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How to Find the Cause of Aortic Regurgitation|bicuspid aortic valve chest pain
Aortic regurgitation is when there is damage to the aortic valve, causing blood to leak backwards from the aorta (the body's largest blood vessel) back into the heart after each heartbeat. There are a number of things that can cause aortic regurgitation, including infection, trauma, rheumatic heart disease, aneurysm, and congenital and hereditary causes. The main way to determine the cause of aortic regurgitation is through cardiac imaging. Other medical tests may also be ordered to confirm the underlying cause of aortic regurgitation as well as assess overall cardiac health.
Receive a transthoracic echocardiogram. A transthoracic echocardiogram (commonly called an "echo") is usually the first specific investigation to look at the function of the aortic valve. It uses ultrasound waves to create an image of the heart as it functions in real time. It shows each heartbeat, and can assess blood flow through the various chambers of the heart with each heartbeat.
An echo can also be used to determine the underlying cause of aortic regurgitation.
Have a transesophageal echocardiogram. If a transthoracic echocardiogram is insufficient to determine the underlying cause of aortic regurgitation, the next step is to proceed to a transesophageal echocardiogram. This is when, rather than having the test performed from outside your chest, an ultrasound probe is instead inserted down your esophagus to provide a more close-up and detailed view of your heart,
Obtain other diagnostic tests as needed. Depending upon what is suspected as the underlying cause of aortic regurgitation, additional investigations may be ordered to provide more information. For instance, if an infection of the heart valve is suspected, blood tests and a blood culture will likely be ordered to test for the presence of bacteria. If trauma is suspected, a chest x-ray or CT scan will likely be needed to evaluate for injury
How to Know if Left Arm Pain Is Heart Related|slight discomfort in chest
Pain in the left arm can be due to many conditions, ranging from run of the mill muscle pain to a severe heart attack. Abnormalities of the skin, soft tissue, nerves, bones, joints and blood vessels of the arm can all cause pain. There are a number of factors to consider in order to determine whether your left arm pain is heart-related or not.
Note the duration. If your left arm pain has a very short duration (seconds) it is very unlikely to be caused by the heart. Along the same lines, if the pain has persisted for a long time (for days or even weeks), it is also unlikely to be heart-related. If it lasts in the realm of a few minutes to a few hours, however, it may be a heart attack. If your pain is recurring in short intervals, take note of all the durations and intensities of the pain on a piece of paper to bring to your doctor. This could also be heart-related and warrants prompt medical attention.
When the pain is released or accentuated by movement of the thorax (mid-spine region), it is probably due to a spinal degenerative disc disease, especially in older patients. This type of pain is unlikely to be caused by the heart.
Similarly, when the pain appears after a vigorous exercise with your arms, it is probably muscular in origin. Look at your daily patterns. What seems to aggravate it
Consider that your left arm pain could relate to angina. Angina is a pain that occurs when there is insufficient blood flow to the heart. Angina is often a squeezing or pressure sensation; you may feel pain in your shoulders, your chest, your arms, your back, or your neck. It may also resemble the feeling of indigestion.
Although it is atypical for angina to appear only in the left arm, it is possible.
Angina is usually worsened or provoked with stress - either physical stress (such as exertion, like after climbing a flight of stairs), or emotional stress (such as after a heated conversation
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Monovisc and Orthovisc are hyaluronic acid knee injections that can relieve pain and get you back on your feet. Both Monovisc and Orthovisc are viscosupplements that provide effective relief from knee pain, but differ in the way they are administered.