BAV/AS - bp sensitive/pulsating tinnitus/valvular specialist? (new to group)

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I have mixed feelings about finding this website. Blessed that there is a place where I can speak to people who understand and can offer valid advice about the things I am going through – yet dumbfounded that what I thought I knew about BAV/AS barely touches the surface!

My journey: I was diagnosed at 4 with AS – apparently I would just turn blue and pass out. My parents were told that I would never have children, never be able to exercise and my life would be seriously limited. At 13, I changed cardiologists and was told that I had been misdiagnosed and that I really had Mitral Valve Prolapse. A normal life was in my reach! At 20, I was told that I no longer needed to be routinely followed – just come back when I got pregnant or had problems. 2 kids and 13 years later, I started having problems with ‘high’ blood pressure. The numbers were actually in the borderline range – the problem was that I was so sensitive to the range. At 130/85, I could feel the symptoms of high blood pressure. My family doctor put me on Benazipril HCTZ and I made the appointment with a new cardiologist. This time I was told that the criteria for MVP had changed and that I no longer met the criteria. Stunned, confused and a bit relieved – I went on my way. In 2005 and at 33, I was heart disease free!
In 2011, I started experiencing heart rate problems, shortness of breath, chest pain and swelling in my hands and feet. And the palpitations I had had my entire life that were always ‘in my throat’ and never lasted long – changed to deep in the chest and were slower, longer and more frequent. But heart disease free, I went on about my life – thinking it was due to being out of shape and overweight. Then two things happened. My cousin died of a heart attack at 45. And a month later, I took a road trip from Virginia to Minnesota. The swelling, palpitations and blood pressure problems I had while on that trip were the worst I had ever experienced. I decided it was time to see another cardiologist. After the echo, the nuclear stress test, the EP study and the Cardiac MRI – I was diagnosed with Aortic Stenosis, Bicuspid Valve and Left Bundle Branch Block. We added Metoprolol Succ ER to my meds and now we play the wait and see game. We’ve moved up my yearly check-up due to starting to experience problems again – but I feel fairly certain that I’m not ‘ready’ yet. (I am also Vit-D deficient, hypothyroid and Type 2 Diabetes and my current medications are 5000iu Vit D daily, Levythyroxin, Metformin, Benazapril HCTZ and Metoprolol Succ ER, Vit B stress complex)

My questions are about some oddities that I’ve experienced and about the type of doctor that everyone sees. I recently read that there are valvular specialists within the cardiology field. I hesitate changing doctors but I want to make sure I am being treated by the right type of doctor. Were you followed by a cardiologist or valvular specialist?

I also hear my pulse in my right ear. (pulsating tinnitus is my self diagnosis) Sometimes I can’t hear it – sometimes it’s just a little aggravating, sometimes I have to turn the TV up because it’s so loud! I tell myself it’s God’s way of preparing me for hearing the ticking of a mechanical valve – but it’s really frustrating. Did/Does anyone experience this?

I seem to be ‘oversensitive’ to blood pressure and heart rate. In other words, when my blood pressure hits the borderline range – I’m already experiencing signs of high blood pressure. When my resting heart rate increases to about 80 – I can feel it. (my resting heart rate is between 50 and 60) Does this go with the game?

Did/do you have a medical alert bracelet?


I’ve only ever tracked my velocity – but I see from other posts that I should be tracking other things. When I go to the doc at the end of the month, I’ll be sure to ask for my echo report? Is that right? I appreciate any feedback and look forward to being involved in this group.
 
Hi - I can't answer all your concerns, but one thing that I used to get which struck me in your message. I used to get pulsitile tinnitus in my left ear. So loud that everything else 'went'. Only in my left ear and would happen for a half a minute or so at a time. Saw ENT specialist who could find nothing. Had MRI of head too. I found that depending on how I was holding my head/neck I could bring it on. Also recokened it was related to sinus problems on left side. I don't get it any more..fingers crossed…because it's horrible to suddenly get this really, realy loud noise of heart beat in one ear. For those who've not had it, it is nothing like hearing your pulse in your ear when you lie down in bed on y9our left side.

I have other co-morbitities: type 2 diabetes, though I'm thin and not typical, also osteoporossis and small airways disease. I don't get palpitations unless there is something 'wrong' and after surgery I got them for a while. I've only ever seen a cardiologist, plus cardiac surgeon, (and endocrinologist, rheumatologist and respiratory specialist). You can change cardiologist if you are not happy with yours.

I don't wear a medical alert bracelet.
 
My cardiologist is a valve specialist, yes. The interventional cardiologist who did my valvuloplasty procedure follows me. That said, I live in a large city where a valve specialist is accessible and it was natural for him to follow me as I had no idea I had a heart issue prior to his working on me and thus didn't have a cardiologist. He's very much focused on following my valve and deciding when it's time to refer for surgery.

After discovering this heart issue, I did switch from a regular old general practitioner to an internist from the practice that rounds at the hospital where my cardiologist is to make it easier for my internist and cardiologist to work together, and to get the extra expertise that an internist provides. With your multiple issues I would think confidence in your "regular doc" would be very important.

I don't have a medic alert bracelet, but don't you already have one for diabetes?
 
My cardiologist is a valve specialist, yes. The interventional cardiologist who did my valvuloplasty procedure follows me. That said, I live in a large city where a valve specialist is accessible and it was natural for him to follow me as I had no idea I had a heart issue prior to his working on me and thus didn't have a cardiologist. He's very much focused on following my valve and deciding when it's time to refer for surgery.

After discovering this heart issue, I did switch from a regular old general practitioner to an internist from the practice that rounds at the hospital where my cardiologist is to make it easier for my internist and cardiologist to work together, and to get the extra expertise that an internist provides. With your multiple issues I would think confidence in your "regular doc" would be very important.

I don't have a medic alert bracelet, but don't you already have one for diabetes?
 
My cardiologist is a valve specialist, yes. The interventional cardiologist who did my valvuloplasty procedure follows me. That said, I live in a large city where a valve specialist is accessible and it was natural for him to follow me as I had no idea I had a heart issue prior to his working on me and thus didn't have a cardiologist. He's very much focused on following my valve and deciding when it's time to refer for surgery.

After discovering this heart issue, I did switch from a regular old general practitioner to an internist from the practice that rounds at the hospital where my cardiologist is to make it easier for my internist and cardiologist to work together, and to get the extra expertise that an internist provides. With your multiple issues I would think confidence in your "regular doc" would be very important.

I don't have a medic alert bracelet, but based on my mother in law, I thought these were indicated for diabetes?
 
dornole;n852653 said:
I don't have a medic alert bracelet, but based on my mother in law, I thought these were indicated for diabetes?
Hi Domole - as a Type 2 diabetic I don't think a medic alert bracelet is indicated, well a person might have one if they wanted, but it's not like Type 1 diabetics who can get life threatening hypoglycaemia or hyperglycaemia where they may become unconscious, not something that usally happens to a Type 2, unless they become insulin dependant.

I do carry around the little card I got from Edwards Lifesciences which is given to valve replacement patients to show doctors, or for doctors to find if I am unconcious, the kind of prosthetic valve I have, but that's just a card I carry around in my purse.
 
Welcome to the forum. My Cardiologist is not a valve specialist, but is a highly regarded Cardiologist in my area. I don't have a medic alert bracelet but I do carry a wallet card that I found and printed from the internet.
 
Thank you, everyone, for your responses. I posted this post - apparently before becoming official or maybe without logging in - so it came up guest!

Hi Paleogirl- yes, the sometimes constant sound in my ear can absolutely drive me bonkers! I can't bring it on by turning my neck but I can make it take a 2 second break - which sometimes is the only thing that keeps me sane.

I do live near a major university hospital that has valve specialists but the thought of changing cardiologists, again, makes me cringe. I just didn't know what the norm was for people with BAV. I had never considered switching to an internist - I'll have to think about that idea. I really don't go to my family doc unless I'm sick. When I have a diabetic/thyroid prob - I go to my endocrinologist and if it's heart related - I go to my cardio.
 
Welcome- I ,too, had Hypoparathyroidism and had 1/2 of my Thyroid removed. I was fortunate that after the discovery of my Ascending Aortic Aneurysm, my sister's nephew being a Cardiac NP at the local University Teaching Hospital. Before her husband finished telling him my dx- he blurted out my doctor's name. The nephew had spent all of 2014 interning as a Cardiac OR nurse and has worked with him several times. Now he is in CICU so I will be fortunate to have a family tie. It sounds like you have a hard time sticking with one doc- I recommend that you find the best cardiologist and Cardiac Surgeon and stick with them. I will stick with my GP because he knows me like the old days- when Dr. made house calls-he won't do that but he is brilliant- I am fortunate to live in a hamlet just outside of a city with an excellent Medical School- Teaching Hospital. But I too went from GP- to Gp until I met this guy. My top criterion is that actually listen to me.
 
acruffin;n852781 said:
I had never considered switching to an internist - I'll have to think about that idea. I really don't go to my family doc unless I'm sick. When I have a diabetic/thyroid prob - I go to my endocrinologist and if it's heart related - I go to my cardio.
I will discuss all my health problems with my endocrinologist becasue he is the most ace doctor I've ever had. For example: post aortic valve surgery I was getting breathless and had no stamina (nine month post surgery mind !), something whch I hadn't even had before surgery. When I spoke to my cardiologist he did all the usual checks and echo and said everything was fine. But still I was breathless. As I said, I always speak about everything to my endo because he wants to know, he's that kind of doctor, so when I mentioned the continued breathlessness and lack of stamina he suggested I see my respiratory consultant as he thought it might be respiratory related, something which I hadn't considered because my cough was under very good control with my preventer inhaler. So I saw my respiratory consultant who did an x-ray and saw immediately that I had air trapping…which would cause breathlessness and lack of stamina ! He upped my preventer inhaler dose and within a few weeks I was fine.

The lesson I learned was that if you have a doctor, no matter his speciality or lack of it if he is a GP, if he's one that can think outside the box of his speciality, one who can see the bigger picture, talk to him and tell him all your symptoms.
 
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