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MITRAL VALVE BLOG

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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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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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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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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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Is heart valve disease genetic? Yes, it can be. If you have a family member who has suffered or is currently suffering from a heart valve disease, it is a good idea to go to a cardiologist and get tests and screenings done to rule out if you have the same issue going on with your own valves.  These conditions can be caused by a defect in the genes or a chromosome.

Even if you have the right gene mutation that caused valve disease in your family, you yourself still may not ever have a valve problem. Doctors and researchers are still working on the link between these genetic mutations and diseases and the effects they truly have. There is a good chance the mutated genes can affect each person in the family differently, or not even affect them at all.

What does this mean? Well, it’s not always up to the genes. Sometimes, it’s a person’s lifestyles choices and environmental surroundings combined with their family history that can shape what occurs with the genes in his or her body. If there is a history of heart valve disease in your family, there will always be an increased risk for yourself, especially if the family member was younger when they developed the disease.

If you have a family history of heart disease, or even more specifically heart valve disease, you should get your cholesterol and blood pressure tested regularly throughout adulthood. Also, you should be tested for diabetes every year.

To avoid (as much as possible) developing heart valve disease, it is in your best interest to pay attention to your diet, activity level, and weight. Eat a well-balanced diet, aim for daily exercise and make sure your weight is in a healthy range. People who are overweight or obese increase their risk for heart disease by potentially having diabetes, high blood pressure, and low levels of good cholesterol.

If you have a family history of heart disease or have the warning signs of heart disease, it’s time to see a doctor. If you currently have mitral valve disease or aortic valve disease, you may be a candidate for minimally invasive mitral valve surgery or mini-AVR. To book a consult to discuss surgical options, call Dr. Peter Mikhail’s office at 727-312-4844 or click here. Dr. Mikhail is a thoracic and cardiac surgeon in New Port Richey, Florida.


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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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