Heart Disease – Murmurs and Heart Valve Conditions

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Rheumatic Heart disease and that’s rheumatic heart disease gave you a murmur sound because it causes some heart damage if it weren’t treated and that’s a valvular defect.

No, no well Polio is a very huge problem, neurologically there can be resistance changes with Polio … specifically if you are having valvular problems that’s rheumatic fever or bacterial infection. And you can treat now with antibiotics. That’s how we treat it, right.

So some people need surgical correction of the valves. Murmurs are indicators of disease, yes. Is the disease significant, your doctor has to tell you that. And if ti new, nobody said you had a murmur before ask some questions. You shouldn’t get a new murmur, you should get a progressing one, but you shouldn’t all of a sudden have a new one. That’s something different, check that out.

Hmm, hmm, at what age?


No, I didn’t say that at all. If you have exercise intolerance and that’s my fault if I said that, that it can’t be good. It can be extraordinary, exercise is awesome and I’ll talk about the things to help in a minute. So it’s about your tolerance to exercise. If it’s suddenly changes and there’s no real reason why you know it’s changed, to exercise tolerance that’s gone down and you don’t really have a reason even if it’s not as good as you think it should be, you go to your doctor and say I’m not tolerating exercise and then they can do some tests for you and if you have risk factors, they might do a cardiac stress test. They watch your heart electrically work, while you do exercise and then you can really feel safe about pushing it. They’ve found that profound significant relatively strenuous exercise under appropriate supervision; even with those with heart attacks can improve and do improve both lifestyle and length of life.

Exercise is the cure for most diseases. If you had the right amount of exercise and the right type of diet, many disease wouldn’t exist but we don’t do those things. So some people do everything right and they still have a heart attack. Well that’s the hereditary part of high blood pressure, high cholesterol so we need to know about it, so we control what we can.
Even the very sick, they are now doing weight lifting and I’m not saying, put somebody under a big bar that they do controlled weight lifting for the very old and they are finding that even in the absence of certain hormones, that build muscles, that we thought older guys, for example didn’t build a lot of muscles. They are finding now that awesome and potential muscle growth. Skeletal muscles can give you really streaking start so start and just under supervision knowing your risk factors.

I would say this is one thing that happens to … and you might be blown off by many doctors because most … all of us have a murmur when we are young, because we have a volume and growth discrepancy to the pump so you get a little bit of a separation from when the valves close. That’s a long story. So you have an extra little ‘trrrp’ sound. And that little sound, is physiological. It can be … it’s normal. You also get them when you are pregnant because you have blood volume changes and your pump has a different sound. You have to know people that are extraordinarily fit can have a different little extra sound. That is physiologic, not pathologic.

So most young people have a little sound when they are young that’s considered normal. So if your doctor is hyper verbal and he doesn’t understands what he is listening to and you hear that word then he writes on the chart, it could be absolutely nothing and then it goes away in adulthood. I had one when I was a kid that usually puts us all at rest. Doctors usually find that a little more comforting. That was probably physiologic maybe not understood, checked out to be negative.

But not always. If you knew you had one as a kid, you need to make sure you have total work outs as an adult especially if it was not cleared as being normal and the best test that I think determines true flow is an echo – echocardiogram and that’s where they go in with a little wand and they show you the velocity and flow of blood through your heart, through your valves and openings the heart and so it’s a functional test. It’s extraordinary good with that issue.

So again, exercise is great but you have to know what to tolerate and you push it and you do it. Having your mother pass in the 70s age is really not considered necessarily an absolute family risk for early death. It really is there’s a big statistical changes if it’s before 50 because then it’s usually not just lifestyle but there is something else there. Because we really are pretty tough. We compensate very well so you shouldn’t really die before 50 unless there is some profound issue. Mortally obese or you have a congenital problem or you have profound high blood pressure that was not treated, something is there. And you can have a sudden massive and otherwise normally looking heart.

Yes, that is possible. It doesn’t mean, you blow it off, but it also a little less of a ‘ding, ding’ to me because you are in your 70. Go to your doctor. Get checked out. Tell him your family history and then hopefully it was her risk that you didn’t inherit.

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