Hi can anyone give me any reassurance that a mean gradient of 23 mmhg is ok after aortic valve replacement.
I have just had my 3rd echo since my surgery 6 months ago. First in November and it was 15 mmhg, Feb it was 23 mmhg. so my surgeon said he’d like me to have another echo in April after putting me back on a beta blocker, which I’ve had yesterday and it’s still 23mmhg. Does anyone remember their mean gradient reading after Aortic valve replacement ?
Thank you ☺️
My peak gradient prior to surgery was 7mm; several days post surgery it was 26mm, and about 2 weeks post surgery it was "< 20mm". (I'm not sure why there's not an actual figure on the last one -- maybe just because < 20mm is what they consider mild stenosis for an original valve?)
Pre surgery my peak gradient was 91.11mmHg
I haven't heard of mmhg used in echo results, and I've had a few over the years. mmhg is a measurement used in blood pressure according to Google. One of the things an echo gives you is ejection fraction which is measured in %. 15 and 23% although low is not unheard of.
Hi the consultant just said I have a “mean gradient of 15 mmhg “ a month after my surgery but then in February and again in April it’s “23” 😔.
Did your consultant tell you what your EF was, that's all mine were concerned with. When I left hospital mine was 40 but 4 months later it had gone up to 55 which they said was fine.
Hi what is EF ? I don’t think I’ve heard that 🤔
Mm/hg is millimeters of mercury. I have only heard of aortic pressure gradients measured in mm not mercury but places are different
EF means ejection fraction, basically how efficient your heart is at pumping. Normal is 55-75%. My daughters was as low as 15% at one time due to a virus but over time recovered to 55%. I'm sure your EF will be on one our your results letters.
I will have a look on my letters and let you know. Thank you
I have just looked at my discharge letter and found that my pre op level was 75mmhg and my discharge level was 35mmhg. Not a clue what that means and if a higher number is better or worse but at least I've learnt something today
Pre AVR my mean grad was 55.92mmHg. I'm now 2 years post op and June 24 it was 18.7mmHg and in Feb 25 is was 20.5mmHg. Another echo next month and 6 monthly after that.
Hi Cat04. You sound similar to me. Have they said if they are concerned or why this is ? My consultant hoped the beta blocker would lower it but it hasn’t 😔.
Patient prosthetic mismatch, and new onset MR and TR, LV concentric remodelling, turbulent & obstructed flow through the prosthesis. Spent 5 days in hosp in Feb and now undergoing more tests as outpatient. Ramipril 7.5mg started at end 2024 has not improved my symptoms 😞
Cat04 and Laurensophie, do you have mechanical replacement valves or tissue? I think mechanical always give a bit higher pressure gradient (usually what would have been classified as mild stenosis on your original valve), but it shouldn't change. Tissue valves can calcify, which narrows their openings and increases the pressure gradient.
Tissue valve. Been diagnosed as patient prosthetic mismatch with moderate obstruction plus other bits -see above.
Ugh. That doesn't sound fun.
I was given a myotomy and myectomy to reduce the risk of obstruction, but my aortic valve is mechanical.
I wish you the best on getting things sorted.
Thank you.
BICUSPID AORTIC VALVE REPLACED WITH ON -X METAL VALVE
Aortic root replacement
Failed lung function
mitral valve the same as heart failure?
