- 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?
Nancy C. Peters, MD
Specialty: Internal Medicine
Location and Office HoursFamily Practice of Centrastate
281 NJ Rte 34 S
Colts Neck, NJ 07722
- BlueCross BlueShield
- Great-West Healthcare Cigna
- Horizon BlueCross BlueShield
- Independence BlueCross BlueShield
- United Healthcare
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:
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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