Had my discharge appointment with the surgical team 8 weeks ago and was put on 1.25mg of Bisoprolol(beta blocker) to reduce my heart rate which was around 100 at rest and higher on activity. I'm now back under the Cardiologist and have an appointment with him in December.
I started Cardiac Rehab which I think is called Phase 3. I have found it very good and get a lot out of it. The main attendees are elderly gentlemen who have had heart attacks/events. I appear to be the only "valve".
I am now driving locally and feeling stronger. I'm doing more around the house including cooking & shopping and more strenuous activity I do slowly.
I'm disappointed that my INR is volatile as I wanted to get on the self test programme sooner rather than later. I was on 7.5mg Warfarin but my INR came down from 3.0 to 2.4 so I'm now on 8mg Warfarin. I include some green veg high in Vit K daily as advised but otherwise a healthy diet - low fat meat, oily fish, nuts etc. I wondered if increase in activity could impact on the INR. I suppose it's still early days for it to settle to a consistant level.
I developed toothache 2 weeks ago and needed a filling. So had to address the "antibiotic before dental work" question earlier than I would have liked. My Surgeon was adamant that people with mechanical heart valves must have antibiotic prophylaxis (2g Amoxycillin) an hour before dental work where bleeding is likely such as root canal work & extractions. He says the 2008 Nice Guidance is in the process of being changed again due to Cardiac Surgeons disagreeing with them. I persuaded my GP & dentist to give me the antibiotic for a filling (which was unlikely to cause bleeding) but I did not want to take chances with a new & vulnerable heart valve that was bedding in. In my experience, dentists and GPs are not clear about the guidance but Cardiac Surgeons who deal with the results of endocarditis are clear. So we have to advocate for ourselves if we feel strongly about this.