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WHAT WOULD BE YOUR RECOMMENDATION AND TREATMENT FOR A 13
Question: WHAT WOULD BE YOUR RECOMMENDATION AND TREATMENT FOR A 13 YEARS OLD GIRL WITH DIAGNOSIS OF RHEUMATIC HEART DISEASE WITH MODERATE MITRAL REGURGITATION WITH EF OF 40%.
WHAT WOULD BE YOUR RECOMMENDATION AND TREATMENT FOR A 13 YEARS OLD GIRL WITH DIAGNOSIS OF RHEUMATIC HEART DISEASE WITH MODERATE MITRAL REGURGITATION WITH EF OF 40%.
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details forwarded by you I can understand your concern and I would like to tell you that before giving any medical I would like to personally review as it’s important to understand the scenario as a whole which not just includes Lv ejection fraction and severity of Mitral valve regurgitation but also includes other parameters which should be considered like pulmonary artery pressures, LV dimensions etc.
Kindly upload full report of the patient.
Kind Regards
Dr Bhanu Partap
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details forwarded by you I can understand your concern and I would like to tell you that before giving any medical I would like to personally review as it’s important to understand the scenario as a whole which not just includes Lv ejection fraction and severity of Mitral valve regurgitation but also includes other parameters which should be considered like pulmonary artery pressures, LV dimensions etc.
Kindly upload full report of the patient.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details forwarded by you I can understand your concern and I would like to tell you that before giving any medical I would like to personally review as it’s important to understand the scenario as a whole which not just includes Lv ejection fraction and severity of Mitral valve regurgitation but also includes other parameters which should be considered like pulmonary artery pressures, LV dimensions etc.
Kindly upload full report of the patient.
Kind Regards
Dr Bhanu Partap
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details forwarded by you I can understand your concern and I would like to tell you that before giving any medical I would like to personally review as it’s important to understand the scenario as a whole which not just includes Lv ejection fraction and severity of Mitral valve regurgitation but also includes other parameters which should be considered like pulmonary artery pressures, LV dimensions etc.
Kindly upload full report of the patient.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Sorry, EF is 60%,
LV(ED) 3.8, LV(ES)2.6,
IVS (ed)0.5, IVS (es) 1.0,
LVPW (ed) 0.7, LVPW (es) 1.0,
Aorta 2.1, LA 2.3,
MPA2.0, AOV 2.0,
RV 2.5, RA 2.0,
MV ANNULUS 2.0, TV ANNULUS
1.8, PA PRESSURE PAT:158
LV(ED) 3.8, LV(ES)2.6,
IVS (ed)0.5, IVS (es) 1.0,
LVPW (ed) 0.7, LVPW (es) 1.0,
Aorta 2.1, LA 2.3,
MPA2.0, AOV 2.0,
RV 2.5, RA 2.0,
MV ANNULUS 2.0, TV ANNULUS
1.8, PA PRESSURE PAT:158
Sorry, EF is 60%,
LV(ED) 3.8, LV(ES)2.6,
IVS (ed)0.5, IVS (es) 1.0,
LVPW (ed) 0.7, LVPW (es) 1.0,
Aorta 2.1, LA 2.3,
MPA2.0, AOV 2.0,
RV 2.5, RA 2.0,
MV ANNULUS 2.0, TV ANNULUS
1.8, PA PRESSURE PAT:158
LV(ED) 3.8, LV(ES)2.6,
IVS (ed)0.5, IVS (es) 1.0,
LVPW (ed) 0.7, LVPW (es) 1.0,
Aorta 2.1, LA 2.3,
MPA2.0, AOV 2.0,
RV 2.5, RA 2.0,
MV ANNULUS 2.0, TV ANNULUS
1.8, PA PRESSURE PAT:158
Brief Answer:
Hello again
Detailed Answer:
As per the details mentioned by you the ejection fraction is normal with normal Lv chamber dimensions and No mitral stenosis. This scenario won’t require to go for Valve replacement.
Her medications needs to be reviewed and then should be managed medically as of now.
I hope this information will guide you properly.
Kind Regards
Hello again
Detailed Answer:
As per the details mentioned by you the ejection fraction is normal with normal Lv chamber dimensions and No mitral stenosis. This scenario won’t require to go for Valve replacement.
Her medications needs to be reviewed and then should be managed medically as of now.
I hope this information will guide you properly.
Kind Regards
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
Hello again
Detailed Answer:
As per the details mentioned by you the ejection fraction is normal with normal Lv chamber dimensions and No mitral stenosis. This scenario won’t require to go for Valve replacement.
Her medications needs to be reviewed and then should be managed medically as of now.
I hope this information will guide you properly.
Kind Regards
Hello again
Detailed Answer:
As per the details mentioned by you the ejection fraction is normal with normal Lv chamber dimensions and No mitral stenosis. This scenario won’t require to go for Valve replacement.
Her medications needs to be reviewed and then should be managed medically as of now.
I hope this information will guide you properly.
Kind Regards
Above answer was peer-reviewed by :
Dr. Kampana
WHAT MEDICATIONS DO U RECOMMEND, DOSE,FREQUENCY?
WHAT MEDICATIONS DO U RECOMMEND, DOSE,FREQUENCY?
Brief Answer:
Hello again
Detailed Answer:
Medications includes Penicillins which she is already taking, Diuretics to reduce the intensity of mitral regurgitation, ACE inhibitors for LV protection. Dosage can only be decided after personally examining the patient.
So it’s highly advisable that you should take her to cardiologist and get her evaluated and then you can discuss this information provided here with the doctor.
Hope to have been helpful.
Kind Regards
Hello again
Detailed Answer:
Medications includes Penicillins which she is already taking, Diuretics to reduce the intensity of mitral regurgitation, ACE inhibitors for LV protection. Dosage can only be decided after personally examining the patient.
So it’s highly advisable that you should take her to cardiologist and get her evaluated and then you can discuss this information provided here with the doctor.
Hope to have been helpful.
Kind Regards
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Hello again
Detailed Answer:
Medications includes Penicillins which she is already taking, Diuretics to reduce the intensity of mitral regurgitation, ACE inhibitors for LV protection. Dosage can only be decided after personally examining the patient.
So it’s highly advisable that you should take her to cardiologist and get her evaluated and then you can discuss this information provided here with the doctor.
Hope to have been helpful.
Kind Regards
Hello again
Detailed Answer:
Medications includes Penicillins which she is already taking, Diuretics to reduce the intensity of mitral regurgitation, ACE inhibitors for LV protection. Dosage can only be decided after personally examining the patient.
So it’s highly advisable that you should take her to cardiologist and get her evaluated and then you can discuss this information provided here with the doctor.
Hope to have been helpful.
Kind Regards
Above answer was peer-reviewed by :
Dr. Raju A.T
Diuretics and ace inhibitors are also ok for a 13 year old kid?
Diuretics and ace inhibitors are also ok for a 13 year old kid?
Brief Answer:
Hello again
Detailed Answer:
Yes those all are important components of medical management. Also 6 months follow ups with echo study will be required.
Kind Regards
Hello again
Detailed Answer:
Yes those all are important components of medical management. Also 6 months follow ups with echo study will be required.
Kind Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Hello again
Detailed Answer:
Yes those all are important components of medical management. Also 6 months follow ups with echo study will be required.
Kind Regards
Hello again
Detailed Answer:
Yes those all are important components of medical management. Also 6 months follow ups with echo study will be required.
Kind Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
ARE THOSE MEDICATONS ARE FOR LIFETIME ALREADY AS LONG AS NO VALE REPLACEMENT IS RECOMMENDED YET.? I MEAN PENICILLIN, DIURETICS AND ACE INHIBITORS,,,
ARE THOSE MEDICATONS ARE FOR LIFETIME ALREADY AS LONG AS NO VALE REPLACEMENT IS RECOMMENDED YET.? I MEAN PENICILLIN, DIURETICS AND ACE INHIBITORS,,,
Brief Answer:
Hello again
Detailed Answer:
Not particularly these 3 medications will be life long, and the medication regime will depend upon the current situation of the patient and status of the disease in future.
But yes some medications have to be continued for a long period of time.
Regards
Hello again
Detailed Answer:
Not particularly these 3 medications will be life long, and the medication regime will depend upon the current situation of the patient and status of the disease in future.
But yes some medications have to be continued for a long period of time.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Hello again
Detailed Answer:
Not particularly these 3 medications will be life long, and the medication regime will depend upon the current situation of the patient and status of the disease in future.
But yes some medications have to be continued for a long period of time.
Regards
Hello again
Detailed Answer:
Not particularly these 3 medications will be life long, and the medication regime will depend upon the current situation of the patient and status of the disease in future.
But yes some medications have to be continued for a long period of time.
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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