Conversation: The conversation between human and AI assistant.
[|Human|] I am 55 have been diagnosed with aortic stenosis years ago. Recently my legs and ankles have started to swell by the end of the day, predominately my left. I have recently started having to take a deep breath when walking to my car or any long distance. Advice? My last echo showed my valve as 1.0.
[|AI|]  you need an evaluation by a cardiologist. In congestive heart disease there is swelling of legs, ankles due to poor venous return/ordure to low cardiac output. Serum sodium, pottassium levels, serum creatinine, sgpt got are few tests done for screening. Also doctor has to see if lungs are clear and no over enlargement is there. Orthopedic causes of ankle swelling may need to be ruled out also-usually arthritis gives some element of pain so, as in your case, there is no history of pain in ankle, so it is unlikelyRegards