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MITRAL VALVE BLOG

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If you’re experiencing symptoms of heart disease, there’s a good chance you’ve gone to see your doctor. Chest pain, dizziness, and shortness of breath are all red flags that should send you to your doctor immediately. If a doctor hears anything alarming through a stethoscope, he or she will suggest you have some testing done to confirm if you have heart disease. You will also need to make an appointment with a cardiologist. One such test you will have to take is a stress test.

A stress test can help the doctors determine if you have heart disease.  One type of stress test, and the one most often used, is the exercise stress test.  During an exercise stress test, you will either walk on a treadmill or pedal a stationary bike. The doctor will use the test to track your electrocardiogram, heart rate and blood pressure.

What does this test do or show? An exercise stress test will show a few things to the doctor, including:

  • If enough blood is flowing to the heart during activity
  • If there are any abnormal heart rhythms
  • If the heart valves are functioning properly
  • If you have coronary heart disease
  • If your symptoms (chest pain, palpitations, dizziness) are being caused by a heart issue
  • If your heart medications are working (if you’re on any) and how

Before the test, you cannot eat or drink anything except water for four hours prior to the test, and cannot have caffeine for 12 hours before the test. There are also certain medications your doctor will tell you that you cannot take before the test, – your doctor will advise you.

Before you begin exercising on the test, an EKG will be done to take your heart rate at rest. After the EKG, you will begin exercising. The exercising will gradually get more difficult to get you exhausted. You will be asked throughout how you are feeling and if you’re experiencing any symptoms. The test lasts about 60 mins, but you’re only exercising around 10 minutes.

If you’re experiencing any of the symptoms mentioned above, it may be time to talk to your doctor and see if a stress test is a good idea. Depending on the test’s results, you’ll want to see a cardiologist. If you’re looking for a cardiac surgeon, Dr. Peter Mikhail specializes in mitral valve and aortic valve surgery. To book an appointment with him, click here or call 727-312-4844.

 


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You’ve probably heard the term “statins” before. In case you haven’t, statins are a class of lipid-lowering/cholesterol-lowering medications. They are known to help reduce the risk of cardiovascular disease, chest pain, strokes, heart attacks, and death in people. For this article, we want to share a general overview of statins and heart disease and if a person should or should not be taking them. Ultimately, this is a conversation to be had with your primary care doctor or cardiologist. Every patient’s situation is different and should be handled differently.

Many studies have shown that statins have been able to keep people alive longer by reducing the risk and number of heart attacks and strokes a person will or may experience. Statins help in preventing the arteries from building plaque and becoming blocked. They inhibit the enzyme HMG-CoA reductase.

If you happen to have many of the risk factors of developing heart disease (and not just solely based on your age), a doctor may recommend this drug to you. The statins help reduce the chance of heart disease by preventing atherosclerosis, which is blocked arteries or narrowed blood vessels.

Like any drug, there are side effects and risks. Some side effects include: muscle aches and cramps, pins and needles feeling, bloating, diarrhea, rashes, stomach pain, cataracts, impaired memory, headaches, liver failure, skeletal muscles and diabetes.

If you suffer from heart disease or are at a high risk, your doctor may put you on a statin regardless of your cholesterol levels. On average if your risk is over 7.5 percent in the next 10 years, the doctor will likely prescribe a statin.

If you are a heart disease patient, it is time to discuss with your doctor if a statin is right for you. If medication is not an option, heart valve surgery may be recommended. Dr. Peter Mikhail of Tampa, Clearwater, and New Port Richey, Florida, performs mitral valve surgery and mini-AVR on patients with mitral valve disease and aortic valve disease. To book an appointment or learn more, click here or call 727-312-4844.

 


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By now, most people know that smoking cigarettes is not good for the body. However, many people associate smoking with only its negative impact on the lungs, teeth, and mouth area. This is far from the truth. Smoking can affect the entire body, including the heart. There are many studies out there that suggest cigarette smoking is a major cause for coronary heart disease, which could ultimately lead to a heart attack. One out of five deaths from heart disease is related to smoking.

When a person is smoking, the combination of smoke and nicotine raises blood pressure, decreases good (HDL) cholesterol, decreases a person’s ability to exercise effectively, and increases the likelihood for a blood clot.  Smoking also reduces the amount of oxygen that goes to the heart, increases heart rate, gives the blood a sticky consistency, and harms the blood vessels.

People who smoke and have a family history of heart disease have an even higher chance of developing heart disease themselves. The odds are not in a smoker’s favor. If you are a smoker, your chances of developing heart disease can double or even be quadrupled than if you didn’t. If you’re a woman, your odds are even higher as a smoker (25 percent more likely) to suffer a stroke.

If any one of these facts scares you, you may want to rethink putting that next cigarette in your mouth. Once you quit smoking, your risk for heart disease and stroke is cut down in half just after one year of being smoke free.

If you are diagnosed with heart valve disease, your doctor will recommend several lifestyle changes – quitting smoking will be one of them.

Heart valve disease can turn deadly if it leads to a heart attack or stroke, so it’s in your best interest to practice heart-healthy habits that will keep you healthier longer.

If you currently suffer from heart valve disease and are considering surgery, contact cardiac surgeon Dr. Peter Mikhail in Tampa, Clearwater, and New Port Richey, Florida. Dr. Mikhail specializes in mitral valve surgery and min-AVR, which are minimally invasive surgeries. To learn more about heart valve surgery, click here or call 727-312-4844 to book an appointment with Dr. Mikhail today.


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Heart disease is the leading cause of death in America. Each year, more than 600,000 people die from a form of this disease. Each year, more than 5 million Americans are diagnosed with heart valve disease. But, why? Why do so many people develop heart disease? When it comes to heart disease, there are a number of different risk factors that can lead a person to developing one of the many forms of heart disease. Below, we share with you some of the common risk factors associated with heart valve disease.

Genetics – Heart disease or abnormalities can commonly run in families, especially bicuspid aortic valve disease or mitral valve prolapse.

Age – As we get older, the heart valve ages as well. The flaps (leaflets) in the valves can thicken and harden as they get older which causes a restriction of blood flow. Men over 65 years old and women over 75 years old are at the highest risk for developing heart valve disease.

Heart attack – When a person has a heart attack, this can cause damage to the heart, and affect the function of the valves.

High blood pressure – If a person has perpetual high blood pressure, the heart works harder, so it becomes enlarged. The enlarged heart causes valves to stretch, which can keep the valves from closing correctly.

Cardiomyopathy – If the person has an enlarged heart, not only are the valves stretched, but the tissue ring around them also becomes stretched. If this does occur, leakage in the valves will happen.

Calcium deposits – Calcium deposits can start to build up in the mitral or aortic valves.

Rheumatic fever – Rheumatic fever can damage a person’s heart valves because it causes them to thicken so they no longer open and close properly.

If you fit one or more of these risk factors and are experiencing some symptoms, it may be time for you to contact a doctor. Dr. Peter Mikhail is a cardiac surgeon specializing in mitral valve surgery and mini-AVR. If you’re looking for a cardiac surgeon to perform your heart valve surgery, click here for more information or call 727-312-4844 to book an appointment with Dr. Mikhail.


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Chest Pain. Shortness of breath. Dizziness. If you’re experiencing these symptoms, call your doctor immediately. There could be a chance that you have heart disease. At an appointment with your doctor, he or she will listen to your heart with a stethoscope and make the decision of whether you should be tested for heart disease. Stress tests are one way for doctors to determine if you have heart disease. If you are unable to walk on a treadmill or are on certain medications, the doctor will have you take a nuclear stress test instead of an exercise stress list.

A nuclear stress test will measure blood flow to your heart while at rest, and while your heart works hard from medication administered to you. From this test, a doctor will see images that will determine if you have low blood flow or any damage to the heart muscle itself.

Since you are unable to exercise, a radioactive dye will be administered into your bloodstream. This will speed up your heart rate to mimic exercise. Doctors will also suggest a nuclear stress test if you have coronary artery disease, or if an exercise stress test didn’t explain any of your negative symptoms.

During this test, a camera will see rays emitted from the dye in your body, which will create clear pictures of the heart and its tissue. The doctor will look at images while your heart is at rest, during and after exercise (elevated heart rate from dye). The test could take up to five hours as the blood needs to make its way through your body.

For a nuclear stress test, a patient cannot eat or drink or smoke for two hours prior. A doctor will determine on a case by case basis if you can or cannot take certain medications and consume caffeine before the test. Patients are asked to wear comfortable clothes and shoes.  After the test is done, the dye will leave your body through your urine or stool.

The results will determine the doctor’s next course of action. If the results show you have heart valve disease, there is a chance you will have to undergo heart valve surgery. If you’re looking for a cardiac surgeon, Dr. Peter Mikhail performs heart valve surgery, specializing in mitral valve surgery and mini-AVR. To learn more, click the heart valve surgery page. Click here to book an appointment with Dr. Mikhail 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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