How to treat tricuspid regurgitation and aortic stenosis?

Question

Hello doctor,

My wife is 72 years old, weighs 143 pounds, and has been a type 2 diabetic for the past six years. She has also been hypertensive for the past two years and is suffering from moderate tricuspid regurgitation, aortic valve sclerosis, and pulmonary hypertension, which have been present for the past two years. Her systolic function is good, and there is no diastolic dysfunction. No medications have been prescribed for aortic stenosis (AS) or tricuspid regurgitation (TR). For hypertension, she was prescribed 40 mg of Telmisartan, one tablet per day, which keeps her blood pressure around 145-150/90-85 mmHg. Her diabetes is under control, and other parameters are normal. I would like to know if her current medication is adequate or if additional medications, such as Tadalafil, are needed to treat pulmonary arterial hypertension (PAH). Also, is any medication required for tricuspid regurgitation?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

Given the presence of diabetes, hypertension, elevated cholesterol, and LDL (low-density lipoprotein) levels, I suggest adding one tablet of Rosuvastatin daily after dinner. Consult your specialist doctor, discuss with him or her, and take the medicines with take the medicines with their consent. I believe the dose of the anti-diabetic medication could be adjusted to further reduce his blood sugar levels to the desired range, along with an adjustment in the blood pressure medication to achieve a target BP of around 130/80 mmHg. Regarding pulmonary arterial hypertension (PAH) and other valvular diseases, your cardiologist will make recommendations after evaluating various parameters.

Regards.