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MITRAL VALVE BLOG

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Keeping tabs on your health in today’s digital age is easier than ever before. But did you know that when it comes to monitoring your heart rate, a wrist-worn device isn’t as effective as one that’s strapped to your chest?

PC Magazine recently offered a review of 10 wearable heart monitors, and four out of the top five personal devices used chest straps to record heart activity. The magazine noted that chest-strap models, which use an electrical pulse to measure heart rate, are more accurate than wrist-worn devices that employ optical technology.

That finding is backed by a March 2017 report by the Cleveland Clinic, which tested five wrist-worn fitness trackers and came to the same conclusion – that monitors worn across the chest are more accurate at measuring heart rate while exercising.

Heart monitoring during sustained physical activity is especially important for individuals with heart murmurs and mild-to-moderate mitral valve regurgitation (MVR).

Here’s a list of the top chest-worn models (prices may vary):

Wahoo Fitness Tickr X Heart Rate Monitor: “The Wahoo Fitness Tickr X is the best heart rate strap you can buy. It’s so much more than just a heart rate monitor, and yet it costs the same as other excellent chest straps that don’t offer nearly as much. It doubles as a run tracker. You can use it with or without your phone.”

$99.99 MSRP; $79 at Amazon.com (http://amzn.to/2wCvvb1)

Polar H7 Heart Rate Sensor: “Polar users in need of an accurate HRM can’t go wrong with the H7, but it’s also good for anyone looking to add heart rate data to their run-tracking using one of the five supported apps. And if it works with your home or gym fitness equipment, all the better. The price is right, too. The Polar H7 is one of the most versatile and accurate HRMs available.”

$79.95 MSRP; $62.99 at Amazon.com (http://amzn.to/2gD39nJ)

Polar H10 Heart Rate Sensor: “If your current H7 chest strap is showing some wear and tear, you might want to think about upgrading to the H10. The extended battery life and built-in memory make it a solid investment, especially if you have or are thinking of getting a Polar fitness tracker.”

$89.95 MSRP; $89.95 at Amazon.com (http://amzn.to/2wCXrvr)

Garmin HRM-Run: “For runners who want a plethora of data, the Garmin HRM-Run gives you advanced stats including cadence, oscillation, ground contact time, ground contact balance, stride length, and vertical ratio. It makes for a pricey bundle when paired with a compatible tracker, but one worth considering.”

$99.95 MSRP; $83.74 at Amazon.com (http://amzn.to/2w3jkAu)

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 Dr. Mikhail’s Mitral Valve and Aortic Valve website or call 727-312-4844.


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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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Have a sweet tooth? Cupcakes. Chocolate. Ice cream. These sweet treats are certainly delicious, but they’re best eaten in moderation. Sugar is the main ingredient that makes these foods extra tasty. Unfortunately, too much of this ingredient is harmful to our bodies, including our heart.

According to a study published in JAMA Internal Medicine in 2014, a diet high in sugar can raise a person’s risk of dying of heart disease. Even if your weight is in a normal range, you can still be at a higher risk because of your sugar-heavy diet.  In this study, people who consumed 17 to 21 percent of their calories from this ingredient had a 38 percent higher chance of dying from heart disease compared to people who only had 8 percent of their calories coming from added sugar. The more sugar a person consumes, the higher the odds are for him or her to die from heart disease.

Most adults in America consume around 22 teaspoons of added sugar in their daily diet, which is well over the recommended amount. According to the American Heart Association, most women should consume no more than 6 teaspoons of sugar per day, and most men should consume no more than 9 teaspoons of sugar per day.

It’s easy to consume excess sugar in today’s world. Much of the packaged food out there is processed and made with added sugars. Some foods known for their high sugar count include: soft drinks, candy, cakes, cookies, donuts, bagels, fruit drinks, waffles, cereals, sports drinks, ice cream, sweetened yogurt, pies, pastries, and more.

When people consume too much added sugar, they also risk gaining weight, raising their blood pressure, and developing Type 2 diabetes. These high-sugar foods are usually devoid of quality vitamins and minerals, as well.

It’s OK to have these foods in moderation, but for daily sweet cravings opt for fruit instead.

If you currently have heart disease and are looking for a cardiac surgeon, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the cities of Tampa, Clearwater and New Port Richey in Florida. To book an appointment, 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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Are you a candidate for mitral valve surgery? If so, you probably have a lot of questions. Although surgery on the mitral valve can be minimally-invasive these days, it can still be scary going under the knife for a heart operation. Dr. Peter Mikhail is a cardiac and thoracic surgeon who specializes in treating and operating on patients with mitral valve disease. Below, we share some answers to a few questions you may have if you’re deciding to have this surgery.

Do I need my mitral valve repaired or replaced?
Dr. Peter Mikhail will assess the damage to your valve to determine if he is able to repair the valve or if it’s better to replace it. Through his years of experience, Dr. Mikhail can make an educated, experienced decision on which is the best option for you.

Should I choose a mechanical valve or a biological valve?
This is a decision that will be made between you and the doctor. The doctor will look at your history, symptoms, age, and lifestyle to determine which type is better for your body. Mechanical valves require a person be on blood thinners for the rest of his or her life, so a younger, active person may not choose this option. However, mechanical valves do last longer and don’t succumb to wear and tear like a biological valve would. A biological valve will have to be replaced in 10 years or so; this is something a younger patient will need to consider. Again, this is a decision between you and the surgeon.

What tests do I need before this surgery?
You will have an echocardiogram and/or stress test done to determine if surgery is the right course of action.

How long is mitral valve surgery?

The operation itself takes around 45 minutes, but the entire process (prep, closing, etc.) can take up to four hours.

How long am I in the hospital after this surgery?
After surgery, you will spend one to two days in ICU. After ICU, you will be moved to a regular hospital room for several days. The doctor and other medical professionals will monitor your recovery, vitals, and pain. Recovery can take one to three months.

For more FAQ, click here.

To book a consult with Dr. Peter Mikhail, click here or call 727-312-4844.  Dr. Mikhail specializes in mitral valve surgery and works out of the Tampa, Clearwater, and New Port Richey areas in Florida.


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Did you know a painkiller, one that’s probably in your medicine cabinet right now, can increase your risk of heart disease? Scary thought, right? Well, over-the-counter NSAIDs (nonsteroidal anti-inflammatory drugs) have been proven to increase the risk of heart disease through heart attacks and strokes. Studies have shown a 20 to 50 percent increase in risk of heart attack when using NSAIDs compared to when not using them.

It’s best to take these types of medications in small doses and for a short time so they will not have serious effects on your heart. Don’t become a regular user.

Common NSAIDs you can find in your home include ibuprofen and naproxen, the most common being Advil, Motrin and Aleve. Aspirin is a type of NSAID but not does not increase your chances of having a heart attack or stroke.  All these over-the-counter NSAIDs are used to treat pain and inflammation in the body.

If you currently suffer from any heart condition, you should take NSAIDs with caution, and definitely talk to your doctor about taking them.  For people with heart conditions, NSAIDs can potentially make your conditions worse. You don’t have to stop taking NSAIDs, especially if you’re in a lot of pain, but be mindful of how, when, and why you’re taking them.

Even if you currently don’t have a heart condition, be cautious when taking NSAIDS. If you truly need to take one for pain relief, aim to take the smallest dosage, and not for an extended period.

Studies haven’t proven that NSAIDs cause heart attacks, but some research shows that NSAIDs can increase blood pressure or raise the risk of a blood clot, which can lead to a heart attack.

Even though these NSAIDs are over-the-counter medications, you should be careful with them in the same way you would be with a prescription-level painkiller. Medication is medication, and too much of any kind can do you harm.

If you have heart disease and need surgery on your valves, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in and around Tampa, Clearwater, and New Port Richey, Florida. To book a consult, click here or call 727-312-4844.


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When one thinks of low testosterone, one usually thinks of low sex drive or sexual dysfunction. However, did you know that low testosterone and heart health are related? They can be. From 1970 to 2013, there were studies conducted on testosterone and causes of coronary artery disease, and a link was found between them.

How can this be? Well, the heart and its blood vessels have testosterone receptor sites within them, which means the hormone and heart work together. With a low testosterone level, a person can develop metabolic syndrome, which is a group of risks factors that can raise the risk of heart disease, diabetes and stroke. Such risk factors include: a large waistline, high triglycerides, a low HDL cholesterol level, high blood pressure, and a high-fasting blood sugar level.

A person can generally tell that he or she may have testosterone issues from the following symptoms: libido loss, fatigue, weight gain or loss, and depression. For men 50 and older, testosterone production drops 1 to 2 percent each year.

Studies in the Journal of the American Heart Association concluded that higher levels of testosterone go hand in hand with good heart health. They found that people with low testosterone often have abnormal EKG readings; they also found people with higher levels of this male hormone had a 25 percent less chance of suffering from sudden cardiac arrest.  These studies also found that when a man has low levels of testosterone he could also experience: insulin resistance, narrowed carotid arteries, congestive heart failure, higher incidences of angina, a higher risk of cardiovascular disease, extra fat around the mid-section with a high BMI level, type II diabetes, and a high death rate.

If you are over the age of 50 and experiencing any of the above symptoms, it’s best you contact your doctor to get your testosterone level checked. If you currently suffer from heart disease and are looking for a cardiac surgeon, contact Dr. Peter Mikhail, who works in the cities of Tampa, Clearwater, and New Port Richey, Florida. He specializes in mitral valve surgery and mini-AVR. Click here or call 727-312-4844 to book an appointment.

 

 


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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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