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  1. jyg

    NIH Reports TAVI/TAVR as more routine, open to moderate risk patients, and then some

    Thanks for going deeper Pellicle. If I understand the numbers, the valves themselves are holding up, but severe stenosis can develop within 5 years (using >40mmHg as a definition of severe AS). This is, as you point out the issue with patient age, even more concerning since older patients are...
  2. jyg

    NIH Reports TAVI/TAVR as more routine, open to moderate risk patients, and then some

    I know we had a post in this section from 2017, but this news from the NIH seems even brighter. I should have another 5 years at least with my 6 year old Epic. By the time I get my bioprosthetic replaced, I imagine low-risk/asymtpomatic TAVR patients will be common. Now I had a blimp of an...
  3. jyg

    Extra beats

    Hi Paul1972, I had a few noticeable PVCs before my surgery (almost 5 years out now), probably a lot I did not notice, and a lot more since. Most times I couldn't get them to happen in the doc's office but as they became more prevalent he was able to record them. PVCs (apparently a type of...
  4. jyg

    Should my doctors be more concerned about BP?

    You got an LOL outta me :)
  5. jyg

    Should my doctors be more concerned about BP?

    Thanks, Superman (heh). I know what you're saying. I know that any change of my body and habits is not just ultimately but is wholly up to me. My question though was not about needing a kick in the pants, but rather in regard to the numbers vs the concern of medical professionals. How would you...
  6. jyg

    Should my doctors be more concerned about BP?

    My BP is regularly 130-145/80-90. I take 75mg/day metoprolol. I'm about 30lbs overweight (5'6", 180lbs) and since the start of 2018 my exercise routine has been non-existent. I don't really watch my salt intake, though I don't go crazy with salt. I have naturally low total cholesterol (~130) I...
  7. jyg

    How long do Dacron grafts last?

    The way my surgeon put it was like this: If they dig me up a thousand years from now, they'll find my bones, my valve and the dacron tube. He also told me that over time the graft becomes part of you, overgrown with the same cells that line your natural arteries. Who knows what will happen...
  8. jyg

    Beer

    Pellicle ... omg... the photo! Now I have to clean up the milk and Cheerios I spit across the table :Face-Laugh: So glad I got .a bioprosthetic :Smile:
  9. jyg

    aortic aneurysm + high blood pressure

    There are many options for blood pressure meds. You should bug your cardio poke around the pharmacy some more. If you cannot get him or her to keep working with you, I'd find a second opinion. It sounds like you are in good physical shape already, and so that and your youth would make for the...
  10. jyg

    Abandoned pacemaker lead... or?

    Thanks for the replies you guys. Obviously, I'm still alive, and I'm not having further pain, etc. It must've been muscle related. Yes, it did feel weird getting the leads taken out... though the catheter was much more disconcerting. If I recall correctly, and I might not be, the PA had the...
  11. jyg

    At least I got to see the Air Ambulance !

    Doh! Sorry for the frustration! Sounds like you've got that in check though :)
  12. jyg

    Abandoned pacemaker lead... or?

    This is really a two-parter. 1. After my AVR in 2013 the physician's assistant who removed my post-op pacemaker leads screwed up. The lead slipped from her fingers and snapped back into my chest. My surgeon's lieutenant assured me it wasn't a problem and especially not compared to opening me up...
  13. jyg

    Bioprosthetic Valve, Aspirin& Gout

    Oh, you guys... ;) Google "aspirin and gout" (without the quotes) and you will see that the first five hits make a clear connection, including an NIH study. (No offense to the NHS, LondonAndy, but I'll take a study over an advice page any day.), Those other negative factors which I foolishly...
  14. jyg

    Bioprosthetic Valve, Aspirin& Gout

    I'm 4.5 years out from my AVR now, bioprosthetic , so I take aspirin. There are other contributing factors, but I am sure that the aspirin is the worst, consistent factor giving me regular soreness and then the occasional full blown gout attack just by adding in three or four units alcohol. I...
  15. jyg

    Diff in surgical opinion

    dixitworld, I am in San Francisco as well. Almost 4 years out from AVR and replace of my proximal arch and some of the innominate artery with Dacron. This was done by the head of thoracic at CPMC, Dr. Vincent Gaudiani. He's very, very confident and a real mensch, but clearly compassionate. He's...
  16. jyg

    A lot more PVCs lately

    Wow, thanks all for the great responses, it got me think read more. I've been keeping this all in mind and trying to evaluate some long-standing patterns in my life. I remembered that I had noticed PVCs, just a bit, some time before surgery. Cardio had me on a Holter and saw nothing significant...
  17. jyg

    A lot more PVCs lately

    I'm almost 4 years out from my AVR with a bioprosthetic valve and a chunk of my proximal and innominate artery replaced with a Dacron graft. Right after surgery I had a lot of PVCs, that's to be expected. After a few months the cardio and I finally settled on 75mg/day for metoprolol. I am very...
  18. jyg

    Accuracy Of Echos?

    This is very interesting to me. My aneurysm was never seen on echos, a regular echo and even a TEE. It was only caught with a CT. One significant difference for my aneurysm was that it wasn't at the aortic root as most with AV issues, but rather it was way up in the proximal arch. My root...
  19. jyg

    81mg Aspirin, and then another NSAID as needed?

    Thanks for all of your answers. I should also add that I eventually got the chance to ask my cardiologist and he said it was certainly not a problem. The warnings really apply to people who take at least the recommended dose of NSAIDs beyond the cardio-dose on a very regular basis, like someone...
  20. jyg

    81mg Aspirin, and then another NSAID as needed?

    Hello VR friends, I did some searching on VR.org before I wrote this question and all I saw were answers in reference to questions about warfarin plus NSAIDs, not doubling up if you already take 81mg daily. So, obviously, I take 81mg daily, and no other thinners, for my bioprosthetic aortic...
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