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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Aortic Valve Replacement Done, No Artery, Vein Blockage. Prescribed Metoprolo Tartrate. Medication Dosage?

I had aortic valve replacement (type 34 On-X arota valve). The cardiac catheterization procedure showed no artery or vein blockage. The surgeon performed the surgery through a 3 opening. My heart walls were slighted thick. The surgeon indicated metoprolo tartrate tabs 50 mg for 3 months but the cardiolologist says forever. FYI: I had no performance issues when I was diagnosed with arotic sternosis. No lost of breath, I walked 4 miles each day. My pressure has always been 110 over 70. The procedure was done when my arota valve were opening 0.7. Why would there be such a wide difference in treatment?
Sat, 20 Jul 2013
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Cardiologist 's  Response
Dear patient,

It may vary depending on the indication or the intended use by the physician; for example, surgeons are usually more concerned about early postoperative events like atrial fibrillation, which is increasingly common and the rsik is higher within the first month of surgery (shorter recommendation), whereas us, medical heart doctors, are usually concerned more about long term events such as heart attacks, strokes or heart failure, and thus we usually recommend these types of medications for the long term to prevent these long term outcomes

Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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Aortic Valve Replacement Done, No Artery, Vein Blockage. Prescribed Metoprolo Tartrate. Medication Dosage?

Dear patient, It may vary depending on the indication or the intended use by the physician; for example, surgeons are usually more concerned about early postoperative events like atrial fibrillation, which is increasingly common and the rsik is higher within the first month of surgery (shorter recommendation), whereas us, medical heart doctors, are usually concerned more about long term events such as heart attacks, strokes or heart failure, and thus we usually recommend these types of medications for the long term to prevent these long term outcomes Yours truly, Dr Brenes-Salazar MD Cardiology Mayo Clinic MN