Emanuel J. Coroneos, MD
Specialty: Internal Medicine
- internal medicine
Location and Office HoursAdvanced Kidney Care Medical Associates
Pittsburgh, PA 15224
- monday: 8:30AM - 5:00PM
- tuesday: 8:30AM - 5:00PM
- wednesday: 8:30AM - 5:00PM
- thursday: 8:30AM - 5:00PM
Why is so much attention focused on coronary artery disease?
Mehmet Oz, MD, Cardiology, answeredCoronary artery disease, or CAD, prevents the heart muscle from getting the oxygen and fuel it needs. It is the most common cause of death in the United States. And there is a lot that can be done to prevent and treat it. Watch this animation for more information about this important health problem.
Is it better to repair or replace a rheumatic mitral valve?
This depends on whether the valve is also regurgitant, the age of the person and whether later pregnancy is a planned.
In mitral stenosis the leaflets are thickened and hardened with calcium deposits, so it can be difficult to achieve a durable repair. If the valve is also regurgitant (not pure stenosis) then repair may be a reasonable option. Even when the valve repair appears to be successful, however, rheumatic disease may progress, resulting in regurgitation or stenosis a few years later, which may mean repeat surgery.
Even so, valve replacement carries a worse long-term survival and complication rate than repair. The risks of stroke, and valve infection, as well as the risk of dying are all higher after mitral replacement compared to successful repair. People who have mechanical valves must take Coumadin for life, which can cause bleeding, can damage the unborn child, and must be monitored with regular blood tests. Biological valves last 8 – 12 years on average before they need replacing in young patients with mitral valve disease. So a valve repair, or a biological valve may be a reasonable option in a young women who may later become pregnant.
What is a certified orthotist?
Challenge America answeredAn orthotist is a practitioner who helps people with disabilities of the spine and limbs. Orthotics means the science of designing orthopedic braces that help certain musculoskeletal deformities. A certified orthotist reviews, designs, and fits devices called orthoses. Corrective shoe inserts are called orthotics. The certified orthotist has passed the certification standards of The American Board of Certification in Orthotics and Prosthetics, Inc. The orthotist may be part of your rehabilitation team and often works in conjunction with the prosthetist in assessing a person’s need for a prosthesis and orthopedic devices.
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