Aortic valve severely calcific

[GodblessmyDad]

Hi all,

This is about my Dad's heart health, am completely devastated and sad, kindly provide me information, he visited cardiologist, and following is the ECG report:

ECG report - abnormal

AO: 3.2cm

Echo window:      Normal
Mitral Valve:        Flail leaflets
Tricuspid valve:   Normal
Aortic valve:        Severely Calcific
Pulmonary valve: Normal

Doppler Study:

Mitral flow :        E-1.38
Aortic Flow:        2.54m/sec
Tricuspid Flow:   E-0.79
Pulmonary Flow: 0.99m/sec

I would like to know if severly calcific means stenosis or not...
Also, would like to know how serious are the above results ?
As, I live in a different country and he sent this report, kindly help me...

Am completely lost, blank, am planning to go home country permanently within 2-3 months to care of him...
He still goes to work, he runs a shop, which involves travelling + traffic stress, also am not sure if he has any financial stress.
His age is 62, please provide me your views based on the above result...
Million thanks in advance...

[GodblessmyDad]

Many thanks Sir,
He is alright, just he gets too tired, also my Mom says sometimes he has chest pains...
His symptoms are swollen legs but not often, just sometimes
He is very passionate about his business, we have told him many times to shut it down and relax at home, he never listens to any and keeps working a lot... am concerned if financial stress may increase his symptoms / bring more problems...
He always says he is doing great, no probs etc....

Many thanks for your input again, looks like its in early stages then, I've researched for Vitamin K2 rich foods to reverse calcification, i.e. Egg yolks, since we are vegetarians we cannot have chicken breast etc

Cheers !

[Ger57]

If his stenosis is classified as more than mild, it is wise to monitor once or twice yearly with an echo to check if the stenosis becomes more severe.
Although his condition may remain stable for many years, monitoring is important to stay ahead of trouble (in case that might occur).

Of course if his symptoms increase, you should timely contact his cardiologist.

Take care!

[Ger57]

How is your dad feeling, what are his symptoms?
I guess, with this report, it can not be too bad?

You say ECG report, but I assume that your mean an echo doppler report?

No, calcified does not necessarily mean stenosis.
Calcified means that the leaflets of the aortic valve are thick and stiff. As a result from that, stenosis or regurgitation might be seen.  

The report is very brief. A lot of the measurements is not reported.....but what I conclude from it is
Severe AS is usually defined as peak aortic jet velocity >4.0 m/s. The measured 2,4 m/s is well below that, so less than severe.

Flail mitral leaflets need not be a problem at all. Many people have this without any consequences throughout their whole life. The other two valves are also fine.