I am assuming by BAV, you are referring to Bicuspid Aortic Valve, which is a genetic malformation of the Aortic Valve. The aortic valve is between your left ventricle (lower chamber of heart), and your aorta (large blood vessel leading from your heart to your body). It is the door from your heart to the blood vessels of your body, and regulates the flow of oxygen rich blood. Most people, yourself included, live a normal healthy life with a bicuspid aortic valve. Labile or fluctuating blood pressure is also very common with a bicuspid aortic valve. As you age, one of two things could be going on with your valve, and causing your symptoms, stenosis (narrowing), or regurgitation (back flow). This is best determined by an echocardiogram, which is an ultrasound of your heart structures.
In your circumstance, if you feel your symptoms are becoming more frequent or more severe, I would suggest calling you cardiologist and asking if you can come in sooner for you echo. Heart valve disease is a condition that does not require treatment until symptoms are frequent or severe enough to impact your quality of life. There are many treatment options for both aortic valve stenosis and aortic valve regurgitation, and that area of cardiac medicine is constantly growing. There are now less invasive options that offer the same relief and results and even 10 years ago would have required full open heart surgery.
I hope that you’re able to find answers to your symptoms, and find a great team capable of the latest technology when the time is right.
Be well, Tessa