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Recently Diagnosed with Aortic Insufficiency
lgray66 posted:
I've just been diagnosed with aortic insufficiency. The echocardiogram report listed it as severe, and I have chest pain and fatigue. However, since my EF was 60%, my cardiologist considers it moderate. At first I considered this good news, but then realized, I'm still going to have the chest pain and fatigue. Also, since my heart is strong, wouldn't it be better to replace the valve now, instead of waiting until it gets weak? I like to exercise, and my cardiologist says I can continue, and even do a marathon, but I'm hesitant. Should I get. Second opinion?

Thanks, Larry
cardiostarusa1 responded:

"Since my heart is strong, wouldn't it be better to replace the valve now, instead of waiting until it gets weak?"

One would tend to think so.

Valvular regurgitation (insufficiency, leakage) levels goes from trace or physiologic (aka minimal or trivial, found in many otherwise heart-healthy people, and for the most-part, can be safely ignored), to mild (should be monitored) to moderate (should be monitored closely to see what overall effect it's having on the heart) to severe (when it gets to this point, valve repair or replacement is usually dictated).

Valvular regurgitation grading scale by echocardiography is 0-4 plus. Valvular regurgitation can cause various symptoms or no symptom(s) at all.

As necessary, prescription drug-therapy treats symptoms, but does not cure the condition. As applicable, corrective treatments include catheter-based or surgical-based valve repair and replacement.

"Should I get a second opinion?"

Sure. It's your body, your health.

Best of luck down the road of life.

Take care,


WebMD member (since 8/99)



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