Jay M. Markowitz, MD
Specialty: Internal Medicine
Location and Office HoursJay M Markowitz & Associates PA
103 Saluda Ridge
West Columbia, SC 29169
- Blue Choice Health Plan (BC/BS of SC)
- CIGNA HealthCare
- Carolina Care Plan
- TRICARE South/Humana Military Healthcare
- United Healthcare
What type of doctor would I see for dizziness and shaking?
You will likely first see your primary care physician to see if these symptoms may be related to an endocrinologic problem such as diabetes or thyroid disorder, or potentially cardiac in origin such as an arrhythmia like atrial fibrillation. If there is a sense of the room spinning or rotational movement, this is called vertigo which can be better evaluated by a neurologist.
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 are the dangers of coronary heart disease?
Heart disease can cause many conditions that affect the heart and its blood vessels, such as:
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- Angina. Chest pain and discomfort.
- Arrhythmia: Problems with the speed and rhythm of the heart.
- Heart failure: Weakening of the heart muscle that can cause shortness of breath, extreme tiredness and swelling in the feet, ankles and legs.
- Heart attack: Damage to or death of the heart muscle. If you are experiencing symptoms of a heart attack, call 911 immediately.