[ 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。
Tiffany Tang : 有關心悸
病患者女 - 26歲 上星期五曾試過心悸、冒冷汗、頭部發冷、視線模糊、臉部蒼白，當時已是經期最後一天，到.......Siu Ling : 脷底丸功效
病患者男 - 63歲 我丈夫有間歇性心絞痛，上次覆診醫生處方了脷底丸，並叫他如果感到心口痛或呼吸困難，要.......Wong wah : 冠心病
病患者男 - 57歲 己通波仔，但有心悸及心痛，有食亞士匹靈，可否食丹參粉及田七通血管，有無相沖。.......Kwankwanyee : 心口及背部痛
病患者女 心口經常感到比人撕開感覺..而且背部右邊經常感到痛...會否心血管有問題.......Miss Cheng : 心悸問題
病患者女 - 38歲 近半年間，半夢半醒之際心臟會快速顫動約數十秒，另外，偶爾晚間工作期間會感到胸悶。請.......Kkkk : 血壓正常指數
病患者男 - 39歲 血壓正常指數心跳正常是幾多下? 甚麼是超標?有甚麼病徵?.......Eyedme : 主動脈剝離
病患者男 - 62歲 我爸爸在3月19日因腹痛入左仁濟醫院，21號確定是主動脈剝離Tapy B。醫生話主.......kiki : 好想了解自己咩事
病患者女 - 35歲 急：本人因出外旅行在1月14開始食左在藥房配了延遲經期藥食到了16号零晨突然出現心....... 發出提問使用細則
致羅天柱醫生 提問
