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An elevated CRP is probably associated with an increased rate for a myriad of diseases. Probably in the cardiac world more likely for coronary artery disease. In any event it adds little to understanding your heart rhythm problem. So again ask for the specifics of the rhythm issue. Sometimes...

You basically have a high resting heart rate. Like most things in medicine the process should start with diagnosis. So the rate should be characterized primarily by EKG results. Do you have an unusual high sinus rhythm? Probably unlikely at that rate without a reason. Do you have A.Fib? Or...

I could not find any specific articles on warfarin and high level sports. My own experience with 39 years on warfarin for a mechanical aortic valve has been pretty good but not perfect. I fell off a bicycle going about 20 mph and got a massive hematoma in my leg that probably had at least two...

I´m the father of a 15 year old daughter who had an OHS 3 days after her birth. Since then she´s lived a more active life than any doctor ever expected, full of sports and other activities. She´s currently playing youth soccer for one of Europe's highest-ranked clubs and are in the selections...

If she is that good and wants to continue in soccer she might be one of the few young people who could consider a repair or a tissue valve which would have to be re operated on down the line. One other option might be a mitral clip which would avoid warfarin and could work for years...

I am not sure what the percentages are for bicuspid valves to lead to surgery but without stenosis and mild regurg you could go many years without any need for intervention. So avoid DR. Google and relax. See a decent cardiologist who hopefully will clarify your status.

Few points to make about the apixaban study. One it requires a twice a day dosing. Two it requires aspirin also. In the real world where people forget their meds the anticoagulation status of someone on apixaban might flucuate more rapidly than on warfarin if they miss a dose. In the study...

Being in the health care industry I have seen much over the last forty years concerning FDA approval and hype from drug/device manufacturers. I was unimpressed with the ON-X data. They concocted a statistic which added bleeding with stoke type issues into a single statistic. So if you don't...

As an ophthalmologist there is no reason that heart surgery should change someone's refraction. Some drugs may alter focusing while they are being used but this is infrequent and usually temporary. So there is no need to wait a long period of time to get a refraction. If someone is a diabetic...

There are two major issues that may occur without proper anti coagulation when there is a mechanical valve in place. First clots may form on the valve surfaces and break off and go down the line until they lodge in a vessel somewhere. So strokes, retinal artery occlusions, and distal artery...

I was thinking about your story trying to understand why you have the fluctuations that you have in your INR. There are at least three main variables that can change. The amount of warfarin, the amount of fluconazole that interacts with the warfarin and the amount of Vit K you ingest and the...

I doubt most people have been on long term fluconazole and warfarin so personal experience may be hard to find. But there is one thing you can do to help yourself significantly. Get yourself a home monitoring device for measuring your INR. These are accurate and the results are immediate...

As one of many on this site who has been on warfarin for many years (39) it is not that big a deal. With home testing it is easy to follow the INR without having to get blood tests and go into a clinic. As far as what you can eat or drink most of us eat or drink pretty much normally. If you...

Not one of the reported effects were a transient retinal artery occlusion. The vascular closures that have reported with vaccines were primarily venous in the brain. Totally different. Finally the report that was quoted pointed out that having these issues with the vaccine may have no...

The problem with valve choices is that there is still a lot of uncertainty. There are plenty of statistics to look at but they are not available for the most current valves looking out 20 years. There are statistics on complications with TAVR but not much yet on TAVR in a previous valve. Also...

That is very true. Things like atrial fibrillation, high cholesterol with carotid plaques and less common things like patent foramen ovale are associated with emboli. But in an otherwise healthy relatively young patient with a bio prosthetic valve I would put my money on the valve.

I have over the years maybe 4 or 5 episodes of partial visual loss In one eye that was fortunately transient. I have a mechanical aortic St. Jude valve and I take Warfarin. My INR has been OK after the last few. Prior episodes were before I self tested. These are small blockages of branches of...

A bio prosthetic valve is not the same as a healthy human valve. There is turbulence and some non bio material . So although infrequent there can be micro embolism. Consider lowish dose aspirin. If episodes like this continue despite ASA then possibly more Anticoagulation. They probably...

There is a fine line between asking questions multiple times expecting new or more information and being a troll. Somehow you expect someone to magically fix your problem and that will not happen. My understanding of your situation is that you will need aortic valve surgery and you have no...

First of all I just commented on what **** already told everyone. He had a stoke. And it turns out my "guess" was correct and **** was not upset. And yes warfarin is a must but it also has risk, these are not mutually exclusive. And nowhere in my post did I "bash lay man". All I said is...