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Abdominal Aortic Aneurysm

An Abdominal Aortic Aneurysm (AAA) is an enlarged area in the lower part of the aorta, the major blood vessel that supplies blood to the body. The aorta, about the thickness of a garden hose, runs from your heart through the center of your chest and abdomen. Because the aorta is the body’s main supplier of blood, a ruptured abdominal aortic aneurysm can cause life-threatening bleeding.

Depending on the size and rate at which your abdominal aortic aneurysm is growing, treatment may vary from watchful waiting to emergency surgery. Once an abdominal aortic aneurysm is found, doctors will closely monitor it so that surgery can be planned if it’s necessary. Emergency surgery for a ruptured abdominal aortic aneurysm can be risky.

Causes of Abdominal Aortic Aneurysm (AAA):

The exact cause of the condition is unknown. The leading thought is that the aneurysm may be caused by inflammation in the aorta, which may cause its wall to weaken or break down. This believes that inflammation can be associated with atherosclerosis or risk factors that contribute to atherosclerosis, such as high blood pressure (hypertension) and smoking. In atherosclerosis fatty deposits, called plaque, build up in an artery. Over time, this buildup causes the artery to narrow, stiffen and possibly weaken. Factors that can increase your risk of developing the Abdominal Aortic Aneurysm include:

  • Smoking
  • Male Gender
  • Genetic Factors
  • High Blood Pressure (Hypertension)

An abdominal aortic aneurysm is most often seen in males over age 60 that have one or more risk factors. The larger the aneurysm, the more likely it is to break open. This can be life-threatening.

Symptoms of Abdominal Aortic Aneurysm:

Aneurysms can develop slowly over many years, often with no symptoms. Symptoms may come on quickly if the aneurysm expands rapidly, tears open or leaks blood within the wall of the vessel (aortic dissection).

Symptoms of rupture include:

Pain in the abdomen or back, pain may be severe, sudden, persistent, or constant. It may spread to the groin, buttocks, or legs.

  • Shock
  • Dizziness
  • Passing out
  • Clammy Skin
  • Rapid Heart Rate
  • Nausea And Vomiting

Diagnosis of Abdominal Aortic Aneurysm:

Doctor will examine your abdomen and feel the pulses in your legs. The doctor may find:

  • Stiff or rigid abdomen
  • A lump (mass) in the abdomen
  • Pulsating sensation in the abdomen

You may have an abdominal aortic aneurysm that is not causing any symptoms. Your doctor may find this problem by doing the following tests:

  • Ultrasound of the abdomen when the abdominal aneurysm is first suspected
  • CT scan of the abdomen to confirm the size of the aneurysm
  • CTA (Computed Tomography Angiogram) to help with surgical planning

Treatment of Abdominal Aortic Aneurysm:

If you have bleeding inside your body from an aortic aneurysm, you will need abdominal aortic aneurysm repair. If the aneurysm is small and there are no symptoms. Surgery is rarely done. Most of the time, surgery is done if the aneurysm is bigger than 2 inches (5.5 cm) across or growing quickly. The goal is to do surgery before complications develop. There are two types of surgeries:

Traditional (open) Repair: A large cut is made in your abdomen. The abnormal vessel is replaced with a graft made of man-made material.

Endovascular Stent Grafting: This procedure can be done without making a large cut in your abdomen, so you may recover more quickly. This may be a safer approach if you have certain other medical problems. Endovascular repair can sometimes be done for a leaking or bleeding aneurysm.

Prevention of Abdominal Aortic Aneurysm:

  • People over age 65 who have ever smoked should have a screening ultrasound done once.
  • If you have high blood pressure or diabetes, take your medicines as your doctor has told you.
  • To reduce the risk of aneurysms, eat a heart-healthy diet, exercise, stop smoking (if you smoke), and reduce stress.

Seek counsel from our Houston Cardiologist if you suspect you are suffering from Abdominal Aortic Aneurysm for the best treatment options for you.

To Schedule an Appointment Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701


Atrial Myxoma – Non Cancerous Primary Heart Tumor

A Myxoma is a noncancerous primary heart tumor, usually irregular in shape and jellylike in consistency.

An Atrial Myxoma is a noncancerous tumor in the upper left or right side of the heart. It most often grows on the wall that separates the two sides of the heart. This wall is called the atrial septum. Atrial myxomas are heart tumors that are usually found in the left atrium.


Causes of Atrial Myxoma:

Atrial myxoma is a primary heart tumor where the tumor started within the heart; most heart tumors start somewhere else before spreading to the heart by the bloodstream or by direct invasion.

Primary cardiac tumors are rare and myxomas are the most common type of these rare tumors. Majority of myxomas occur in the left atrium of the heart, usually beginning in the wall that divides the two upper chambers of the heart. The rest are in the right atrium. Right atrial myxomas are sometimes associated with aneurysms.

Atrial Myxomas are more common in women. About 1 in 10 myxomas are passed down through families (inherited). These tumors are called familial Myxomas. They tend to occur in more than one part of the heart at a time, and often cause symptoms at a younger age.

Symptoms of Atrial Myxoma:

Symptoms may occur at any time but usually occurs when there is a change in body position. They include breathing difficulty when lying flat or when asleep, chest pain or tightness, dizziness, fainting, palpitations and shortness of breath with activity.

Other general symptoms include blueness of skin (especially the fingers), curvature of nails accompanied with soft tissue enlargement (clubbing) of the fingers, fever, fingers that change color upon pressure or with cold or stress, general discomfort (malaise), involuntary weight loss, joint pain and swelling in any part of the body. Symptoms may occur at any time, but most often they go along with a change in body position.

Symptoms of a myxoma may include:

  • Chest pain, Dizziness, Fainting
  • Shortness of breath with activity
  • Breathing difficulty when asleep
  • Breathing difficulty when lying flat
  • Sensation of feeling your heart beat

The symptoms and signs of left atrial myxomas often mimic mitral stenosis. Right atrial myxomas rarely produce symptoms until they have grown to be at least 5 inches wide. Other symptoms may include:

  • Cough, Fever, Joint pain
  • Weight loss without trying
  • Swelling in any part of the body
  • Blueness of skin, especially on the fingers
  • Fingers that change color upon pressure or with cold or stress
  • Curvature of nails accompanied by soft tissue swelling of the fingers

Diagnosis of Atrial myxoma:

The doctor or nurse will perform a physical exam and listen to your heart through a stethoscope. Abnormal heart sounds or a murmur may be heard. These sounds may change when you change body position. Imaging tests may include:

  • Doppler study, ECG, Echocardiogram
  • Chest x-ray, Chest CT Scan, Heart MRI
  • Left heart angiography, Right heart angiography

Best Treatment Options for Atrial Myxomas:

Treatments although atrial myxomas are not cancerous, complications are common. If untreated, it can lead to an embolism. This can block blood flow or cause the myxoma to grow in another part of the body. Myxoma fragments can move to the brain, eye, or limbs. If the tumor grows inside the heart, it can block blood flow through the mitral valve and cause symptoms of mitral stenosis. This may require emergency surgery to prevent sudden death.

The tumor must be surgically removed and some patients may need their mitral valve replaced as well. Surgery is needed to remove the tumor. Some people will also need the mitral valve replaced. This can be done during the same surgery.

Seek counsel from our leading Heart Doctors in Houston if you suspect you are suffering from Atrial Myxomas for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701


Heart attack Causes- Best Cardio Doctors in Houston

Advanced Cardiovascular Care Center provides the highest standard of excellence in Cardiovascular Care while exemplifying our ideals of customized patient care. Our goal is that of achieving superior patient satisfaction in every aspect of services given. We perceive our organization as a team of Best Cardiologists in Houston working towards one common goal, that of our patients’ good health and well being. To that end, we pledge our services.


A heart attack happens when a supply route that conveys oxygen-rich blood to the muscle of the heart (myocardium) gets to be blocked. The subsequent absence of oxygen reasons tissue to pass on in the piece of the heart supplied by the blocked corridor. A heart attack is additionally called as myocardial infarction (MI).



Most heart attacks are by implication brought about by coronary artery disease (CAD) or Atherosclerosis, a condition in which fatty stores (plaque) develop on the walls of a vein. This narrows the supply routes and confines blood stream to the muscle of the heart. A heart attack is normally activated by a tear or crack of the plaque, which prompts the arrangement of a blood coagulation that obstructs the blood stream in the supply route. Fit of the supply route can likewise add to the blockage.


Risk Factors

The danger components for showing at least a bit of kindness attack are like those for creating CAD.


Uncontrollable risk factors include:

Expanding age

Early menopause

Postmenopausal status

African American, Mexican American, American Indian, local Hawaiian, or Asian ethnicity

Family history of cardiovascular illness (These are ailments that influence the heart and veins.)


Danger elements that you can control through way of life or treatment include:



Mental anxiety

Sedentary lifestyle

Smoking or presentation to used smoke

Low levels of high – density lipoprotein (HDL) cholesterol

Elevated amounts of low – density lipoprotein (LDL) cholesterol

Obesity and overweight (particularly when concentrated around the waist)



The indications of a heart attack may be significantly more unpretentious in ladies than in men. Midsection agony or uneasiness is ordinarily the most well-known side effect in men and ladies. Be that as it may, ladies may be more inclined to experience a portion of the other basic indications, especially shortness of breath, queasiness or spewing, and back or jaw torment.


Common symptoms include:

  • Severe fatigue
  • Lavish sweating
  • Dizziness, fainting
  • Heart palpitations
  • Shortness of breath
  • Nausea and vomiting
  • A fear of impending death
  • Pain high in the back, jaw, or neck
  • Feelings of heartburn or indigestion in the upper stomach area
  • Pain that emanates into the arms (on the left side more than the privilege)


Women may also experience heart attack symptoms as:

Vomiting or dizziness

Palpitations, paleness or cold sweat

Weakness or fatigue, unexplained anxiety

Unusual chest pain, stomach or abdominal pain

During a heart attack, symptoms last 30 minutes or longer and are not relieved by rest or oral medications. Initial symptoms can start as a mild discomfort that progress to significant pain. Heart attack may occur without having any of these symptoms. A silent MI can occur among all people, though it occurs more often among diabetics. We provide the best cardiac services in Houston taking more personal care to the patients.

Heart Doctors in Houston

Marfan syndrome is a genetic disorder that affects the body’s connective tissue. Connective tissue holds all the body’s cells, organs and tissue together which plays an important role in helping the body grow and develop properly. It this tissue is damaged, many body systems are affected, including the heart, blood vessels, bones, tendons, cartilage, eyes, nervous system, skin and lungs.

People with Marfan syndrome are usually tall and thin with disproportionately long arms, legs, fingers and toes. The damage caused by Marfan syndrome can be mild or severe. If your heart or blood vessels are affected, the condition can become life-threatening.

How common is Marfan syndrome?

About 1 in 5,000 people have Marfan syndrome, including men and women of all races and ethnic groups. About 3 out of 4 people with Marfan syndrome inherit it. But some people with Marfan syndrome are the first in their family to have it; when this happens it is called a spontaneous mutation. There is a 50 percent chance that a person with Marfan syndrome will pass along the genetic mutation each time they have a child.

Causes of Marfan syndrome:

Marfan syndrome is caused by a defect in the gene that encodes the structure of fibrillin and the elastic fibers, a major component of connective tissue. This gene is called fibrillin-1 or FBN1.

In most cases, Marfan syndrome is inherited. The pattern is called “autosomal dominant,” meaning it occurs equally in men and women and can be inherited from just one parent with Marfan syndrome. People who have Marfan syndrome have a 50 percent chance of passing along the disorder to each of their children.

In 25 percent of cases, a new gene defect occurs due to an unknown cause. Marfan syndrome is also referred to as a “variable expression” genetic disorder, because not everyone with Marfan syndrome has the same symptoms to the same degree. Marfan syndrome is present at birth. However, it may not be diagnosed until adolescence or young adulthood.

Signs and Symptoms of Marfan syndrome:

Sometimes Marfan syndrome is so mild, few if any, symptoms occur. In most cases, the disease progresses with age and symptoms of Marfan syndrome become noticeable as changes in connective tissue occur. The symptoms of Marfan syndrome differ from one person to the next, depending on which body part is affected and to what degree. Symptoms may include:

  • Thin, long fingers and toes
  • Sunken or protruding chest
  • Long, narrow face, Scoliosis
  • Family history of the condition
  • Enlarged aorta, mitral valve prolapsed
  • Loose and flexible joints, often prone to dislocation
  • Proportionately small lower jaw and narrow, highly arched palate
  • Usually, tall lean stature with disproportionate long arms and legs
  • Visual problems, such as nearsightedness (myopia) or dislocation of the ocular lens

Diagnosis of Marfan syndrome:

Gene testing is not readily available, but can be organised for some families who meet the diagnostic criteria. A specific collection of major characteristic features must be present to establish the syndrome. A confirmed diagnosis requires coordinated evaluation by a cardiologist, ophthalmologist, orthopaedic surgeon and geneticist, all experienced with the Marfan syndrome. The condition is diagnosed using a number of tests, including:

  • Genetic data
  • Echocardiogram
  • Eye examination
  • Physical examination
  • Skeletal tests such as x-rays

Treatments for Marfan syndrome:

Treatment usually includes medications to keep your blood pressure low to reduce the strain on weakened blood vessels. Depending on the severity of your symptoms and the part of your body that’s affected, surgery may be necessary.

Marfan’s syndrome can’t be cured. Treatments typically focus on lessening the impact of various symptoms.

Seek counsel from our Heart Doctors in Houston if you suspect you are suffering from Marfan syndrome for the best treatment options for you.

Visit us at: www.Advancedcardiodr.com |Call on: +1 281-866-7701.

Aortic Stenosis

Aortic Stenosis :-

 The aorta is the main artery that carries blood out of the heart to the rest of the body. Blood flows out of the heart and into the aorta through the aortic valve. In aortic stenosis, the aortic valve does not open fully. This decreases blood flow from the heart.

 In aortic stenosis, the aortic valve becomes partially obstructed, leading to significant heart problems. The aortic valve guards the opening between the left ventricle and the aorta. The aortic valve opens as the left ventricle begins to pump, allowing blood to eject out of the heart and into the aorta. When the ventricle has finished beating, the aortic valve closes to keep blood from washing back into the left ventricle.

Aortic Stenosis

 The main causes of Aortic Stenosis include:

  • A birth defect of the aortic valve, which normally has three cusps:
  • A two-part aortic valve becomes stenotic with progressive wear and tear
  • An aortic valve that has only one cusp or has stenosis from birth
  • Progressive hardening and calcification of the aortic valve with age
  • Scarring of the aortic valve caused by rheumatic fever

 Symptoms of Aortic Stenosis:

If the valve is only mildly narrowed you are not likely to have any symptoms. If the narrowing becomes worse the left ventricle has to work harder to pump blood into the aorta. The wall of the ventricle becomes thickened (hypertrophied).

 Symptoms that may then develop include:

Dizziness and faints due to the restricted blood supply. Irregular heart beat which you may feel as the sensation of a ‘thumping heart. Chest pain (angina) when you exert yourself, this occurs because of the increased need for oxygen by the thickened ventricle and because of reduced blood flow to the coronary arteries. If the narrowing is severe the left ventricle may not function properly and you can develop heart failure. This causes shortness of breath, tiredness and fluid build-up in various tissues of the body.

 Diagnosis of Aortic Valve Stenosis:

After reporting your symptoms to your general doctor, you may be referred to a cardiologist. Cardiologist will check your physical condition with a thorough examination. This includes listening to your heart for any abnormal sounds. You may need imaging tests to show what is going on inside your heart.

The following are some of the imaging tests used:

  • MRI Scan, CT scan
  • Cardiac Catheterization
  • Chest X-Ray, Echocardiogram

 Prevention of Aortic Stenosis:

Aortic Stenosis cannot be prevented. But if you have Aortic Stenosis, there are several things you can do to try to avoid some of the complications, such as get regular medical care, including exams and tests. Only certain people with Aortic Stenosis need antibiotics before dental or medical procedures. Ask your doctor if you need antibiotics to prevent infection of the heart valve.

 Best Treatment Options of Aortic Stenosis:

Nothing has yet been proved to slow the progression of Aortic Stenosis. In randomized trials, statin therapy has been ineffective, sometimes by replacement of the aortic valve.

Drugs that can cause hypotension should be used cautiously, although nitroprusside has been used as a temporizing measure to reduce after load in patients with decompensate heart failure in the hours before valve replacement. Patients who develop heart failure but are too high risk for valve intervention benefit from cautious treatment with dioxin, diuretics, and ACE inhibitors.

 Surgery Options:

  • Balloon Valvuloplasty: a balloon device is passed through the arteries to open or enlarge the stenotic aortic valve. This may provide temporary relief of symptoms. But since the valve can become blocked again, this treatment is not a permanent solution.
  • Aortic Valve Replacement: during this open surgery, the defective heart valve is replaced with either a bioprosthetic valve or a synthetic valve.
  • Transcatheter Aortic Valve Replacement: this surgery also involves replacing the defective valve. But this is minimally invasive surgery that involves inserting the replacement valve through a small incision in the chest or through an artery in the leg.

 Seek counsel from our Houston Cardiologist if you suspect you are suffering from Aortic Stenosis for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701

Ischemic Heart Disease – Advanced Cardio Vascularcare Center

Ischemic Heart Disease or coronary heart disease is a heart issue created by narrowing of the coronary arteries. This causes less blood and oxygen to achieve the heart. Being that the heart is a muscle, it relies on upon a consistent supply of oxygen and nutrients to course through the coronary arteries. At the point when the coronary arteries get to be stopped up by fat and cholesterol stores and can’t supply enough blood to the heart, the outcome is ischemic heart disease. There are real risk factors for adding to this sort of Ischemic heart disease.

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In any case, there are natural elements that you can dispose of to decrease your shots:

Age: Substantial rates of the individuals who kick the bucket of coronary heart disease are age 65 or more seasoned.

Sex: Typically men are at more serious danger of showing some kindness assault than ladies. They additionally have a tendency to have heart assaults prior in life than ladies.

Smoking: Smoking duplicates the danger of a heart assault versus a non-smoker.

High Blood Cholesterol: As blood cholesterol levels expand, so does the danger of coronary heart disease.

Hypertension: High blood pressure constrained the heart to overexert its muscles, which makes it extend and debilitate after some time.

Physical Inactivity: Regular, moderate movement is valuable for the best possible course of blood in the body.

Stoutness: An abundance measure of weight strains the heart and raises the blood pressure and blood cholesterol levels.

Diabetes: The vicinity of diabetes has an unfriendly influence on the heart in light of the fact that diabetes straightforwardly influences cholesterol and triglyceride levels. At the point when glucose levels are hoisted, the danger of heart disease is incredibly expanded.

Seek counsel from our Heart Specialist in Houston if you suspect you are suffering from Ischemic Heart Disease or coronary heart disease for the best treatment options for you.

Contact Advanced Cardio at www.advancedcardiodr.com and get the treatment with the best and advanced doctors.

Hypertrophic cardiomyopathy (HCM)

Hypertrophic cardiomyopathy (HCM) is a disease in which the heart muscle (myocardium) becomes abnormally thick (hypertrophied). The thickened heart muscle can make it harder for the heart to pump blood. Hypertrophic cardiomyopathy is very common and can affect people of any age. About one out of every 500 people has HCM. It affects men and women equally.

Other Names for Hypertrophic Cardiomyopathy

  • Asymmetric Septal Hypertrophy
  • Familial Hypertrophic Cardiomyopathy
  • Hypertrophic Obstructive Cardiomyopathy
  • Hypertrophic Non-obstructive Cardiomyopathy
  • Idiopathic Hypertrophic Sub-aortic Stenosis (IHSS)

Causes of Hypertrophic Cardiomyopathy:

HCM is a genetic condition caused by a change or mutation in one or more genes and is passed on through families. Each child of someone with HCM has a 50 per cent chance of inheriting the condition. HCM is a common cause of sudden cardiac arrest (SCA) in young people, including young athletes.

HCM also can affect the heart’s mitral valve, causing blood to leak backward through the valve. Sometimes, the thickened heart muscle doesn’t block blood flow out of the left ventricle. This is called non-obstructive hypertrophic cardiomyopathy. The entire ventricle may thicken, or the thickening may happen only at the bottom of the heart. The right ventricle also may be affected.


Symptoms of HCM:

Many people with HCM don’t experience any symptoms. However, the following symptoms may occur during physical activity:

You may find that you never have any serious problems related to your condition, and with treatment, your symptoms should be controlled. However some people may find that their symptoms worsen or become harder to control in later life.

The area of heart muscle that is affected by HCM and the amount of stiffening that occurs will determine how the symptoms affect you.

For some people, a number of other conditions can develop as a result of having HCM. These may include abnormal heart rhythms, or arrhythmias, including heart block and endocarditis.

Other symptoms that might occur, at any time, include:

  • Chest pain
  • Palpitations
  • Shortness of breath
  • High blood pressure
  • Light headedness and fainting


Diagnosis of Hypertrophic Cardiomyopathy:

The health care provider will perform a physical exam and listen to the heart and lungs with a stethoscope. Signs may include abnormal heart sounds or a heart murmur. These sounds may change with different body positions, High blood pressure, the pulse in your arms and neck will also be checked. The doctor may feel an abnormal heartbeat in the chest.

Close family members of people who have been diagnosed with hypertrophic cardiomyopathy may be screened for the condition. Tests used to diagnose heart muscle thickness, problems with blood flow, or leaky heart valves (mitral valve regurgitation) may include:

  • Echocardiography, ECG
  • Cardiac catheterization
  • MRI of the heart, Chest X-ray
  • Transesophageal echocardiogram (TEE)
  • 24-hour Holter monitor (heart rhythm monitor)

Risk Factors include:

Any strenuous exercise that increases after load (i.e., heavy weight lifting/training) can theoretically increase the magnitude of LV hypertrophy over time and thus worsen obstruction in subjects with pre-existing HCM. Risk factors for the development of end-stage HCM (manifesting as LV systolic dysfunction and LV dilation) include younger age of onset/presentation of HCM, a family history of HCM, increased ventricular wall thickness, along with the presence of certain genetic mutations in certain individuals.

Treatment of HCM:

At present there is no cure for HCM, but treatments are available to help control your symptoms and prevent complications. Your treatment will depend on how your heart is affected and what symptoms you have. You may need:

  • A Pacemaker – to control your heart rate
  • Medicines – to help control your blood pressure, abnormal heart rhythms
  • An ICD – if you are at risk of having a life threatening abnormal heart rhythm

Seek counsel from our Houston Cardiologist if you suspect you are suffering from Hypertrophic Cardiomyopathy (HCM) for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701.