What Causes Pain In The Lower Jaw While Having Aortic Valve Stenosis?
cardiac evaluation should be done.
Detailed Answer:
Hi
Thanks for asking query,
Have noted all your details.
Cardiac origin of pain can migrate along the lower jaw lines as dermatomes supplying heart and lower jaw line are same.
As patient is old and is a cardiac patient its very difficult to give her a cardiac clearance just on basis of narration.
I would suggest her to go for some of the base line tests of cardiology like
Tread mill test-(if she can't run then chemical stimulation by dobutamine can be given)An exercise stress test usually involves walking on a treadmill or riding a stationary bike while your heart rhythm, blood pressure and breathing are monitored,Any ischemia will be ruled out.
2d echo-Mobility of cardiac walls and overall functioning can be observed.
Combined together both these tests have 85% sensitivity in ruling out cardiac problem.
If these tests are normal she is cleared from cardiac side and then you should consult a neurologist for neuralgic pain.
Thanks.