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  • 1. Ask the doctor. I'm 78 years old. I've known for years that I have a narrowing of the aortic valve of my heart. My doctors are always asking me whether I have chest pain, fainting spells, or any other special symptoms. Until recently, the answer has been no. A few days ago, however, I was washing dishes in my kitchen, and I suddenly felt lightheaded and fell to the ground. I didn't black out, but I almost did. Now my doctor is saying that I should have my aortic valve replaced. Isn't this rather an extreme response to just one spell of lightheadedness?
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  • 2. Ask the doctor. I am 68 years old and had a heart attack last year. I think I am doing fine and passed my last exercise test with flying colors. But about a month ago I had a fainting spell, which occurred when I went to the bathroom after a big meal. In addition, I frequently feel lightheaded for a few seconds when I stand up. I think that problem has been there for years. Do you think these spells are related to my heart?
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  • 3. Ask the doctor. I am 73 years old and have had a heart murmur for years. Now my doctor tells me that I have moderate narrowing of my aortic valve. I feel perfectly fine, but he says I may need heart surgery some day. Is there anything I can do to avoid having surgery?
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  • 5. Second opinion. My husband recently had bypass surgery following a heart attack. Medically, he's the one who needs tending to, but lately I've had episodes of shortness of breath and lightheadedness. My husband thinks I'm overly stressed and that I'm hyperventilating. Is that possible?
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  • 6. Ask the doctor. I am 78 years old and have diabetes and a heart murmur from narrowing of my aortic valve. My doctor tells me that the narrowing is not so severe that I need surgery, but warns me that I may need an operation some day. Naturally, I would like to avoid that possibility. Is there anything I can do to reduce the risk?
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  • 7. Ask the doctor. I'm a 42-year-old man with no health problems, except for the fact that I'm a bit overweight. I recently had an exercise test because of some chest pain. The good news is that it showed no evidence of heart problems, but during the test my blood pressure quickly shop up to 190 mm Hg. Usually, it's about 35/90 mm Hg. The doctor doing the test didn't seem too alarmed, but I'm concerned.
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  • 8. I have been getting very short of breath with mild activities, like making my bed. My cardiologist says I have narrowing of my aortic valve that needs to be repaired with an operation. But I'm 87! Aren't I too old for a big operation?
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  • 9. On call. I've had my PSA tested every year since 1992 and I'm happy to say it's always been normal. But now my doctor doesn't want to do the test anymore because I'm 78 years old. Should I go to another doctor for my test?
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  • 10. Ask the Doctor. I'm 45 years old. At the doctor's office, my blood pressure readings are usually pretty high (the top number may reach 150 or 160), but my home monitor shows numbers more like 130/90. My doctor calls my problem "white-coat hypertension" and reassures me that it isn't dangerous. But it bothers me that my pressure shoots up like that. I have plenty of stressful moments every day, and my blood pressure must be going up then, too. Should I be on medication?
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  • 11. Ask the doctor. I'm a 51-year-old man with no risk factors for heart disease other than being male. My blood pressure and cholesterol levels are fine. I exercise, and my diet is pretty good. I've never smoked. Yet I recently underwent a triple bypass for sudden chest pain. What could have caused this blockage and can I prevent future problems?
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  • 12. Ask the doctor. I have had a leaking aortic valve for many years. I get an echocardiogram every six months. After the latest one, my doctor told me that my heart was enlarging and asked me repeatedly whether I was getting short of breath with exercise. I told him that sure, I get tired, but it isn't like I am breathing hard while sitting still. Now he wants me to have surgery to replace the valve. Should I do this at age 68?
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  • 13. On call. Your article on new immunizations for adults was very helpful. I already got my booster for tetanus, diphtheria, and whooping cough, but even though I'm 61, my doctor didn't want to give me the shingles because I've already had shingles. Should I get the vaccine?
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  • 14. On call. I've been taking Zocor since my heart attack in 2006. My cholesterol count has come way down, and I haven't had any heart problems. In the past few months, however, I've had some muscle aches. My blood tests don't show any muscle damage, but my doctor says Zocor may still be causing the problem. He wants me to stop Zocor for a while, but I'm worried about my heart. Is it safe for me to stop?
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  • 15. By the way, doctor... I've had a bothersome cough for years, and my doctor hasn't been able to make a diagnosis. Two chest x-rays have been normal. I find that coughing can produce embarrassing interruptions when I'm on the phone or in ordinary conversations. My family is worried about what might be going on. I'm not a smoker, so this isn't a smoker's cough I am talking about. Can you help me?
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  • 16. Ask the doctor. Even though my weight and health are fine (good blood pressure and cholesterol), my doctor and my partner want me to be more active. But I don't like exercise, and I've heard of people dying while they exercise. Why should I bother doing something that isn't totally safe?
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  • 17. On call. When I saw my doctor on my 73rd birthday, my only complaint was that I've been having trouble with my erections over the past year. I was surprised that my doctor didn't do any blood tests beyond the usual battery, and he didn't refer me to a specialist. Instead, he gave me a prescription for Viagra. The pills are working fine, but should I have tests to find out what's wrong?
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  • 18. Ask the doctor. I am 77 years old, and my doctor recommended surgery to replace my aortic valve. He said my choice is between a mechanical valve and a pig valve. Which is the preferred option?
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  • 19. Ask the doctor. I am a 62-year-old woman who had a heart attack last year. Overall, my medical care has been excellent, and my doctors answer most of my questions even before I ask them. The one exception is any question about sexual activity. I want to know if it is dangerous and whether the medications I'm taking will affect my sex drive. Why won't my doctors address these issues?
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