J Alexander's Posts

Hi friends and fellow warriors. Recently, I've shifted focus, by necessity, to a parent who has a rapidly worsening cardiac situation. Everything happened really fast and is still in the chaos and wet paint status - underdiagnosed, underrecognized and undertreated so far. They are 89 - so high up the age spectrum for interventions, but I am wondering the following: 1.) Anecdotally, what is the maximum age you have seen /heard patients get a Mitral Clip for moderate to severe regurgitation ? (I know the 80s are okay, but we're talking frail 90 here with comorbidities galore!) 2.) In the event the "do nothing" approach is the best option, I know we will need to add Beta Blockers and probably a diuretic to address leg swelling. Losartan is working well for blood pressure. Is there anything else I am missing drug-wise? I don't know a lot about heart failure drugs, yet. This is a bizarre moment for me to tackle valve disease head on again, but from the perspective of maximizing shorter term benefit while recognizing risk.... Thanks a million warriors...