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04 Jul 2005

Heart murmurs
Hi

Thanks so much for the reply. OK...got that one wrong on the ear. I took him to a cadiologyst(not paediatric though), could not find one in guateng. It is in the left part of the heart. Please excuse my ignorance. He said it is ok, but he wants to see him every year until he is 12. He is 7 now. This problem runs in the family and has not rectified with any of the family members. I am just happy that he is ok for now.

He has a drop leek, the same side and the docter said he will just need an atibiotic when he has to have a dental opp. So I am just happy he is ok.

He is also on lots of othermedication...Concerta 36mg( same as rittalin), risperdal and prozac. So for me it is important to know he is ok as he cannot take all this medication with a heart problem.

Thank you so much.
ADD Mom
Answer 430 views
Expert
HeartDoc

01 Jan 0001


Dear ADD Mom,

Thanks for the extra information. There are still some puzzling aspects about this, so, on your behalf, I asked a senior cardiac surgeon for his advice, and can pass this on to you.

Firstly, I am very concerned at the amount of medication your son is taking. The safety of Prozac in children is not established, and Concerta must be used very cautiously in children with any condition in which a fast pulse and raised blood pressure could pose a problem. Risperdal can also affect pulse and blood pressure adversely for him. This applies to your son. I hope that these medications are being prescribed by a paediatric neurologist, and not by a GP, as they are not to be used lightly, and could affect your son’s heart-valve condition.

Regarding the heart, I still do not know for sure which valve is affected. We have reached the conclusion that your son has some form of obstruction below, at, or above his Aortic valve. This is the only explanation which fits what you have written. If that is in fact so, then there is no way that the problem will correct itself, because it is a mechanical, structural problem. Your own family members are proof of that, so it is unlikely to be any different in your son’s case.

Neither of us knows what a drop leek is –what does the cardiologist mean by this? Perhaps you could get a report from him, or ask him to write down for you just a few words as a diagnosis, so that I could be of more help to you.

Whatever the diagnosis is, he clearly has an abnormal valve, that is why he will need to have antibiotics before ANY surgical or dental procedure. This includes even a visit to a dental hygienist. Please do not underestimate the importance of this. Patients who have failed to take the correct antibiotic at the correct time have actually died as a result.

It is likely that your son will need surgery to correct his valve. There are several paediatric cardiologists in Gauteng – please make every effort to get him to one of them. He will need to have an Echocardiogram investigation done by someone who specialises in this field of paediatric cardiology. There is one such person here in Cape Town. If you cannot find anyone in Gauteng, please get back to me, and I will try to source one for you.

Good luck with all of this.

HeartDoc.
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