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MITRAL VALVE BLOG

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Heart disease is the leading cause of death in the United States. Fortunately, people can lower their risk of developing heart disease by monitoring their diets. Overall, a diet low in saturated fats and low cholesterol, along with many other dietary factors, help lower one’s risk. Over the years, there have been many studies and articles have been written on “heart-healthy” foods for people to add in their diets. These foods are known to have anti-inflammatory properties, lower bad cholesterol, lower blood pressure, have antioxidants, and raise good cholesterol – all of which can help ward off heart disease. Throughout the years, soy products have been cited as a food source that lowers blood cholesterol levels and help provide other cardiovascular benefits. However, this has now changed.

In November, the FDA announced to revoke an authorized health claim about soy and heart disease. For the first time ever, the FDA is proposing a revocation. Back in 1999, the FDA approved the claim (to be used on packaged soy products) that soy protein can help reduce heart disease. Now, they’re changing their tune.

The Director of the FDA’s Center for Food Safety and Applied Nutrition, Susan Mayne, said in a released statement, “While some evidence continues to suggest a relationship between soy protein and a reduced risk of heart disease—including evidence reviewed by the FDA when the claim was authorized—the totality of currently available scientific evidence calls into question the certainty of this relationship.”

Apparently, after the FDA approved this health claim in 1999, there have been inconsistent findings regarding the ability of soy protein to help lower LDL (“bad”) cholesterol. Now, this doesn’t mean soy consumption increases a person’s heart disease risk, it just doesn’t reduce it.

This soy claim may change from an “authorized health claim” to a “qualified health claim.” A qualified health claim requires a lower scientific standard of evidence to explain the limited (but not definite) evidence linking soy protein intake with heart disease risk reduction.

The FDA will go through a full, official revocation process that will allow the public and industry stakeholders a chance to submit comments to the FDA to persuade it to keep the authorization. People can comment until January 18, 2018.

If you’re looking for heart-healthy foods that can help reduce one’s risk of developing heart disease, choose foods like nuts, salmon, berries, oatmeal, avocado, spinach, tuna, and olive oil.

If you are suffering from heart valve disease, Dr. Peter Mikhail is a thoracic and cardiac surgeon in New Port Richey, Florida who performs mitral valve surgery and TAVR.  He also treats patients in the Tampa and Clearwater areas. Dr. Mikhail advises his patients on the best diets based on their condition. To book a consult with Dr. Mikhail, click here or call his office at 727-312-4844.

 


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Your doctor just told you that you have a calcified heart valve. One of your heart valves is stenotic. You potentially may need it repaired, or completely replaced. What does this exactly mean? How is there calcium build up on my valve? What is a stenotic valve? Is surgery the only option?

Upon being diagnosed with a type of heart valve disease, a lot of questions are probably buzzing around in your head – as they should be. Remember, never hold back from asking your doctor questions. You have just been diagnosed with mitral valve stenosis, which can be a very serious condition if left untreated. So, you should feel the need to ask and learn everything about this disease.

For this article, we address heart valve calcification/mitral valve stenosis to give you an overview of this disease. First, mitral valve disease is when the mitral valve (located between the left atrium and left ventricle heart chambers) is no longer working properly. When the valve isn’t functioning properly, the heart is unable to pump enough blood out of the left ventricular chamber to give the body oxygen-filled blood.  There are different types of mitral valve disease, but for this article, we will focus on mitral valve stenosis (obstruction).

Mitral valve stenosis is when the valve’s opening has narrowed and the valve’s flaps have thickened or stiffened; the flaps may have even fused together, which causes the narrowing or blockage of the valve. When this occurs, blood backs up in the left atrium of the heart instead of flowing to the left ventricle.

When the heart valve becomes calcified, there is a large amount of calcium on the valve, and it has been building up for many years. When the valve becomes calcified, the flaps become stiff and the valve narrows and becomes stenotic. How does this happen? Well, there are a few reasons. Some people’s valves begin to calcify just from age and wear and tear of the valves. Some people are born with congenital valve abnormalities. Some people’s lifestyle choices and history (smoking, chronic kidney disease, diabetes, elevated cholesterol) can lead to calcified valves. Some people’s valves become calcified through atherosclerosis, which is a process that causes arterial blockages in different parts of the body.

A person who has severe stenosis and calcification will experience shortness of breath, chest pain and lightheadedness.

With moderate to severe cases, surgery (valve repair or valve replacement) is usually suggested as the best option to fix the valve and eliminate symptoms. Patients can choose with their doctor whether they want a mechanical or biological heart valve. It’s good to note that even if you get your heart valve repaired or replaced, a biological valve can calcify again.

Unfortunately, there Is no known way to truly prevent the valves from calcifying. However, if a person does have a calcified valve, he or she should be under the watch of a cardiologist, to assess if the valve worsens over time. The cardiologist will most likely want to follow up in 6 months to a year. Treatment, such as surgery, will be suggested when deemed necessary.

Are you suffering from valve stenosis or calcification and looking for a surgeon? Dr. Peter Mikhail is a cardiac surgeon who specializes in performing surgeries on mitral and aortic valves. Dr. Mikhail is based in New Port Richey, FL, and treats patients in the Tampa and Clearwater areas. To book a consult, click here or call 727-312-4844.


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Infective endocarditis (also known as IE) is an inflammatory condition that affects the inner lining and valves of the heart. It occurs when bacteria enter the bloodstream and settle on damaged heart tissue, weak or abnormal heart valves, or prosthetic valves.

IE is more prevalent among older Americans and men in particular. It affects an estimated four out of every 100,000 people in the U.S., and the number of reported cases appears to be increasing, according to a 10-year study published by the online journal PLOS ONE.

It’s not uncommon for bacteria to enter the bloodstream during certain surgical, routine medical, or dental procedures, and a healthy immune system will fight off the microscopic invaders. However, if they find their way to the heart, those bacteria can accumulate on a damaged heart valve and grow into a mass known as a “vegetation.”

Symptoms of an acute infection, which can become life threatening in a matter of days, include a sudden high fever, increased heart rate, shortness of breath, and fatigue. A sub-acute, or gradual infection will present itself with a mild fever, elevated heart rate, fatigue, chills and night sweats, and a low red blood cell count.

Individuals with heart disease and existing heart conditions – such as surgically repaired heart valves and congenital heart defects – have a higher risk of developing IE.

Infection in the heart is commonly detected with an echocardiogram.  A blood culture can determine what type of bacteria is present. Treatment typically involves the use of intravenous antibiotics over a four-to-six-week span.

Oftentimes, doctors will prescribe oral antibiotics to patients prior to a dental procedure, minor surgery, or a colonoscopy as a precautionary measure.

Gingivitis is a known cause of infection, so keeping your mouth clean and healthy, and getting regular dental care are two simple ways to prevent IE. The American Heart Association offers wallet cards in English and Spanish for people who require extra protection from infection.

Dr. Peter Mikhail is a cardiac and thoracic surgeon based in New Port Richey, Florida, who treats patients in the Tampa and Clearwater areas. For more information on his practice or to schedule a consultation, visit his mitral valve surgery and AVR site for more information or call 727-312-4844.


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We all know that exercise and physical health go hand-in-hand. But did you know that exercising can help prevent heart disease and stroke, and even help individuals with some minor heart conditions?

The American Heart Association recommends getting at least 150 minutes per week of moderate exercise — or 75 minutes per week of vigorous exercise — to improve overall cardiovascular health. For individuals looking to lower their blood pressure or cholesterol levels, the organization recommends 40 minutes of moderate-to-vigorous aerobic exercise three to four times per week.

Aerobic exercises include walking, jogging, swimming, or biking.

Your heart is a muscle, and it gets stronger and healthier if you lead an active lifestyle. The resting heart rate of a person who stays active is slower than a non-active person, because less effort is needed to keep blood pumping. People who don’t exercise are twice as likely to develop heart disease compared to those who stay active.

Exercise promotes weight maintenance and reduction, and can reduce “bad” LDL cholesterol levels in the blood. Those “bad” lipoproteins lead to plaque buildup in the arteries, which narrows vital pathways for blood flow and raises the risk of heart attack and stroke.

Some cardiologists recommend combining short bursts of high-intensity exercise with slightly longer periods of recovery, so that the body becomes more efficient at clearing fat and sugar from the blood. Weight training can also help with heart protection for healthy individuals.

It’s been shown that exercise decreases symptoms of angina and heart failure, and even overweight people who have trouble shedding pounds can still achieve heart benefits with routine physical activity.

Experts also agree that the worst kind of exercise for heart health is “overdoing it” with vigorous physical activity without prior training, such as shoveling snow. The excessive adrenaline that is released throughout the body can lead to a sudden heart attack.

For people with mild-to-moderate mitral valve regurgitation (MVR) without symptoms, regular activity – even if it’s walking – will help heart functions. Using a treadmill with a digital heart monitor is one of the easiest ways to work out while keeping tabs on your pulse.

It’s important to note that people with MVR who are experiencing irregular heart rhythms should be cautious about physical activity, avoid a high-intensity workout, and consult their doctors about what type of exercise is appropriate.

Dr. Peter Mikhail is a cardiac and thoracic surgeon based in New Port Richey, Florida, who treats patients in the Tampa and Clearwater areas. For more information on his practice or to schedule a consultation, visit our Mitral Valve  contact page or call 727-312-4844.

 


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This is a heart condition that affects a very small percentage of the U.S. population, and its symptoms may include irregular heartbeat and chest pain.

Mitral valve prolapse, also known as click-murmur syndrome, Barlow’s syndrome and floppy valve syndrome, occurs when the mitral valve flaps do not close smoothly or evenly as the heart beats; instead, the flaps bulge, or prolapse, upward into the left atrium.

In most cases, it’s harmless and most people aren’t even aware they have it.  However, some cases require treatment; for instance, when a prolapsed valve allows a small amount of blood to leak backward, a heart murmur may occur. For some, MVP is genetic, but for others, it’s caused by other health issues, such as progressively weakening connective tissue.

Health professionals can typically detect a murmur during a routine examination, especially if a patient has experienced heart palpitations (sudden rapid heartbeats), chest discomfort and fatigue. For those without symptoms, physicians may use an echocardiogram or magnetic resonance imaging (MRI) to look for issues.

Mitral valve surgery may be required if symptoms appear to be getting worse, the left ventricle of the heart is enlarged or heart functions are worsening. While mitral valve prolapse rarely becomes a serious health condition, it can cause arrhythmias – when the heart beats too fast or slow – that are potentially life-threatening, according to the American Heart Association.

Physicians typically recommend treating the symptoms of MVP with regular exercise, over-the-counter pain relievers and relaxation/stress reduction activities, while avoiding caffeine and other stimulants. Beta blockers, or medications that slow the heart, may also be used to treat heart palpitations.

Experts recommend that individuals with mitral valve prolapse should see their doctor regularly, and a cardiologist every 2 to 3 years. Those with moderate symptoms should get an echocardiogram every 6 to 12 months.

Dr. Peter Mikhail is a cardiac and thoracic surgeon based in New Port Richey, Florida, and treats patients in the Tampa and Clearwater areas. For more information on his practice or to schedule a consultation, visit the Tiny Scar Valve Surgery contact page or call 727-312-4844. To learn more about this disease, visit Dr. Mikhail’s Mitral Valve Disease page.


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If you have been diagnosed with mitral valve disease, you probably have a list of questions. As you should! Mitral valve disease is one form of heart disease, and it can be a very serious condition. Part of your heart valve isn’t working properly, and it’s you and your doctor’s job to decide what to do next so you can live a healthy and long life.

There are three different types of mitral valve disease: mitral valve regurgitation/insufficiency (leaking), mitral valve stenosis (obstruction), and mitral valve prolapse (bulging).

The type of mitral valve disease you have and the severity of it will determine your doctor’s treatment plan. One treatment option is surgery. But when is it time to repair your mitral valve? Is there a good time? Well, if you have a severe case or a big leak, it’s recommended you get the valve repaired now. If you put off surgery, the damaged valve will begin to cause damage to the heart itself. Valves cannot repair themselves; there is no point in waiting. Studies have shown if you wait for symptoms to become severe before you choose surgery, your chance of experiencing complications after the surgery is higher.

If the valve is severely damaged, a surgeon may not be able to repair the valve and a replacement will have to be done. If your valve disease is life-threatening, a replacement valve will be chosen over a repair.

Treatment isn’t always needed for minor causes of mitral valve disease. Sometimes the doctor will just monitor a patient’s heart over the years to see if the disease is getting progressively worse. The doctor can also prescribe medications to reduce the symptoms that patients are experiencing from the disease, but the medications cannot fix the broken parts of the mitral valve. Patients can take antiarrhythmics, beta blockers, diuretics, and anticoagulants.

The thought of surgery can be terrifying; there may be no “right” time, but you want to fix the problem before it gets worse. Dr. Peter Mikhail performs minimally-invasive mitral valve heart surgery on his patients. He makes a small (2 to 3 inch) incision in the right side of the chest. This is not open-heart surgery. With minimally invasive surgery, recovery is shorter. Surgery can take anywhere from 2 to 4 hours.

If it’s time for you to get your mitral valve repaired or replaced, let Dr. Mikhail look at your heart and determine the best course of action. He is a cardiac and thoracic surgeon who specializes in mitral valve surgery. He treats patients in the New Port Richey, Tampa and Clearwater areas of Florida. To book a consult, click here or call 727-312-4844.  Learn more about this surgery on Dr. Mikhail’s Mitral Valve Surgery page.

 

 


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Blood pressure and heart health go hand in hand. Your blood pressure reading reflects two numbers, systolic pressure and diastolic pressure. Your systolic pressure measures the pressure of the blood against your artery walls when the heart pumps blood out during a heartbeat, while your diastolic pressure measures this pressure in-between heartbeats when your heart is full of blood. Ideally, your blood pressure should read below 120/80. One in three American adults suffer from high blood pressure.  One thing you can do to keep your blood pressure in check is to eat a balanced diet. Certain foods are known to increase your blood pressure.  We suggest you avoid the following foods or limit them in your diet to keep your blood pressure in a good range:

  1. Soda/sweetened beverages – Sugar-loaded drinks can quickly lead to weight gain; excessive weight on the body can raise a person’s blood pressure.
  2. Processed meats and other foods – Deli meats like turkey or ham are loaded with sodium, which can raise a person’s blood pressure. Lots of packaged foods contain high amounts of sodium, e.g. canned soup, frozen meals, tomato sauces, canned vegetables and bread. These foods have a lot of sodium, because this ingredient is used to preserve the foods.
  3. Baked goods – Cakes, doughnuts, muffins, cupcakes, cookies, pies and more are loaded with sugar, but also contain a lot of saturated and trans fats. Both these “bad” fats are known to increase blood pressure.
  4. Candy – When you eat a piece of candy, you’re basically consuming empty calories and a lot of sugar; candy can spike your sugar levels and can lead to weight gain.
  5. Alcohol – Excessive use of alcohol can lead to weight gain and dehydration both of which can lead to an increase in blood pressure.

Each day, you should aim to keep your sodium intake to less than 2,300 milligrams; sugar should be limited to 37.5 grams per day for men and 25 grams per day for women. It’s best to avoid or limit the above foods and opt for water, 100 percent fruit juices, fresh meat, fruit, homemade (healthier) desserts, nuts, legumes, vegetables, and whole grains.

If you currently have high blood pressure or heart disease, it’s wise to discuss with your doctor the best meal plan for you. If you suffer from mitral valve disease or aortic valve disease and need surgery, Dr. Peter Mikhail is a cardiac surgeon treating patients in the Tampa, Clearwater and New Port Richey areas of Florida. To book an appointment, click here or call 727-312-4844.

 


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Good fats are good for your heart. Unfortunately, the word “fat” comes with a negative connation in today’s society. When someone hears a food has “fat” in it, he or she assumes the food is “bad,” which isn’t always the case. There are different types of fats in the food we eat. For this blog article, we will focus on the “good” fats, which are known as monounsaturated and polyunsaturated fats.

Monounsaturated and polyunsaturated fats are known to lower bad cholesterol levels, lower risk of heart disease, lower risk of stroke, and can also provide the body with the proper, essential fats it needs to function that the body cannot produce on its own.

In fact, consuming healthy fats in your daily diet can potentially give your body the same health benefits as taking a statin drug, according to the American Heart Association. A statin drug is a lipid-lowering medication, which can help reduce people’s risk of heart disease, other cardiovascular conditions, and death.

According to the American Heart Association, polyunsaturated fats can help lower a person’s heart disease risk the best, with monounsaturated fats coming in at second.

Here is a list of some great sources of polyunsaturated and monounsaturated fats:

 

  • Sunflower oil
  • Safflower oil
  • Olive oil
  • Peanut oil
  • Avocados
  • Flaxseed
  • Sunflower seeds
  • Walnuts
  • Tuna
  • Salmon
  • Sardines
  • Trout

Diet is extremely important to a person’s heart health. According to the American Heart Association, if a person decreases the amount of saturated fat (“bad” fat) he or she consumes, and increases the polyunsaturated and monounsaturated fat intake, he or she can help prevent diseases from forming in the heart and blood vessels.  Saturated fat is known to increase LDL (“bad”) cholesterol levels, which can lead to clogged arteries and cardiovascular disease. Overall, the American Heart Association recommends consuming mostly monounsaturated and polyunsaturated fats, while limiting saturated and trans fats.

If you’ve been diagnosed with heart disease, it’s still in your best interest to consume a healthy diet, rich in vitamins, minerals, and healthy fats. You want to keep your heart as healthy as possible. If you’re looking for a cardiac surgeon to treat your condition, Dr. Peter Mikhail specializes in treating patients with mitral valve disease and aortic valve disease. He works in the cities of Tampa, Clearwater and New Port Richey in Florida. To book a consult with Dr. Mikhail, click here or call 727-312-4844.


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Have a sweet tooth? Cupcakes. Chocolate. Ice cream. These sweet treats are certainly delicious, but they’re best eaten in moderation. Sugar is the main ingredient that makes these foods extra tasty. Unfortunately, too much of this ingredient is harmful to our bodies, including our heart.

According to a study published in JAMA Internal Medicine in 2014, a diet high in sugar can raise a person’s risk of dying of heart disease. Even if your weight is in a normal range, you can still be at a higher risk because of your sugar-heavy diet.  In this study, people who consumed 17 to 21 percent of their calories from this ingredient had a 38 percent higher chance of dying from heart disease compared to people who only had 8 percent of their calories coming from added sugar. The more sugar a person consumes, the higher the odds are for him or her to die from heart disease.

Most adults in America consume around 22 teaspoons of added sugar in their daily diet, which is well over the recommended amount. According to the American Heart Association, most women should consume no more than 6 teaspoons of sugar per day, and most men should consume no more than 9 teaspoons of sugar per day.

It’s easy to consume excess sugar in today’s world. Much of the packaged food out there is processed and made with added sugars. Some foods known for their high sugar count include: soft drinks, candy, cakes, cookies, donuts, bagels, fruit drinks, waffles, cereals, sports drinks, ice cream, sweetened yogurt, pies, pastries, and more.

When people consume too much added sugar, they also risk gaining weight, raising their blood pressure, and developing Type 2 diabetes. These high-sugar foods are usually devoid of quality vitamins and minerals, as well.

It’s OK to have these foods in moderation, but for daily sweet cravings opt for fruit instead.

If you currently have heart disease and are looking for a cardiac surgeon, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the cities of Tampa, Clearwater and New Port Richey in Florida. To book an appointment, click here or call 727-312-4844.


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In America, heart disease is the leading cause of death for both men and women. Because of this startling fact, we want to share some statistics and facts about heart disease with you so you can be better informed on this serious condition.

  • One in four deaths in America is from heart disease. This means around 715,000 people die each year from this disease. In 2011, 787,000 people died from this condition.
  • The most common type of heart disease is coronary heart disease (CHD); CHD kills more than 370,000 people each year.
  • Around 735,000 Americans each year have a heart attack. In the United States, someone has a heart attack every 42 seconds.
  • Someone in America dies every minute from something related to heart disease.
  • High blood pressure, high cholesterol, and smoking are the top three key risk factors that can lead to heart disease.
  • Obesity, excess weight, excessive use of alcohol, poor diet, diabetes, and inactivity are also risk factors of heart disease.
  • Heart disease costs America around $207 billion every year.
  • Even if you don’t have any symptoms, you can still be at risk and/or have heart disease.
  • By the year 2030, around 23.6 billion will have died from a type of heart disease around the world.
  • 80 percent of heart attacks and strokes can be avoided by not smoking, being active, eating healthy, and maintaining healthy blood pressure and sugar levels.
  • Cardiovascular diseases kill more people than all forms of cancer combined.
  • In the last 30 years, more women have died from heart disease than men.
  • 15 percent of people who have a heart attack will die from the episode.
  • France, Australia, Switzerland, Japan and Israel have the lowest rates of heart disease deaths while Russia, Bulgaria, Romania, Hungary, and Argentina have the highest rates.
  • In the USA, states that have the highest rate of heart disease deaths include: Oklahoma, Louisiana, Mississippi, Alabama, Arkansas, Missouri, Tennessee, Kentucky, West Virginia, Maryland, Ohio and Michigan.

If you currently suffer from heart disease or have a high risk of developing it, it’s best to talk to your doctor about the best treatment plan for you. If you’re in need of a cardiac surgeon, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the Tampa, Clearwater, and New Port Richey areas in Florida. To book a consult, click here or call 727-312-4844.


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Dr. Peter Mikhail is a thoracic and cardiac surgeon in Tampa, Clearwater, and New Port Richey, Florida. Dr. Mikhail is Board Certified by the American Board of Surgery, The American Board of Thoracic Surgery and The Royal College of Physicians and Surgeons of Canada.

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