cardiologist's consultation

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westie

went to the cardiologist for a post operative check up; he remarked that i had made a very quick recovery and said most things are ok with zero leakage around my on-x valve. great!

he said the left ventrical was still mildly dilated like it had been before the operation. i can not remember his exact words, but he said something like this weakness in my heart was due to the 3 hours on the heart/lung machine and that the lv had got lazy?

so to avoid future problems, he has put me on a course of inhibace to strengthen the lv, presumably i will be taking this till my next appointment in 6months.

also, my blood pressure is high at 130 over 90. he said this was not desireable but said it was not uncommon in my cicumstances.

he told me to stop taking both sotalol and asprin. he told me taking asprin was a waste of time for a mitral valve replacement patient like me without a heart bypass. problem is the heart surgeon said i had to take both asprin and warfarin for life. so who is correct?

i decided to keep taking asprin for now. i discussed this with our gp who said the pros and cons of taking asprin in my situation could be debated all night.

my medications now are 7 ml of warfarin, and one tablet each of asprin and inhibace per day.

oh the joys of the new zealand health system, the pharmacy charged me
nz$15.00 for the inhibace prescription instead of the normal $3.00 because because the full government subsidy is only available if the prescription written by your gp, talk about red tape. (everyone in nz gets subsidised medicines)
 
Sounds like on the whole you got a good report, Westie. Kinda disconcerting, though, when two of your docs disagree completely on meds, isn't it?

We may need your advice/cautions on the joys (?) of nationalized medicine after our election this November.:D

Hoping you continue to have a good recovery....
 
I suspect that taking an 81 mg dose of Enteric (coated) Aspirin is the safest 'compromise' between the two positions. That is a very common recommendation in the USA.
 
With an On-X valve, I'd have no problem dumping the aspirin. Warfarin should be plenty.

I agree with Ross, don't know if he's correct, but I agree. Why take the aspirin if you've got the warfarin?
Perhaps the surgeon meant for a short duration and the cardiologist is saying that it's time to stop?
 
Westie....I've also got an On-X valve (Aortic) and I was also told to take a Baby Aspirin along with my Coumadin. Im not sure why I need both but my INR has been pretty steady between 2.0 and 3.0 so Im not going to mess with a good thing.
 
Good news about the valve! Too bad about the aspirin confusion. Since you're on warfarin, it's possibly a preventative measure against future coronary problems.
 

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