- Does my personal and family medical history put me at greater risk for cardiovascular disease?
- Do I have risk factors for cardiovascular disease that I can change (e.g., smoking, diet, etc.)?
- How can I enroll in a smoking cessation program? (If you smoke and wish to quit.)
- What level and type of exercise is appropriate for me?
- Is there anything that I should be doing right now to improve my cardiovascular health?
- Are there any specific activities or medications I should avoid?
Franklin N. Campagna, MD
Specialty: Internal Medicine
Location and Office HoursGeneral Physicians
Buffalo, NY 14209
- BC/BS of Western NY
What questions should I ask the doctor to understand my heart disease risk?
SecondsCount.org answeredBeing prepared in advance for your office visit can help you make sure your doctor receives all the information he or she needs. Write down notes about your medical history as well as other members of your family to take with you, if you think that may be helpful. You may also want to write down notes containing questions you have for your doctor. The questions below can help you start your list:
What is percutaneous aortic valve replacement?
Mark Russo, MD, Cardiothoracic Surgery, answered
Transcatheter aortic valve implantation (TAVI), also known as transcatheter aortic valve replacement (TAVR), involves a puncture though the skin into the blood vessels in the groin. It is similar to the approach that is used for a cardiac catheterization of the coronary arteries. The procedure can also be done by making a small incision near the fourth rib.
Candidates for this percutaneous procedure include patients with severe symptomatic aortic stenosis and are deemed inoperable by a surgeon. Inoperability has no single definition but most commonly it is defined as a patient who faces more than a 50% risk of death or severe morbidity following a standard, surgical aortic valve replacement. Candidates typically have one or more of the following characteristics: advanced age, previous heart surgery, severe COPD, severe diabetes, home oxygen dependence, pulmonary hypertension, previous radiation to the chest, a severely calcified aorta (AKA a porcelain aorta) and/or extreme frailty.
The New England Journal of Medicine recently reported that, in patients with severe symptomatic aortic stenosis who are not candidates for surgery, TAVI (aka TAVR) is associated significantly improved survival, improved symptoms, and improved quality of life compared to standard treatment.
Do heart abnormalities affect children differently than adults?
Piedmont Heart Institute answered
Other than congenital heart defects, which are present at birth, adults develop most heart abnormalities. Coronary artery disease, for example, along with its complications (heart failure, heart attack, arrhythmias) develops over many years. Congenital heart defects, such as a hole in the heart or a heart valve disorder, are often found and treated at birth, but your child will have to monitor and perhaps treat the condition for their entire life.
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