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MITRAL VALVE BLOG

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Heart valve surgery is a major life event. If you are planning on this surgery, you are most likely well-versed in the ins and outs of what you’ll be experiencing during pre-operation and post-operation. After the surgery, your focus will be on healing and getting your life back to normal. Whether you were an active person or not before the heart valve surgery, exercise will be crucial to your healing process. Exercise is just one great way to help prevent your heart from having a major issue again.

Exercise is recommended and encouraged after heart valve surgery. Since you’ll be in recovery, there will be more precautions to keep in mind. Your body just went through the major trauma of surgery, so it’s important to ease into exercise to prevent injury or complications.

When you first get home from the hospital after surgery, it is recommended that you slowly increase the amount of activity you do. In the first week, you want to do around 5 minutes of exercise several times throughout the day. As each week passes, you’ll increase the activity time. This type of activity could be just a slow walk around the neighborhood.

As you heal, you will be in contact with your cardiac surgeon; he or she will tell you when you’re cleared for certain types of exercises, including aerobic activities and weight training. If you were active pre-op, your doctor understands your urgency to get back to normal as soon as possible, and will work with you to make sure you are stable (no shortness of breath or heart rhythm issues) before approving you for physical activities.

Every patient is different. The doctor will ask you to take it easy with any exercise you start and will want you to monitor how you feel after each exercise and workout. Make sure to tell the doctor what types of exercise you plan to do. The clearance for weight training may be different from biking or walking, due to the exercise’s effects on the body. It makes no difference to the doctor what type of exercise you choose, as long as you do it safely.

If you’re looking for a cardiac surgeon to perform your mitral valve surgery or mini-AVR, Dr. Peter Mikhail specializes in these surgeries; he is based in New Port Richey, Florida. To learn more, click the Mitral Valve Surgery page or the MINI-AVR page. To book an appointment, click here or call 727-312-4844.

 


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Mobile apps are the “thing” right now, even in the medical industry. You’ve probably heard of food log apps and step tracking apps, but there happens to be many heart-healthy mobile apps out there that heart disease patients can use. Below, we wanted to share some good mobile apps that can help you on your journey of taking control of your health.

Cardiio – This app can monitor your heart rate, as well as determine your level of cardiovascular health and fitness.  Your phone’s camera measures your heartbeat. The app looks at the light reflected off your face to get its reading. This was developed by people at Harvard University and MIT.

Azumio – Azumio is like Cardiio and it can check your pulse. With this app, you place your pointer finger on the camera and your pulse reading will appear on the screen.

Blood Pressure Companion – This app records heart rate and blood pressure. You can take notes in this app and set reminders for you to take your readings. In this app, you’ll be able to track all your readings for yourself and a doctor.

Digifit iCardio –  In this app, you can track your exercise and progress. You can integrate different music apps and social media sites to go along with your workout. You can track your weight, blood pressure, and sleep. You can also connect this with your Fitbit or other heart rate monitor.

Heart Healthy Meal Planner – The Heart Foundation created this app for people to create heart-healthy meal plans. Within the app, you have access to advice on foods to eat, meal ideas, and recipes. There is a heart symbol shown next to choices that are heart healthy.

Do you currently suffer from heart valve disease? If you’re a candidate for surgery, Dr. Peter Mikhail is a cardiac surgeon who specializes in minimally invasive mitral valve surgery, as well as mini-AVR. These procedures require less recovery time than traditional open heart surgery. Dr. Mikhail is based in New Port Richey, Florida. To learn more or to book a consult with the doctor, visit the Mitral Valve Surgery page or call (727) 312-4844.

 


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Can stress cause heart disease? Stress isn’t an exact or direct cause for heart disease, per se, but it can be a risk factor. Stress, especially when it is chronic, can cause all sorts of health issues in the body, including issues with the heart.

When a person experiences stress, the body releases the adrenaline hormone as a response. This hormone increases a person’s heart rate, and also raises blood pressure, which puts stress onto the heart. Stress doesn’t cause high blood pressure, but it will raise it when it occurs. With chronic stress, the increase in blood pressure can do damage to the heart’s arteries over time.

Rarely, a person can experience “broken heart syndrome,” which is a temporary condition a person experiences in the heart due to extreme traumatic and stressful situations like a death of a family member or friend. Broken heart syndrome can cause a person to experience chest pain similar to that of a heart attack. The medical term for this syndrome is known as stress cardiomyopathy and it is treatable.

Many people often turn to unhealthy habits to destress themselves. Smoking, drinking alcohol, and eating bad foods are often the go-to choices of people when they’re feeling stressed. Unfortunately, those choices are not good for the heart, especially if they become habits and lead to excessive use and weight gain.

Right now, in the medical field, the consensus is that stress does not directly lead to heart disease, but it can lead a person down certain paths and behaviors that can increase the risks of high blood pressure, high cholesterol, heart attacks and strokes.

The best thing a person can do is manage their daily stress as best as possible through different practices. Exercise is a great stress reliever for many people, and it is also heart-healthy. Other ways to reduce stress include: talking to a mental-health professional, reading a book, relaxing by a pool, watching a movie, practicing meditation, taking a yoga class, taking a bath, eating healthy, talking to a friend, getting a massage, or participating in a favorite hobby.

If you currently suffer from heart disease, managing your stress is still important to keeping your heart as healthy and strong as possible. Looking for a cardiac surgeon to assess your condition? Dr. Peter Mikhail is a cardiac surgeon based in New Port Richey, Florida. He performs mitral valve surgery and mini-AVR on patients with mitral valve disease and aortic valve disease. To book an appointment, click here or call (727) 312-4844.

 


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Although minimally invasive, mitral valve surgery or mini-AVR are major procedures that are taxing on the body. With any type of surgery, the recovery period is important. After valve surgery, a patient will spend several days in the hospital while the doctor and nurses monitor recovery and pain. After 4 to 6 weeks post-op, your doctor will schedule a follow up appointment to check in on your recovery. For this post, we want to share some thoughts and tips about recovery from heart valve surgery. Recovery is different for each patient, but there are many things to follow and take note of that will help you recover faster and better.

  • Listen to your doctor, and follow the recovery instructions given to you at the hospital.
    • Questions to ask your doctor about your recovery
      • Am I able to lift things on my own? How heavy?
      • When can I drive a car?
      • When can I go back to work?
      • Should I be exercising? What can I do or not do?
      • What medications will I be taking or should stop taking?
    • Don’t be afraid to ask for help or accept someone’s offer to help you. Whether it’s making food or running an errand, a family member or friend can help you do daily tasks while you get as much rest as you can.
    • Eat a healthy diet full of variety. Fruits, vegetables, low-fat dairy products, lean meats, fish and whole grains are recommended. Your doctor will recommend the best diet plan for you to follow.
    • Take note: there are some things you may not be able to do easily right after heart valve surgery, including: tying your shoes, climbing stairs, cooking, raising your arms above your head, sitting up on your own, or cleaning.
    • You may hear your new heart valve as it opens and closes.

If you have been diagnosed with mitral valve disease or aortic valve disease, meet with Dr. Peter Mikhail to discuss your surgical options. Dr. Mikhail is a cardiac surgeon in New Port Richey, Florida, specializing in mitral valve surgery and mini-AVR. To book a consult and for more information, click here or call 727-312-4844.


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You’ve probably heard and read a thousand times about the best diets or foods to eat to be heart healthy; however, do you know the foods it’s best for you to avoid? Nutrition is an extremely important aspect to focus on when currently living with heart disease. Food can either act like a medicine or a poison based on your choices. You want to stay as healthy as possible while living with this disease before treatment, during treatment, and after treatment.

When your heart isn’t functioning at its best, it’s best to stay clear of certain foods to remain as healthy as possible.  Below are some foods you should think about limiting or avoiding if you’re currently suffering from heart disease.

Highly Processed/Refined Grains and Carbohydrates

Carbohydrates are great for your body; they supply the body with energy; however, when a carbohydrate is processed or refined, it loses most of its health benefits (fiber, fatty acids, vitamins and minerals). Processed foods usually come with added ingredients like sodium and trans fats. Some examples include: white bread, white rice, instant oatmeal, and some cereals.

Processed/Refined Sugars

Sugar, in moderation, won’t harm you, but if you consume enough of it, it can harm your heart by raising blood pressure and triglycerides. High dosages of sugar can be found in soda, some cereals, candy, baked goods, canned foods, and juice.

Certain Fats

Trans fats and saturated fats are not the “good” kind of fat. These types of fat can raise bad cholesterol and lower good cholesterol and contribute to clogged arteries. Foods known for their high trans fats and saturated fats include: fried food, margarine, doughnuts, biscuits, cakes, and pies.

High Sodium

Your body needs sodium. It helps keep your blood pressure in check, as well as maintain proper fluid levels in the body. If you consume too much sodium, your kidneys cannot process it all so the remaining sodium can elevate your blood pressure. Too much sodium can put a person at risk for heart failure, a heart attack, kidney failure or a stroke. Foods with high sodium include: canned soups, processed meats, fast food, salted nuts, canned vegetables, frozen meals.

Overall, it’s best to practice moderation in all things, especially in your diet if you are currently suffering from heart disease. One slice of pie at the holidays won’t harm you, but it’s best to avoid the above-mentioned foods with your heart in a fragile state.

If you’re in need of a great surgeon to perform mitral valve surgery or mini-AVR, Dr. Peter Mikhail is a cardiac surgeon in New Port Richey, Florida, who specializes in these surgeries. To book a consult or for more information, click here or call 727-312-4844.


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If you’ve been diagnosed with heart valve disease, or know someone who has, you’ve probably heard a lot talked about the heart valve flaps. Well, what exactly are heart valve flaps? What do they do?

Heart valve flaps are also referred to as heart valve leaflets.  The heart valve flaps are made up of tissue, and they operate like doors. They open and close to allow blood flow through the heart in one direction. When functioning properly, these flaps close tightly.  The mitral valve has two flaps and the aortic valve has three valve flaps.

When people experience heart valve problems, the flaps are often to blame. If the flaps no longer close tightly, a patient has a good chance of developing heart valve disease. Depending on what’s happening to the flaps and valve, the person can be experiencing a different type of heart valve disease.

For the mitral valve, there are three different ways for the flaps to fail at doing their job. Mitral valve regurgitation/insufficiency is when the flaps do not close tightly, so blood leaks back into the left atrium of the heart.  In mitral valve stenosis, the flaps have thickened or stiffened and may even fuse together. Because of this, there is a narrowing of the valve or a blockage. Lastly, mitral valve prolapse is when both of the valve’s flaps are enlarged or bulging, which keeps them from closing evenly.

With the aortic valve, aortic valve regurgitation occurs then the flaps no longer close properly and blood flows back into the left ventricle of the heart. Aortic valve stenosis is when the flaps have thickened or stiffened and potentially fuse together, which narrows the valve.

If you’re having a problem with the flaps in your mitral valve or aortic valve, you may be a good candidate for mitral valve surgery or mini-AVR. If you’ve been looking for a cardiac surgeon, Dr. Peter Mikhail specializes in mitral valve surgery and mini-AVR. He is based in New Port Richey, Florida. To learn more click the Mitral Valve Surgery or Mini-AVR pages. To book a consult, click here or call 727-312-4844.


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Is your heart healthy? Currently, you may not be experiencing any heart issues, but that doesn’t mean a serious condition isn’t developing inside your chest. If you have a family history of heart problems and currently aren’t living the healthiest lifestyle, you are at a higher risk of developing major heart problems, including mitral valve disease, a heart attack, or stroke. The best thing you can do is take preventative measures to protect your heart.

What are some preventative measures? There are  plenty of things a person can do to be heart healthy. By adding these below suggestions to your everyday life, your heart will thank you. In fact, you may feel generally better from all the positives changes you’ve made to your lifestyle.

Preventative measures to stay heart-healthy include:

  • Eating a balanced, healthy diet filled with good fats, vegetables, fruit, whole grains, and lean proteins.
  • Exercise! Being active daily is important. Aim for at least 30 minutes of activity daily. Sometimes, it can be hard to get up and move. We all enjoy relaxing and being lazy from time to time. Try to choose activities that you find fun. Dancing, biking, walking, lifting weights, Zumba class, and yoga are just a few examples of great ways to get in your daily activity.
  • If you’re overweight, make the conscious decision to drop some weight. Excess weight puts stress on your heart and arteries.
  • If you have high blood sugar, high cholesterol, or high blood pressure, this is your opportunity to make diet changes to help bring your levels back to normal. Every person is different, so it’s best you talk to your doctor about what diet changes are right for you to manage your blood pressure or sugar levels.
  • Quit smoking.
  • Get at least 6 to 8 hours of sleep at night.
  • Find ways to reduce your daily stress, whether you choose to meditate, read a book, talk to a friend, or watch a favorite TV show.

Not all heart-related diseases can be prevented; however, it is in your best interest, whether or not you’ve been diagnosed with a heart-related issue, to try to live the healthiest life possible.

If you’ve been diagnosed with mitral valve disease and need surgery, Dr. Peter Mikhail is a specialist in mitral valve surgery in New Port Richey, Florida. To learn more, click the Mitral Valve Surgery page, or call 727-312-4844.

 

 


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One of the best ways to take care of your heart is through your diet. Unfortunately, all heart diseases or conditions are not entirely preventable, but that doesn’t mean you shouldn’t try to prevent yourselves from getting the ones that are. When you eat a heart-healthy diet, you aren’t just keeping your heart healthy, you’re keeping your entire body healthy. When a person’s body is working properly in all other areas, it causes less stress on the heart each day.

Unsure of what to eat? We can help! Our team wanted to share some of the best heart-healthy foods you should be adding into your diet. Whether you’re healthy, currently suffering from a heart condition or are a post-op heart surgery patient, these foods are essential for you to live a healthy life.

  • Nuts – Nuts are filled with omega-3 fatty acids and monounsaturated and polyunsaturated fats. They also have a lot of fiber. Almonds, walnuts, and macadamia nuts are the best choices.
  • Berries – Berries (blueberries, strawberries, and raspberries) are packed with anti-inflammatory propertieis, which helps ward off heart disease.
  • Legumes – Legumes, like black beans and lentils, are filled with omega-3 fatty acids, calcium, and fiber.
  • Oatmeal – Like nuts and legumes, oatmeal also is a great source of omega-3 fatty acids. This morning staple also is a good source for folate, fiber, and potassium. Oatmeal is known to lower bad cholesterol, which helps artery health.
  • Salmon – This fish is an amazing source of omega-3 fatty acids, and it is known to help lower blood pressure, which in turn takes stress off the heart and also reduces the chances of developing clots. Salmon also contains the antioxidant, carotenoid astaxanthin.
  • Avocado – Avocados are full of monounsaturated fat, which helps lower bad cholesterol levels and raises good cholesterol levels.

Other heart healthy foods: Olive oil, chickpeas, kidney beans, spinach, flaxseed, soy, and tuna.

If you currently are suffering from a heart condition like mitral valve disease or aortic valve disease, Dr. Peter Mikhail is a thoracic and cardiac surgeon in New Port Richey, FL, who performs mitral valve surgery and mini-AVR.  He also advises his patients on the best diets based on their condition. To book a consult with Dr. Mikhail, click here or call his office at 727-312-4844.


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If you’re suffering from mitral valve disease or aortic valve disease, you probably know by now if you are going to need surgery or not on your valves. If you do need surgery, you probably also know if you’re going to need a valve repair or a replacement. For this article, we are focusing on those patients who will need a valve replacement.

When it has been decided that you need a valve replacement, the next decision becomes, “Do I need a mechanical valve or a biological tissue valve?” It is up to you if you want to make this decision alongside your doctor, or if you just trust the doctor’s judgment. However, since it is your heart, it’s always good to know what these valves are and the differences between them.

Mechanical Valves – A mechanical valve can last inside a person’s body for more than 20 years. They are made from pyrolytic carbon. Most likely, you will only need valve surgery once, and never have to replace the valve. Unfortunately, mechanical valves can cause blood clots, so to combat this a patient needs to be on blood thinners, like Coumadin, for the rest of his or her life to prevent clots from forming in the valve. These valves are good for people under 60 years old. If a patient is already on a blood thinner, then a mechanical valve is an easier choice. Sometimes, mechanical valves can be heard when they are open and closing, but most patients are not disturbed by the noise.

Biological Valves – A biological tissue valve comes from pig heart valves or a cow heart sac. Biological tissue valves often have to be replaced because they only last 10 to 18 years. A patient’s life expectancy is highly considered with this valve, since he or she will most likely need another surgery when the first tissue valve degenerates. The valves are recommended for patients 60 years old or older. If the patient doesn’t want to be on a blood thinner for life, a biological tissue valve is the way to go.

So, which heart valve do you choose? This is entirely up to you, your age, your health history and your doctor’s expert medical opinion. Weigh the pros and cons of each valve. You want to choose the best option for you to lead the healthiest life.

If you’re looking for a cardiac surgeon to perform your heart valve surgery and discuss valve replacement options, book a consult with Dr. Peter Mikhail who is based in New Port Richey, Florida. Dr. Mikhail is one of the foremost authorities and specialists in mitral valve surgery and he also performs mini-AVR. To book a consultation, click here or call his office at 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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