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I am sorry to hear what you have gone through. They have added an Ace inhibitor. These are important for ongoing cardiac protection. It is something you could have been started on straight away, it is more of a long term protection. A TOE is more accurate and therefore it is less likely that this is progressive but that it wasn’t known from your previous investigations
An SVT is an electrical issue, they are just checking your valves as well. The bisoprolol is to control the rate. The Coversyl is protective, anyone started on this requires a blood test within a month. It is also a common first line option for those with high blood pressure.
What they see on your echocardiogram are likely incidental and most people wouldn’t know about this until later in life.
This is just to follow up, and to review it. If this is not progressive am then a new valve would be unn
It is a more accurate ultrasound, what is your confusion about this sorry?
Anyone with raised blood pressure, valve disease. Essentially any heart problem is offered an ACEi, this is normal practice
Understandably you are concerned. This doesn’t sound serious though. But yes, indeed if over weight, use this as an opportunity to improve your lifestyle
Neither does anyone. It is just unfortunate you had the SVT, but you wouldn’t have known about the valves for many years if you didn’t have it, so this could actually be a positive rather than wait until your mid 50s and have a problem.