Tryndamere
New member
- Joined
- Apr 22, 2019
- Messages
- 3
Hi all, I'm a new member who happened to find this site through googling/researching and have a list of questions that I cant find answers to...
Firstly, I was born with aortic stenosis and had a mechanical valve, ats ap, replaced when I was 18 years old. I just turned 31 and have been on warfarin 8mg daily. inr range roughly 2~3(surgeon said 2~2.5, cardiologist said 2~3, slight contradiction). I also have a history of migraine(not sure if its heart related) and recent mri showed 10 foci of scattered hemosiderin deposits which radiologist claims to be heart valve related, neurologists think its prior to valve replacement that it occurred. I am trying to see if anyone can guess what this might be and is this what people call a mini stroke which reduces life expectancy? neurologists have said these are minor and dont cause problems...my thoughts are, if inr too low, say 2, and if it is a stroke, then clots will form again and shoot up to brain. if one too high, say 3, then cerebral microbleeds. but since we dont know what the cause of these tiny microhamorrhages, what's the best cause of action?
next is I saw that a recent metanalysis on young adults with mechanical valve in which the article first says aortic stenosis life expectancy is halved for young people, then it says life expectancy for a 40 year old is 19 years(normally 34 years) after mechanical valve insertion, is that saying they die or need reoperation? if dying...then doesnt it mean our life expectancy is almost halved...
https://academic.oup.com/eurheartj/article/38/45/3378/3970841
Firstly, I was born with aortic stenosis and had a mechanical valve, ats ap, replaced when I was 18 years old. I just turned 31 and have been on warfarin 8mg daily. inr range roughly 2~3(surgeon said 2~2.5, cardiologist said 2~3, slight contradiction). I also have a history of migraine(not sure if its heart related) and recent mri showed 10 foci of scattered hemosiderin deposits which radiologist claims to be heart valve related, neurologists think its prior to valve replacement that it occurred. I am trying to see if anyone can guess what this might be and is this what people call a mini stroke which reduces life expectancy? neurologists have said these are minor and dont cause problems...my thoughts are, if inr too low, say 2, and if it is a stroke, then clots will form again and shoot up to brain. if one too high, say 3, then cerebral microbleeds. but since we dont know what the cause of these tiny microhamorrhages, what's the best cause of action?
next is I saw that a recent metanalysis on young adults with mechanical valve in which the article first says aortic stenosis life expectancy is halved for young people, then it says life expectancy for a 40 year old is 19 years(normally 34 years) after mechanical valve insertion, is that saying they die or need reoperation? if dying...then doesnt it mean our life expectancy is almost halved...
https://academic.oup.com/eurheartj/article/38/45/3378/3970841