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BIOMARKERS

Molecular Biopsy of Human Tumors

- a resource for Precision Medicine *

182 related articles for article (PubMed ID: 12138047)

  • 1. 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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  • 2. 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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  • 3. Ask the doctor. For several years now, my lower legs have been painful and somewhat swollen, especially at the end of the day. My doctor says that my veins are not getting the blood back to my heart like they used to, but that it is just part of aging (I am 72 years old). He tells me to put my feet up as much as possible, but that's not very practical when you have a lot to do! Isn't there anything else I could try?
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  • 4. 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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  • 5. 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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  • 6. Ask the doctor. Does mild aortic stenosis (causing a mild heart murmur) ever correct itself without medication or surgery?
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  • 7. Ask the doctor. I am 86 years old and have high blood pressure and diabetes. As part of my last physical exam, my doctor ordered tests to check my carotid arteries. They showed that one was nearly 70% blocked. My doctor said I had to have surgery right away of I would have a stroke. Is she right? I am the only person taking care of my 88-year-old husband, and can't be away from him for long.
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  • 8. Ask the doctor. I need to catheterize myself because of bladder problems. In April 2007, I had five stents put in my heart and started taking Plavix. Since then, I sometimes see a light tinge of blood in the catheter bag, though lately the blood flow has been more substantial. The book "Worst Pills, Best Pills" says Plavix should be used for only a limited time, but my internist tells me I should be on it for the rest of my life. I am 88 years old and take aspirin (325 mg) every day. How long will I need to take Plavix?
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  • 10. 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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  • 11. 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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  • 12. Statins for aortic valve narrowing?
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  • 13. Ask the doctors. I have a heart murmur that my doctor says is caused by a leaky mitral valve. I feel perfectly fine, am an active gardener, and enjoy playing with my grandchildren. My last echocardiogram showed that my heart is getting bigger, and my doctor says it is time to operate on the valve. Isn't this suggestion a bit drastic?
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  • 14. Statins don't stop aortic valve narrowing...or memory loss (yet).
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  • 15. Ask the doctor. When I was diagnosed with atrial fibrillation four years ago, my doctor put me on a calcium-channel blocker. A year or so later, after I had angioplasty and got a stent, my doctor switched me to twice-a-day sotalol. Now I feel tired all the time and have gained weight, even though I feel like I am eating less. Can this be from the sotalol?
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  • 16. I had a mild stroke two years ago, but recovered completely and am now healthy and active. After my stroke, my doctor prescribed a statin medication, even though I don't have heart disease. The medication gives me indigestion. Can I stop it without any problems?
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  • 17. Ask the doctor. In a new study I heard about, people who had leaky mitral valves but no symptoms benefited from an operation to fix the valve. Many of the people in the study had mitral valve prolapse, as I do, but my doctor says I don't have a heart murmur. Would surgery help me?
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  • 18. [New concepts on the physiopathology and therapy of aortic stenosis].
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  • 20. Ask the doctor. I am generally healthy, but I had a heart attack last year. At my age, 78 years old, I find it hard to take it seriously when my doctor and my children tell me that I should be lowering my cholesterol and exercising. It seems to me that the idea of trying to prevent "premature" death is silly in someone my age. It's not like I feel ready to die, but it's hard for me to believe that prevention works in someone who has already gone beyond his "three score ten" years.
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