:
Interpretation:combined m-mode, 2-dimensional, doppler echo/left ventricle was enlarged/overall resting left ventricular systolic function was normal w/a visual EF of 55%.Regional wall motion abnormalities were not seen/Right ventricle was normal/Both atria were normal/Pericardial effustion was not present/valve appears to be trileaflet/Forward flow velocity across the valve was normal and there appeared to be at least moderate and perhaps severe aortic insufficiency./The jet extended all the way to the left ventricular apex, although the width did not appear to be much more than 50% of the left ventricular outflow tract. However, the dilated appearance of the left ventricle certainly makes one wonder about the severity of this patient's aortic insufficiency. etc etc etc regarding mild/trace mitral & tricuspid insuff/estimate peak pulmonary artery pressure was 25 mmHg.
The cardiologist (regarding echo 1 week ago)told me on a scale of severity from 1-4/I am at a 3.5. He also told me that because of symptoms that it is possible there might be a need for valve replacement w/in the year. (fatigue, short of breath, pain=pain to jaw w/additional pain in abdomen & sometimes pain down mostly right arm into back all w/short of breath & some times squeezing short pains in heart side of chest mostly at rest- all of which does not happen frequently-maybe an average of 2-3 times per month)
I am scheduled for a pulmonary function test tomorrow-the cardio said if that test proves symptoms ,more short of breath & fatigue is caused by lung function then it isn't the heart & surgery won't be w/in the year. I have always been aware that there will be a day when I will need a valve replacement.
I must make you aware of the following: These past two weeks of being ill began with a trip to the emergency room because of being very short of breath-bronchitis & extremely tired out. I was given breathing treatments w/take home albuterol & antibiotic & prednisone. The xrays showing infection in my lungs (who Knows???)....The fatigue had been worsening prior to these past 2 weeks for about 3-4 months. Also, more short of breath during that time - climb only 1 set of stairs - 2 pillows at night for long time....But, symptoms not nearly as pronounced as w/in the last two weeks - And, the last 2 days have been much, much better regarding short of breath - I don't have much energy-become very fatigued by early afternoon - but still might be recovering from the bronchitis.
Please excuse the length of this post - I am going to finish up by listing results from other tests w/in the last 2 weeks & some of the coronary report from 2001:
Coronary angiography (2001) demonstrated a right dominant coronary system with mild focal disease. The RCA appeared normal. The LMCA was normal and there was 25% narrowing of the ostia of the LAD and LCx. There was a 40-50% stenosis of the ostium of D1; the remainder of the LAD system had no sifnicant disease. The LCx similarly did not show any other irregulatities. (of course this angiogram did show "Moderate aortic insufficiency")
Tests w/in last 2 weeks (right side will include normal numbers):
Metabolic:
Glucose=136 mg/dL High <70-100>
Creatinine=1.3 High <0.4-1.0> (creatinine has been 1.1 for many years)
GFR 44.3 Low <60.0-1000.0>
Anion Gap 19 Meq/L High <9-18>
....All remaining metabolic were normal
Urine - all UA normal
TSH = 5.86 ulu/ml High <0.49-4.67> (TSH had been ok for many years - @ 88 now raised to 1 Synthroid-will gie me more energy I hope)
CBC w/DIFF:
WBC 12.7 K/uL High <4.0-11.0>
RBC 5.29 M/uL High <3.90-5.20>
HCT 46.2 % High <36.0-46.0>
GRAN# 10.5 K/uL High <2.0-7.8>
All remain on CBC w/Diff were normal
Bone Density=borderline on osteopenia for hip region only-The Celiac disease can deplete bone density - have prescription now for Crestor...
On aldactone (since 1992), Synthroid since 1992, take Vitamin E, C, Calcium w/D since 1992.
Again my apoligies for such length with my info -
and again, I don't know if anyone can give me advice/knowledge more than I am already aware - I certainly would appreciate some input on your experiences, what you think is possible -etc, etc etc.....
Thank you for reading this at the very least.
Debbie
Diagnosed w/aortic valve regurg in 1992/diagnosed hypothyroid 1992/diagnosed w/coronary artery disease in 2001 via angiogram for R&L ventricle/diagnosed w/lyphedema (arms only)1993/diagnosed w/celiac disease via endoscopy biopsy 2004/have one kidney (donor in 1992 for sister)/not over weight/smoking cessation w/help of chantix/now back on procardia(couldn't afford & no insurance for past year-now have insurance)/Synthroid level (88 to 1) for hypothyroid has been increased because of very recent tests including TSH=high/cholesterol test high as always =back on med for cholesteral.......
Below is a list or recent tests (w/in last 2 weeks):
Echocardiogram =
1. normal left ventricular size w/left ventricular systolic function at the lower limit of normal, estimated at 50% (EF)
2. left ventricular relaxation abnormality or grade 1 diastolic dysfunction
(More regrading tricuspid & mitral=mild)
Left ventricle = There was borderline global hypokinesis. Mitral inflow suggested left ventricular relaxation abnormality or grade 1 diastolic dysfunction.
The echo before this one was 4 years ago as follows:
Interpretation:combined m-mode, 2-dimensional, doppler echo/left ventricle was enlarged/overall resting left ventricular systolic function was normal w/a visual EF of 55%.Regional wall motion abnormalities were not seen/Right ventricle was normal/Both atria were normal/Pericardial effustion was not present/valve appears to be trileaflet/Forward flow velocity across the valve was normal and there appeared to be at least moderate and perhaps severe aortic insufficiency./The jet extended all the way to the left ventricular apex, although the width did not appear to be much more than 50% of the left ventricular outflow tract. However, the dilated appearance of the left ventricle certainly makes one wonder about the severity of this patient's aortic insufficiency. etc etc etc regarding mild/trace mitral & tricuspid insuff/estimate peak pulmonary artery pressure was 25 mmHg.
The cardiologist (regarding echo 1 week ago)told me on a scale of severity from 1-4/I am at a 3.5. He also told me that because of symptoms that it is possible there might be a need for valve replacement w/in the year. (fatigue, short of breath, pain=pain to jaw w/additional pain in abdomen & sometimes pain down mostly right arm into back all w/short of breath & some times squeezing short pains in heart side of chest mostly at rest- all of which does not happen frequently-maybe an average of 2-3 times per month)
I am scheduled for a pulmonary function test tomorrow-the cardio said if that test proves symptoms ,more short of breath & fatigue is caused by lung function then it isn't the heart & surgery won't be w/in the year. I have always been aware that there will be a day when I will need a valve replacement.
I must make you aware of the following: These past two weeks of being ill began with a trip to the emergency room because of being very short of breath-bronchitis & extremely tired out. I was given breathing treatments w/take home albuterol & antibiotic & prednisone. The xrays showing infection in my lungs (who Knows???)....The fatigue had been worsening prior to these past 2 weeks for about 3-4 months. Also, more short of breath during that time - climb only 1 set of stairs - 2 pillows at night for long time....But, symptoms not nearly as pronounced as w/in the last two weeks - And, the last 2 days have been much, much better regarding short of breath - I don't have much energy-become very fatigued by early afternoon - but still might be recovering from the bronchitis.
Please excuse the length of this post - I am going to finish up by listing results from other tests w/in the last 2 weeks & some of the coronary report from 2001:
Coronary angiography (2001) demonstrated a right dominant coronary system with mild focal disease. The RCA appeared normal. The LMCA was normal and there was 25% narrowing of the ostia of the LAD and LCx. There was a 40-50% stenosis of the ostium of D1; the remainder of the LAD system had no sifnicant disease. The LCx similarly did not show any other irregulatities. (of course this angiogram did show "Moderate aortic insufficiency")
Tests w/in last 2 weeks (right side will include normal numbers):
Metabolic:
Glucose=136 mg/dL High <70-100>
Creatinine=1.3 High <0.4-1.0> (creatinine has been 1.1 for many years)
GFR 44.3 Low <60.0-1000.0>
Anion Gap 19 Meq/L High <9-18>
....All remaining metabolic were normal
Urine - all UA normal
TSH = 5.86 ulu/ml High <0.49-4.67> (TSH had been ok for many years - @ 88 now raised to 1 Synthroid-will gie me more energy I hope)
CBC w/DIFF:
WBC 12.7 K/uL High <4.0-11.0>
RBC 5.29 M/uL High <3.90-5.20>
HCT 46.2 % High <36.0-46.0>
GRAN# 10.5 K/uL High <2.0-7.8>
All remain on CBC w/Diff were normal
Bone Density=borderline on osteopenia for hip region only-The Celiac disease can deplete bone density - have prescription now for Crestor...
On aldactone (since 1992), Synthroid since 1992, take Vitamin E, C, Calcium w/D since 1992.
Again my apoligies for such length with my info -
and again, I don't know if anyone can give me advice/knowledge more than I am already aware - I certainly would appreciate some input on your experiences, what you think is possible -etc, etc etc.....
Thank you for reading this at the very least.
Debbie
