Mark Mercola PhD Professor Cardiovascular Medicine Stanford University Disclosure Statement of Financial Interest I Mark Mercola DO NOT have a financial interestarrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of int ID: 909108
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Slide1
The Patient’s Voice: Valve Replacement for Bicuspid Aortic Valve
Mark Mercola, PhD
Professor, Cardiovascular Medicine,
Stanford University
Slide2Disclosure Statement of Financial Interest
I
,
Mark Mercola, DO NOT have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this presentation.
All TCT 2018 faculty disclosures are listed online and on the App.
Slide3History
Diagnosed late December 2017
Echo, early January 2018
AVR, January 31stDischarge, February 8thReturn to work, gradually March to MayReturn to exercise routine, gradually February to presentCurrently I feel about 80% recovered at 8 months post-op
Slide4Diagnosis
Severe AS with mean gradient of 44mmHg (SSN) and AVA 0.6 cm2
Visual impression of valve function was very sobering –
I wonder if patients would benefit or not by seeing the echo videos?
Slide5Mechanical vs Biological Prosthetic Valve
Excellent discussion with Joe Woo, MD, Chair of CT surgery on pros/cons.
For me, quality of life
outweighed durability issues. Although mortality in AVR is very low, the decision might resemble other device/therapy decisions for which quality of life is weighed against mortality.I felt good about making the decision – I wonder whether others would want to be as involved?
Slide6Hospital stay, 8 days
Very attentive staff, outstanding feeling of being looked after well –
I cannot emphasize how much the attentiveness mattered since I was largely unable to help myself much the first few days.
This includes physicians, nurses and especially the physical therapists. The PT visits had the greatest impact on my feeling of recovery. My wife, however, felt out of the decision loop. Perhaps this is a consequence of attention to patient; perhaps unique to my case because of connection to the staff. Nonetheless, attention to family members seems to me to be very important since they might be bearing an even greater emotional burden than the patient, who sees daily progress.
Slide7Recovery of Physical Activity
Time estimates:
Cardiologists
: 3-4 monthsBlogs: 10-12 monthsMy experience: on track for 10-12 months (I am currently at 8 months)And, this is for bicuspid AV!!!! Why the discrepancy? I believe the reason is that it depends largely on the patient’s expectations & degree of athletic activity prior and post surgery
Slide8Residual Problems
Feelings of being frail/damaged
Worry about the next AVR and how I will tolerate it because of age
Slide93 Major Aids in Feeling a Positive Recovery Trend
Wife & dog motivate me to exercise every day
Family taking me on walks – Walking the Dad
Wrist GPS to track activity
This makes me consider the importance of:
Consultation for families
The role accessory devices can play in recovery