Jean Hochevar - Heart Valve Journal

My Journal

Update posted on...

September 20, 2018

HI, Can regurgitation happen quickly, going from mild to moderate or moderate to severe? I am on beta blocker but the past few days feels like my symptoms are coming back. Thanks Jean

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Update posted on...

July 12, 2018

Went from hearing moderate to severe regurgitation to mild to moderate with symptoms! Its all so very confusing with the echo reports.

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Darlene Smith Exactly! I learned there is no objective standard and its all subject to the interpretation of the cardiologist or whoever is looking at the pictures.

Echo

Journal posted on June 7, 2018

Hi I had two echos both different places? Which reading/results do I believe?
Jean

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Mark Wilbur [edited/updated] My cardiologist told me that reading an echo isn't an exact science and that there is a degree of tolerance that they allow in the values. ... Read more

Mark Wilbur [edited/updated] My cardiologist told me that reading an echo isn't an exact science and that there is a degree of tolerance that they allow in the values. In your case, consider the time between when the echos were done and how significant is the difference between them. Also, if one is a standard echo and the other is a TEE, there will be differences between them. The TEE is considered the more accurate of the two. If the disparity between them is disconcerting to you, you should ask your cardiologist for a professional explanation. Do it soon to alleviate any worry or anxiety. Good luck to you, Jean.

Jean Hochevar Hi Mark, my two echos where taken a month a part. One was saying moderate to severe and the other was saying mild . The mild being the latest. Neither of them ... Read more

Jean Hochevar Hi Mark, my two echos where taken a month a part. One was saying moderate to severe and the other was saying mild . The mild being the latest. Neither of them were the TEE. So frustrating and unnerving!

Susan Lynn Did you have a stress echo? That's the one that was the most telling for me.

Tim Chapman Surprised they have not had a CT with contrast done yet.

Judy Shaw I agree Tim. On my last echo my surgeon thought he saw an aortic aneurysm so he ordered a CT with contrast. This showed no aneurysm.

Rose Madura Have you discussed this with your cardiologist? I also think that the technicians are only human and may not get the same measurements which is one reason ... Read more

Rose Madura Have you discussed this with your cardiologist? I also think that the technicians are only human and may not get the same measurements which is one reason they do a heart Cath and CT scans with contrast.

Jean Hochevar Hi Rose, I am seeing my doc on July 11th, hopefully a more clear picture at that time.

Mark Wilbur Jean, there has to be a reason for such a disparity between the two reports. It's good that you have an appointment in a few weeks when you should get clarification. ... Read more

Mark Wilbur Jean, there has to be a reason for such a disparity between the two reports. It's good that you have an appointment in a few weeks when you should get clarification. In the meantime, don't worry as your condition won't change much in that amount of time. I have my own curiosity regarding my last three annual echos. In my case, I know that things are progressing more than the most recent echo would have me believe. I'll see my cardiologist again in the fall and will pursue the issue further, too. Hope you get a meaningful explanation when you see your doctor!

Mitral Valve Symptoms

Journal posted on June 3, 2018

Good morning,
Hi, has anyone had a "squeezing rib" feeling. I have been having them on and off for the past 6 months. It is so uncomfortable. I will be going for a TEE this Tuesday and seeing the cardiologist on the 19th. Jean

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Kim Lonergan Yes I have it frequently. I never related it to my heart issues until recently. Mine is on my left side. I feel as if my rib is cracked. Very uncomfortable and some nights I can't lay on my left side.

Susan Lynn Once I was informed of my regurgitation, I had more symptoms. Although it may have been mind over matter, my symptoms were definitely more pronounced with ... Read more

Susan Lynn Once I was informed of my regurgitation, I had more symptoms. Although it may have been mind over matter, my symptoms were definitely more pronounced with stress and exertion. You'll have more info after your TEE. Until then, do what you can to stay relaxed. You'll be just fine.

Update posted on...

May 31, 2018

Hi , my TEE is on Tuesday. How is this test?

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Kelly Stoll Hi Jean. Mine went fine. I actually had a delayed reaction to the sedative (no worries- it's a "me" thing) and it still went smoothly. Honestly I got more worked ... Read more

Kelly Stoll Hi Jean. Mine went fine. I actually had a delayed reaction to the sedative (no worries- it's a "me" thing) and it still went smoothly. Honestly I got more worked up before the procedure than it was worth. Take deep breaths and try to not worry too much. It will go by faster than you think. Best wishes and thinking of you.

Jean Hochevar Thank you Kelly! This "new diagnosis" can be overwhelming!

Susan Lynn I was quite nervous, but the sedation was awesome! Didn't remember a thing and felt rested and energized afterward. I also had a great nurse who made the ... Read more

Susan Lynn I was quite nervous, but the sedation was awesome! Didn't remember a thing and felt rested and energized afterward. I also had a great nurse who made the experience stress free. Good luck. You'll be fine!

Kelly Stoll I completely agree. Several years ago I went through an unrelated health-crisis that taught me a lot about patience in regards to medical tests. I now try to ... Read more

Kelly Stoll I completely agree. Several years ago I went through an unrelated health-crisis that taught me a lot about patience in regards to medical tests. I now try to always remember that no matter what my tests results say, taking the test itself will help provide an answer. It's not always comfortable and the answers may not be ones we like or hope for, but they do help us get to a place where we can say that's what it is.... that's why I have felt the way I do. Test results tell us things that are there or not there or maybe lead to other tests that eventually lead to some sort of a solution. Try to stay positive and remember it's okay to be overwhelemed. We've (almost?) all been there. By Wednesday, this will all be past.

Gina Fiorentino This test was a snap and delivers lots of information so I felt very reassured. I was originally quite nervous, but it went very smooth. First you gargle/swallow ... Read more

Gina Fiorentino This test was a snap and delivers lots of information so I felt very reassured. I was originally quite nervous, but it went very smooth. First you gargle/swallow a liquid that's a dark color, tastes kind of yucky and numbs your throat, then a shot to put you in a twilight state (which I don't remember at all), and before I knew anything else, the test was over. I "came too" and the technician was still holding my hand for comfort, and I felt relaxed. Within minutes, the Dr. told me what he saw with the pictures. Done.

Jean Hochevar Thank you everyone for your response!

Newbie

Journal posted on May 30, 2018

Hi all, I am looking for a little comfort/advice......
MVP-2013/mild regur
MR-2018-moderate to severe regurgitate/murmur
Some days symptoms mild and some days really bad! Going for a second opinion to Northwestern Hospital in Chicago on June 19 for TEE and consult.
Symptoms seem to happen everyday now and getting more severe. Anyone have similar issues?

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Anna Jones Hi Jean, welcome to the club. I had the same history: 2013 MVP with mild regurgitation. Oct. 2017 was diagnosed with moderate to severe regurgitation and ... Read more

Anna Jones Hi Jean, welcome to the club. I had the same history: 2013 MVP with mild regurgitation. Oct. 2017 was diagnosed with moderate to severe regurgitation and by Jan. 2018 the diagnosis was changed to severe. I also have symptoms: swelling ankles, short of breath, extreme exhaustion. Some days there is chest pain.

My heart is compensating. However, all surgeons consulted felt that with the onset of symptoms surgery needed to happen. My former cardiologist was the lone voice against surgery. He wanted me to wait until my heart was no longer compensating. The surgeons all agreed that was a bad idea as it makes the surgery and recovery more difficult.

You will find lots of answers here and lots of people in your boat. Sending best wishes.

Jean Hochevar Hi! Thank you for your words. Did you have surgery yet?

Steve Farthing I had severe regurgitation and very mild symptoms. All the docs said get the mitral valve repaired soon since any symptoms at all are an immediate indication ... Read more

Steve Farthing I had severe regurgitation and very mild symptoms. All the docs said get the mitral valve repaired soon since any symptoms at all are an immediate indication for surgery if the regurgitation is not moderate but clearly severe.

Anna Jones Jean, I have my surgery on June 11.

Ivana Okereke Hi Jean, I was diagnosed with MVP a year ago with moderate regurgitation, it has progressed to severe now. I am basically asymptomatic (only palpitations occasionally) ... Read more

Ivana Okereke Hi Jean, I was diagnosed with MVP a year ago with moderate regurgitation, it has progressed to severe now. I am basically asymptomatic (only palpitations occasionally) I will have repair surgery in June to fix my valve. I prefer to do it before any damage is done to my heart.

Susan Lynn I had symptoms with exertion and was advised to have surgery before my heart sustained any damage. There are different schools of thought regarding timing; ... Read more

Susan Lynn I had symptoms with exertion and was advised to have surgery before my heart sustained any damage. There are different schools of thought regarding timing; find the surgeon you trust and make an informed decision. Best of luck!

Rose Madura Glad you are getting a second opinion. I had always been told that with my aortic valve issue, once symptoms start, on average, you need to get surgery within ... Read more

Rose Madura Glad you are getting a second opinion. I had always been told that with my aortic valve issue, once symptoms start, on average, you need to get surgery within 2 years. But everyone is different. I actually had four opinions since I have a brother who is a doctor and his friend who is a thoracic surgeon.

Sophia Ridley Hi, I knew I had a MVP/mild but never told to get it checked out beyond 2004. Two kids later and feeling I wasn’t firing on all cylinders but put it down ... Read more

Sophia Ridley Hi, I knew I had a MVP/mild but never told to get it checked out beyond 2004. Two kids later and feeling I wasn’t firing on all cylinders but put it down to just life then hit with chest pain June 2015. MVP was severe and had repair Nov 2015. I was asymptomatic until probably a month before and was beginning to struggle. I got my notes, to find that the pre-op echo said the leaflet was redundant, I’m so glad I didn’t wait and had started the process. Looking back, there were probably symptoms but I didn’t know what they were. Now, 2.5yrs on, best thing I’ve ever done (apart from obviously my kids!). Have whooping scar that I wear with pride and can now get on with living. Can take a year to get over it, especially if have AF, and be kind to yourself 💕