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My Father (age 62) Had Done Aortic Heart Valve Surgery
Question: My father (age 62) had done aortic heart valve surgery (with mechanical Valve) in year 2016, Recently he has a visit to the hospital for Echocardiogram and routine blood testing for Prothrombin time (PT-INR).
I am giving result for Impression: POST AVR & Haematology. Request you to please suggest for further care:
Hematology Results: Prothrombin Time: 37.48 Sec, Control MNPT (13.6), Ratio (2.6), PT-INR Value: 3.31
Clinical Diagnosis: Mitral Valve Sclerotic, Left Ventricle : concentric LVH with fair LV systolic function, RWMA: Jerky Septal Motion.
(EF=50%)
Immpression: POST AVR
Normal function PHV at aortic position., No valvular paravalvular leak., Jerky septal Motion, fair LV systolic function, LVEF=50%
Concentric LVH, other cardiac chambers are normal in size., Sclerotic mitral valve, Trace MR., Mild TR, RVSP-30mmHg+RAP.
Other cardiac valves are structural Normal, No pericardial effusion/Vegetation/Clot or intra cardial masses seen.
Regards,
Ashish Rohila
I am giving result for Impression: POST AVR & Haematology. Request you to please suggest for further care:
Hematology Results: Prothrombin Time: 37.48 Sec, Control MNPT (13.6), Ratio (2.6), PT-INR Value: 3.31
Clinical Diagnosis: Mitral Valve Sclerotic, Left Ventricle : concentric LVH with fair LV systolic function, RWMA: Jerky Septal Motion.
(EF=50%)
Immpression: POST AVR
Normal function PHV at aortic position., No valvular paravalvular leak., Jerky septal Motion, fair LV systolic function, LVEF=50%
Concentric LVH, other cardiac chambers are normal in size., Sclerotic mitral valve, Trace MR., Mild TR, RVSP-30mmHg+RAP.
Other cardiac valves are structural Normal, No pericardial effusion/Vegetation/Clot or intra cardial masses seen.
Regards,
Ashish Rohila
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
I have gone through the reports attached by you I would like to tell you that his inr and echo reports are fine and it’s advisable that you should continue his prescription as advised by your treating cardiologist.
Kind Regards
Please refer to the detailed answer below
Detailed Answer:
Hello
I have gone through the reports attached by you I would like to tell you that his inr and echo reports are fine and it’s advisable that you should continue his prescription as advised by your treating cardiologist.
Kind Regards
Above answer was peer-reviewed by :
Dr. Kampana
i have further few question regarding:
please suggest me any further dose adjustment require for higher PT interval?.
Also Ejection fraction came to 50% 3 month before it was 60% what is probable cause for that?
what is the condition for Sclerotic mitral valve?
also suggest for future precautions.
awaiting your kind suggestion.
Regards,
Ashish Rohila
please suggest me any further dose adjustment require for higher PT interval?.
Also Ejection fraction came to 50% 3 month before it was 60% what is probable cause for that?
what is the condition for Sclerotic mitral valve?
also suggest for future precautions.
awaiting your kind suggestion.
Regards,
Ashish Rohila
Brief Answer:
Hello again
Detailed Answer:
Main focus is the INR value and his INR levels are well within the desired range (2.5-3.5).
Ejection fraction of 50% is also alright for a 62 yrs patients who has underwent valve replacement. EF generally varies in these individuals as per the haemodynamic co diction of the body and level of hydration.
Sclerosis means ageing process, it’s not a disease of any abnormality.
Kind Regards
Hello again
Detailed Answer:
Main focus is the INR value and his INR levels are well within the desired range (2.5-3.5).
Ejection fraction of 50% is also alright for a 62 yrs patients who has underwent valve replacement. EF generally varies in these individuals as per the haemodynamic co diction of the body and level of hydration.
Sclerosis means ageing process, it’s not a disease of any abnormality.
Kind Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks for your comment and direction.
regards XXXXXXX rohila
regards XXXXXXX rohila
Brief Answer:
Hello again
Detailed Answer:
Pleasure. Kindly close the discussion and rate the answer.
Kind Regards
Hello again
Detailed Answer:
Pleasure. Kindly close the discussion and rate the answer.
Kind Regards
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Above answer was peer-reviewed by :
Dr. Kampana
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