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MITRAL VALVE BLOG

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We all know that exercise and physical health go hand-in-hand. But did you know that exercising can help prevent heart disease and stroke, and even help individuals with some minor heart conditions?

The American Heart Association recommends getting at least 150 minutes per week of moderate exercise — or 75 minutes per week of vigorous exercise — to improve overall cardiovascular health. For individuals looking to lower their blood pressure or cholesterol levels, the organization recommends 40 minutes of moderate-to-vigorous aerobic exercise three to four times per week.

Aerobic exercises include walking, jogging, swimming, or biking.

Your heart is a muscle, and it gets stronger and healthier if you lead an active lifestyle. The resting heart rate of a person who stays active is slower than a non-active person, because less effort is needed to keep blood pumping. People who don’t exercise are twice as likely to develop heart disease compared to those who stay active.

Exercise promotes weight maintenance and reduction, and can reduce “bad” LDL cholesterol levels in the blood. Those “bad” lipoproteins lead to plaque buildup in the arteries, which narrows vital pathways for blood flow and raises the risk of heart attack and stroke.

Some cardiologists recommend combining short bursts of high-intensity exercise with slightly longer periods of recovery, so that the body becomes more efficient at clearing fat and sugar from the blood. Weight training can also help with heart protection for healthy individuals.

It’s been shown that exercise decreases symptoms of angina and heart failure, and even overweight people who have trouble shedding pounds can still achieve heart benefits with routine physical activity.

Experts also agree that the worst kind of exercise for heart health is “overdoing it” with vigorous physical activity without prior training, such as shoveling snow. The excessive adrenaline that is released throughout the body can lead to a sudden heart attack.

For people with mild-to-moderate mitral valve regurgitation (MVR) without symptoms, regular activity – even if it’s walking – will help heart functions. Using a treadmill with a digital heart monitor is one of the easiest ways to work out while keeping tabs on your pulse.

It’s important to note that people with MVR who are experiencing irregular heart rhythms should be cautious about physical activity, avoid a high-intensity workout, and consult their doctors about what type of exercise is appropriate.

Dr. Peter Mikhail is a cardiac and thoracic surgeon based in New Port Richey, Florida, who treats patients in the Tampa and Clearwater areas. For more information on his practice or to schedule a consultation, visit our Mitral Valve  contact page or call 727-312-4844.

 


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This is a heart condition that affects a very small percentage of the U.S. population, and its symptoms may include irregular heartbeat and chest pain.

Mitral valve prolapse, also known as click-murmur syndrome, Barlow’s syndrome and floppy valve syndrome, occurs when the mitral valve flaps do not close smoothly or evenly as the heart beats; instead, the flaps bulge, or prolapse, upward into the left atrium.

In most cases, it’s harmless and most people aren’t even aware they have it.  However, some cases require treatment; for instance, when a prolapsed valve allows a small amount of blood to leak backward, a heart murmur may occur. For some, MVP is genetic, but for others, it’s caused by other health issues, such as progressively weakening connective tissue.

Health professionals can typically detect a murmur during a routine examination, especially if a patient has experienced heart palpitations (sudden rapid heartbeats), chest discomfort and fatigue. For those without symptoms, physicians may use an echocardiogram or magnetic resonance imaging (MRI) to look for issues.

Mitral valve surgery may be required if symptoms appear to be getting worse, the left ventricle of the heart is enlarged or heart functions are worsening. While mitral valve prolapse rarely becomes a serious health condition, it can cause arrhythmias – when the heart beats too fast or slow – that are potentially life-threatening, according to the American Heart Association.

Physicians typically recommend treating the symptoms of MVP with regular exercise, over-the-counter pain relievers and relaxation/stress reduction activities, while avoiding caffeine and other stimulants. Beta blockers, or medications that slow the heart, may also be used to treat heart palpitations.

Experts recommend that individuals with mitral valve prolapse should see their doctor regularly, and a cardiologist every 2 to 3 years. Those with moderate symptoms should get an echocardiogram every 6 to 12 months.

Dr. Peter Mikhail is a cardiac and thoracic surgeon based in New Port Richey, Florida, and treats patients in the Tampa and Clearwater areas. For more information on his practice or to schedule a consultation, visit the Tiny Scar Valve Surgery contact page or call 727-312-4844. To learn more about this disease, visit Dr. Mikhail’s Mitral Valve Disease page.


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If you have been diagnosed with mitral valve disease, you probably have a list of questions. As you should! Mitral valve disease is one form of heart disease, and it can be a very serious condition. Part of your heart valve isn’t working properly, and it’s you and your doctor’s job to decide what to do next so you can live a healthy and long life.

There are three different types of mitral valve disease: mitral valve regurgitation/insufficiency (leaking), mitral valve stenosis (obstruction), and mitral valve prolapse (bulging).

The type of mitral valve disease you have and the severity of it will determine your doctor’s treatment plan. One treatment option is surgery. But when is it time to repair your mitral valve? Is there a good time? Well, if you have a severe case or a big leak, it’s recommended you get the valve repaired now. If you put off surgery, the damaged valve will begin to cause damage to the heart itself. Valves cannot repair themselves; there is no point in waiting. Studies have shown if you wait for symptoms to become severe before you choose surgery, your chance of experiencing complications after the surgery is higher.

If the valve is severely damaged, a surgeon may not be able to repair the valve and a replacement will have to be done. If your valve disease is life-threatening, a replacement valve will be chosen over a repair.

Treatment isn’t always needed for minor causes of mitral valve disease. Sometimes the doctor will just monitor a patient’s heart over the years to see if the disease is getting progressively worse. The doctor can also prescribe medications to reduce the symptoms that patients are experiencing from the disease, but the medications cannot fix the broken parts of the mitral valve. Patients can take antiarrhythmics, beta blockers, diuretics, and anticoagulants.

The thought of surgery can be terrifying; there may be no “right” time, but you want to fix the problem before it gets worse. Dr. Peter Mikhail performs minimally-invasive mitral valve heart surgery on his patients. He makes a small (2 to 3 inch) incision in the right side of the chest. This is not open-heart surgery. With minimally invasive surgery, recovery is shorter. Surgery can take anywhere from 2 to 4 hours.

If it’s time for you to get your mitral valve repaired or replaced, let Dr. Mikhail look at your heart and determine the best course of action. He is a cardiac and thoracic surgeon who specializes in mitral valve surgery. He treats patients in the New Port Richey, Tampa and Clearwater areas of Florida. To book a consult, click here or call 727-312-4844.  Learn more about this surgery on Dr. Mikhail’s Mitral Valve Surgery page.

 

 


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Heart disease is the Number One killer in America. Some people are born with heart disease. Some people have a buildup of fatty plaque in their arteries due to lack of exercise, smoking or an unhealthy diet. Some people develop heart issues from drug habits or stress.  Some people develop heart disease from high blood pressure. Some people have heart issues from trauma or infection. As you can see, there are many ways a person can develop heart disease, which means it’s in your best interest to do everything within your power to ward off the disease.

No one lives a perfect life. No one has the ideal diet. People skip workouts. People don’t sleep enough. Accidents happen.  But we can help ourselves by trying to lead the healthiest lives possible to keep our hearts strong so we can live longer, happier lives.

Making a lifestyle change for better heart health can be overwhelming for some, so we want to share with you some real, basic tips on everyday things you can do to improve your heart health and lower your risk of heart disease.

  • If you have to lose a lot of weight, don’t stress. Set your weight loss goals at small increments. Aim for 5 pounds, then aim for another 5 pounds. It’ll add up quickly and these smaller increments will seem far more attainable than saying, “I need to drop 60 pounds.”
  • Incorporate more fresh fruit and vegetables in your diet. Your body needs a variety of different vitamins and minerals to function properly. Try to eat around 5 servings of fruit and veggies per day.
  • If you smoke, quit! It is easier said than done, but if you quit you lower your chance of developing heart disease or having a heart attack by 50 percent!
  • Aim for 7 to 9 hours of sleep per night. Research has shown that proper rest reduces a person’s chance of developing heart disease.
  • Exercise keeps your heart healthy. 30 minutes of exercise a day is ideal to keep your heart in a heathy state. If 30 minutes is too much for you, you can split it into two 15-minute segments of exercise or three 10-minute segments throughout the day.
  • Stay hydrated! When your body and blood are well hydrated, the heart doesn’t have to work as hard to pump and keep the blood flowing.

Changing your lifestyle to promote better heart health doesn’t have to be a daunting, overwhelming task. Take it one step at a time! Slowly start incorporating the above list in your daily habits, and I bet you’ll start feeling better!

If you currently suffer from heart disease, including mitral valve disease or aortic valve disease, and are considering surgery, you should book a consult with Dr. Peter Mikhail. Dr. Mikhail is a cardiac and thoracic surgeon who performs mitral valve surgery and mini-AVR on patients with mitral valve or aortic valve disease. He treats patients in the Tampa, Clearwater and New Port Richey areas of Florida. To book an appointment, click here or call 727-312-4844.

 


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Blood pressure and heart health go hand in hand. Your blood pressure reading reflects two numbers, systolic pressure and diastolic pressure. Your systolic pressure measures the pressure of the blood against your artery walls when the heart pumps blood out during a heartbeat, while your diastolic pressure measures this pressure in-between heartbeats when your heart is full of blood. Ideally, your blood pressure should read below 120/80. One in three American adults suffer from high blood pressure.  One thing you can do to keep your blood pressure in check is to eat a balanced diet. Certain foods are known to increase your blood pressure.  We suggest you avoid the following foods or limit them in your diet to keep your blood pressure in a good range:

  1. Soda/sweetened beverages – Sugar-loaded drinks can quickly lead to weight gain; excessive weight on the body can raise a person’s blood pressure.
  2. Processed meats and other foods – Deli meats like turkey or ham are loaded with sodium, which can raise a person’s blood pressure. Lots of packaged foods contain high amounts of sodium, e.g. canned soup, frozen meals, tomato sauces, canned vegetables and bread. These foods have a lot of sodium, because this ingredient is used to preserve the foods.
  3. Baked goods – Cakes, doughnuts, muffins, cupcakes, cookies, pies and more are loaded with sugar, but also contain a lot of saturated and trans fats. Both these “bad” fats are known to increase blood pressure.
  4. Candy – When you eat a piece of candy, you’re basically consuming empty calories and a lot of sugar; candy can spike your sugar levels and can lead to weight gain.
  5. Alcohol – Excessive use of alcohol can lead to weight gain and dehydration both of which can lead to an increase in blood pressure.

Each day, you should aim to keep your sodium intake to less than 2,300 milligrams; sugar should be limited to 37.5 grams per day for men and 25 grams per day for women. It’s best to avoid or limit the above foods and opt for water, 100 percent fruit juices, fresh meat, fruit, homemade (healthier) desserts, nuts, legumes, vegetables, and whole grains.

If you currently have high blood pressure or heart disease, it’s wise to discuss with your doctor the best meal plan for you. If you suffer from mitral valve disease or aortic valve disease and need surgery, Dr. Peter Mikhail is a cardiac surgeon treating patients in the Tampa, Clearwater and New Port Richey areas of Florida. To book an appointment, click here or call 727-312-4844.

 


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One in four women dies of heart disease in the United States each year; this means about one woman dies every minute of this disease in this country. A new study from researchers in China is suggesting that breastfeeding may lower a woman’s risk of heart disease and stroke. So not only does the baby reap major benefits from breastfeeding, the mother does, as well.

In this study, researchers analyzed around 300,000 women in China. Women who had breastfed were 8 to 10 percent less likely to develop heart disease and stroke compared to mothers who did not breastfeed. Mothers who breastfed for 2 years or more were found to have an 18 percent less chance of developing heart disease compared to women who did not breastfeed. They saw a mother’s risk of these conditions decreased even further (3 to 4 percent) with every additional 6 months of breastfeeding.

Although this particular study cannot prove for certain that breastfeeding caused these women to have a lower risk, it does show that breastfeeding has benefits for the mother when it comes to her cardiovascular health.  Researchers say this lowered risk of heart disease and stroke may be related to a metabolism “reset” that occurs following the pregnancy.  It is hoped that these findings will help encourage more women to breastfeed.

Beyond cardiovascular health, it has been commonly known due to past studies that mothers who breastfeed can experience a lot of health benefits including weight loss, lowered blood pressure, lowered glucose levels, and lowered cholesterol.

Researchers want to conduct further studies on this subject matter with women in other countries to see if they can confirm these findings.

Currently, the American Academy of Pediatrics recommends women exclusively breastfeed for the baby’s first six months. After six months, mothers can breastfeed until 12 months while introducing foods into the baby’s daily diet.

Whether you have breastfed or not, as a woman you should pay close attention to your heart health. If you are currently suffering from heart disease and are looking for a cardiac surgeon, Dr. Peter Mikhail specializes in mitral valve surgery and aortic valve surgery in the Tampa, Clearwater, and New Port Richey area. To book an appointment, click here or call 727-312-4844.


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Get up, and get moving! Exercise is essential to heart health. However, you don’t have to be overly athletic or a marathon runner to reap the benefits of exercise. According to the American Heart Association, a person can improve his or her overall cardiovascular health by participating in at least 150 minutes of moderate exercise or 75 minutes of vigorous exercise (or a combination of both) per week. Exercise comes in many different forms, from running and lifting weights to Zumba class and walking. For this article, we focus on the benefits from one particular type of exercise, Yoga.

Yes, yoga. This form of exercise is much more than a bunch of funny-looking body positions. People have been practicing yoga for more than 5,000 years to help rejuvenate the body and help themselves live a longer life. Yoga has been shown to have numerous benefits including helping reduce stress and bring clarity and peace to a person’s mind. Recently, a new study published in the European Journal of Preventative Cardiology said that yoga may help lower a person’s risk for heart disease in the same way as walking or another conventional exercise.

In this study, people of all ages and health conditions saw improvements in their health while participating in yoga. These people lost weight, lowered their blood pressure, and lowered their LDL (“bad”) cholesterol levels.

Yoga is physical but it also involves a lot of breathing exercises and meditation. These activities can all have positive effects on the heart and body.  Yoga’s impact on muscles and the mind can help control blood sugar, lower blood pressure, and calm the nervous system, which can reduce stress in the body.  Yoga can also help increase a person’s aerobic capacity, and has also been known to help people with atrial fibrillation have fewer episodes.

Yoga classes are available for people of all experience levels. If you have a health condition or aren’t in great shape, a beginner class is a great way to learn all the moves in a slow, controlled way that isn’t intimidating.  Hatha yoga is good for beginners, while Vinyasa yoga is better for those individuals who are more experienced and physically fit. Bikram yoga or Hot yoga, which is yoga in a room with a temperature of more than 105 degrees, is not recommended for people with heart conditions like heart disease.

If you currently have heart disease, talk to your doctor about taking a yoga class. If you’re a candidate for heart valve surgery, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the cities of Tampa, Clearwater, and New Port Richey of Florida. To book a consult, click here or call 727-312-4844.

 


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During your annual physical, a doctor will listen to your heart with a stethoscope. If the doctor hears anything troubling or odd, he or she will recommend that you have an echocardiogram done on your heart. What is an echocardiogram? An echocardiogram (echo) will show doctors the size, structures, and movements of the parts within your heart. Through this test, a doctor will be able to determine several things, including: the size of your heart, the state of your heart muscles, heart valve problems, problems with your heart’s structure, and signs of blood clots or tumors.

During an echo, a technician will place three electrodes which are attached to an electrocardiograph monitor (ECG or EKG) on your chest. You will be asked to lay down on your left side. He or she will place a wand (with gel on the end) on your chest; the wand is a sound-wave transducer. You may have to change positions a few times during the test, so several areas of your heart will be photographed. Echos are safe and you should feel no discomfort.

An echo lasts for about 40 minutes; you can return to work or other daily activities immediately following. You can eat, drink, and take any medications normally before this test.

There are several different types of echocardiograms and your doctor will determine which one is right for you. Here are brief descriptions of the types of echocardiograms:

Transthoracic echocardiogram – This is the basic echo and is like an x-ray (minus the radiation).
Transesophageal echocardiogram – In this echo, the transducer is inserted down the throat into the esophagus, because the esophagus is close to the heart.
Stress echocardiogram – This echo is taken while the person exercises on a treadmill or stationary bike.
Dobutamine stress echocardiogram – This is a stress echo but without the exercise; the stress is obtained through a drug that makes the body think its exercising.
Intravascular ultrasound – This ultrasound is performed during cardiac catheterization, and the transducer is threaded into the heart blood vessels through a catheter in the groin.

If you’ve had an echo or other stress test, this can help the doctor determine if you are currently suffering from heart valve disease. If you found out you have mitral valve disease or aortic valve disease and need surgery, Dr. Peter Mikhail is an experienced cardiac surgeon who specializes in mitral valve surgery and mini-AVR. To book an appointment, click here or call 727-312-4844.


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Good fats are good for your heart. Unfortunately, the word “fat” comes with a negative connation in today’s society. When someone hears a food has “fat” in it, he or she assumes the food is “bad,” which isn’t always the case. There are different types of fats in the food we eat. For this blog article, we will focus on the “good” fats, which are known as monounsaturated and polyunsaturated fats.

Monounsaturated and polyunsaturated fats are known to lower bad cholesterol levels, lower risk of heart disease, lower risk of stroke, and can also provide the body with the proper, essential fats it needs to function that the body cannot produce on its own.

In fact, consuming healthy fats in your daily diet can potentially give your body the same health benefits as taking a statin drug, according to the American Heart Association. A statin drug is a lipid-lowering medication, which can help reduce people’s risk of heart disease, other cardiovascular conditions, and death.

According to the American Heart Association, polyunsaturated fats can help lower a person’s heart disease risk the best, with monounsaturated fats coming in at second.

Here is a list of some great sources of polyunsaturated and monounsaturated fats:

 

  • Sunflower oil
  • Safflower oil
  • Olive oil
  • Peanut oil
  • Avocados
  • Flaxseed
  • Sunflower seeds
  • Walnuts
  • Tuna
  • Salmon
  • Sardines
  • Trout

Diet is extremely important to a person’s heart health. According to the American Heart Association, if a person decreases the amount of saturated fat (“bad” fat) he or she consumes, and increases the polyunsaturated and monounsaturated fat intake, he or she can help prevent diseases from forming in the heart and blood vessels.  Saturated fat is known to increase LDL (“bad”) cholesterol levels, which can lead to clogged arteries and cardiovascular disease. Overall, the American Heart Association recommends consuming mostly monounsaturated and polyunsaturated fats, while limiting saturated and trans fats.

If you’ve been diagnosed with heart disease, it’s still in your best interest to consume a healthy diet, rich in vitamins, minerals, and healthy fats. You want to keep your heart as healthy as possible. If you’re looking for a cardiac surgeon to treat your condition, Dr. Peter Mikhail specializes in treating patients with mitral valve disease and aortic valve disease. He works in the cities of Tampa, Clearwater and New Port Richey in Florida. To book a consult with Dr. Mikhail, click here or call 727-312-4844.


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In America, heart disease is the leading cause of death for both men and women. Because of this startling fact, we want to share some statistics and facts about heart disease with you so you can be better informed on this serious condition.

  • One in four deaths in America is from heart disease. This means around 715,000 people die each year from this disease. In 2011, 787,000 people died from this condition.
  • The most common type of heart disease is coronary heart disease (CHD); CHD kills more than 370,000 people each year.
  • Around 735,000 Americans each year have a heart attack. In the United States, someone has a heart attack every 42 seconds.
  • Someone in America dies every minute from something related to heart disease.
  • High blood pressure, high cholesterol, and smoking are the top three key risk factors that can lead to heart disease.
  • Obesity, excess weight, excessive use of alcohol, poor diet, diabetes, and inactivity are also risk factors of heart disease.
  • Heart disease costs America around $207 billion every year.
  • Even if you don’t have any symptoms, you can still be at risk and/or have heart disease.
  • By the year 2030, around 23.6 billion will have died from a type of heart disease around the world.
  • 80 percent of heart attacks and strokes can be avoided by not smoking, being active, eating healthy, and maintaining healthy blood pressure and sugar levels.
  • Cardiovascular diseases kill more people than all forms of cancer combined.
  • In the last 30 years, more women have died from heart disease than men.
  • 15 percent of people who have a heart attack will die from the episode.
  • France, Australia, Switzerland, Japan and Israel have the lowest rates of heart disease deaths while Russia, Bulgaria, Romania, Hungary, and Argentina have the highest rates.
  • In the USA, states that have the highest rate of heart disease deaths include: Oklahoma, Louisiana, Mississippi, Alabama, Arkansas, Missouri, Tennessee, Kentucky, West Virginia, Maryland, Ohio and Michigan.

If you currently suffer from heart disease or have a high risk of developing it, it’s best to talk to your doctor about the best treatment plan for you. If you’re in need of a cardiac surgeon, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the Tampa, Clearwater, and New Port Richey areas in Florida. To book a consult, click here or call 727-312-4844.


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Dr. Peter Mikhail is a thoracic and cardiac surgeon in Tampa, Clearwater, and New Port Richey, Florida. Dr. Mikhail is Board Certified by the American Board of Surgery, The American Board of Thoracic Surgery and The Royal College of Physicians and Surgeons of Canada.

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