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Heart & Cardiology/Mitral Valve Prolapse and Aortic Sclerosis

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2d Echo Result 1
2d Echo Result 1  
2d Echo Result 2
2d Echo Result 2  
QUESTION: Hello Doctor Ahmed,

It's me again, that guy who asked these questions on this webpage: http://en.allexperts.com/q/Heart-Cardiology-964/2014/10/arrythmia-mitral-valve-p

I have no more questions regarding arrhythmia. However, I do have a question regarding my latest 2D echo result (made after a year after my first one). On it, I've been diagnosed as having aortic sclerosis.

1. Is mitral valve prolapse dangerous with aortic sclerosis?

(Attached are pictures showing my 2d echo results.)

2. What does it mean for my life? Will I have a shortened lifespan? And is this something I should be worried about? What symptoms will this bring on?

3. Is arotic sclerosis reversible? And if not, how can it be managed? Are there any tips to slow its progress?

4. The most important question: Will it progress?

ANSWER: Hi, http://myheart.net/articles/stemi/

Generally speaking, no, mitral valve prolapse is not dangerous with aortic sclerosis,
There should be no significant effect on your life span
Progression of aortic sclerosis may follow traditional cardiovascular risk factors, i.e control blood pressure, cholesterol, exercise, diet, don't smoke, etc..thats what i would tell my patient to do
The presence of aortic sclerosis isn't particularly worrying, the best way to know about progression is to look at your next echo in however many years that may be and compare the two, you are not likely to develop significant aortic valve disease.
Your echo report is reassuring!

Hope that was helpful!

---------- FOLLOW-UP ----------

QUESTION: Thank you Dr. Ahmed!

Last questions about your:

"The presence of aortic sclerosis isn't particularly worrying, the best way to know about progression is to look at your next echo in however many years that may be and compare the two, you are not likely to develop significant aortic valve disease."

1. Why do I have both aortic sclerosis and MVP? Do I have a degenerative disease that affects the valves? (Marfan, etc) Why is this happening to me?

2. By " in however many years that may be," so you mean to say the presence of aortic sclerosis doesn't warrant an annual 2d echo check-up?

3. "you are not likely to develop significant aortic valve disease." ---> Why the confidence? Have you seen many patients with MVP and aortic sclerosis and they haven't progressed to a more serious condition?

4. What are my chances of developing aortic stenosis?

You are a godsend Dr Ahmed. Thank you.

Answer
Hi, http://myheart.net/articles/aortic-sclerosis-is-it-dangerous/

Read that article, i just wrote it based on the question. The disease that affects the valve is degenerative to a degree but not severe and there is no clear association between the MVP and aortic sclerosis, which in your case are both mild and of no real concern, I've answered all the other questions in the article.

Hope that was helpful.  

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Mustafa Ahmed MD

Expertise

Cardiology, Interventional Cardiology, Cardiac Surgery, Hypertension, Pulmonary Embolism, Structural and Valve Disease

Experience

Board Certification Internal Medicine and Cardiology Interventional and Structural Cardiology

Organizations
http://blog.myheart.net

Publications
Multiple Publications In High Quality Peer Reviewed Journals. Internationally Recognized.

Education/Credentials
MD from The Royal Victoria University of Manchester, England Medicine, Cardiology, Interventional Cardiology, Research Training - University of Alabama

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