[ 會員# ] JS
tricuspid and mitral regurgitation
I have a history of tricuspid regurgitation (discovered in 2004) and mitral regurgitation (discovered in 2008). As they are rated as mild, therefore I have not built up an habit to have the follow-up annually.
In this year, however, I started to suffer from more frequent attacks of lost of consciousness (three times in this half-year). Actually, I have been suffering from such lost of consciousness occasionally since my primary school years (more than 20 years ago). It was only until 2004 that I was sent to hospital and diagnosed with a mild tricuspid regurgitation and vasovagal attack (tilt table test result as positive, mixed type).
The situation of this year seems to have become worse as I suffered from more frequent episodes of lost of consciousness. Every time I was diagnosed as having vasovagal attack in A & E after electrocardiogram.
I understand all diagnosis can only be confirmed with clinical examination. But may I ask for your kind opinion if I can just perceive these symptoms as simply vasovagal attack, or they are reflecting some other problems as well? Also, should I resume annual echocardiogram check-up on my heart valves annually? (Some doctors said I should, but some said no because my tricuspid and mitral regurgitation is rated as mild only.)
Thank you very much for your advice in advance.
In this year, however, I started to suffer from more frequent attacks of lost of consciousness (three times in this half-year). Actually, I have been suffering from such lost of consciousness occasionally since my primary school years (more than 20 years ago). It was only until 2004 that I was sent to hospital and diagnosed with a mild tricuspid regurgitation and vasovagal attack (tilt table test result as positive, mixed type).
The situation of this year seems to have become worse as I suffered from more frequent episodes of lost of consciousness. Every time I was diagnosed as having vasovagal attack in A & E after electrocardiogram.
I understand all diagnosis can only be confirmed with clinical examination. But may I ask for your kind opinion if I can just perceive these symptoms as simply vasovagal attack, or they are reflecting some other problems as well? Also, should I resume annual echocardiogram check-up on my heart valves annually? (Some doctors said I should, but some said no because my tricuspid and mitral regurgitation is rated as mild only.)
Thank you very much for your advice in advance.
羅天柱醫生回覆:
9/6/2012
9/6/2012
As mitral and tricuspid regurgitation may get worse with time, it is advisable to have them checked regularly. Vasovagal attack is one possible explanation for the episodes of loss of consciousness but we need to exclude other causes like epilepsy.
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
nnnnnc2 : 心臟突然跳得很慢 好像暈倒咁 沒有心跳
病患者女 - 21歲 心臟突然跳得很慢，慢一拍左右，維持幾秒， 好像暈倒咁，沒有心跳咁。Check了很多.......Botero : 心率不正
病患者女 - 41歲 今年驗身的心電圖顯示心律跳動跟以往多咗一下而且心跳低於55。應如何跟進？.......jack luk : magmaris
病患者男 - 56歲 我想請問那裡可做magmaris支架通波仔？.......Mi Tsai : 心瓣關閉不全
本人39歲大約5年前做心臟照聲波發現心瓣關閉不全，現在頭暈嚴重，最近這個月開始有頭痛，請問這情況嚴重嗎？有何方.......dicky lai : 怎樣可不放支架
病患者男 - 55歲 已照心臟CT造影结果發现 LMA起源正常，LMA 遠端延伸至ramus-2 有0.......Ms. Tara Chan : 久坐問題
病患者女 - 54歲 羅醫生, 你好 本人早前試過長期低頭久坐工作, 維持同一姿勢數小時後, 覺得.......Wong Lung : 脊髓失血導致下身癱瘓
病患者男 - 69歲 我爸爸在剛剛21/5在公立醫院做換 心臟大動脈手術, 之後因為脊髓失血過多導致胸椎....... 發出提問使用細則
致羅天柱醫生 提問
