Mitral Valve Prolapse and Its Impact on Heart Health - Cardiology

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Mitral valve insufficiency


A few days ago, I had an echocardiogram, and the doctor said I have moderate mitral valve prolapse with moderate regurgitation.
The doctor also mentioned that since I am still young, as long as it is not severe regurgitation, no treatment is necessary, so I was not prescribed any medication and was advised to maintain a positive mood.
However, last year's examination showed only mild to moderate regurgitation, and the doctor indicated that the backflow of blood could cause my heart rate to increase, which is why I experience shortness of breath when walking.
Additionally, the results of an electrocardiogram from two weeks ago showed ventricular tachycardia, which has made me somewhat concerned.
I would like to ask the doctor if not controlling the regurgitation could lead to it worsening to severe regurgitation.
Also, regarding my ventricular tachycardia, does this require treatment, or should I just follow the doctor's advice to maintain a positive mood? Please help me with these questions.

Ka74, 20~29 year old female. Ask Date: 2016/04/09

Dr. He Dongjin reply Cardiology


Hello, your doctor is right.
Just relax and go about your daily life.
No doctor would dismiss your need for treatment and send you home; the on-site assessment is the most accurate.
There should be no issues.
Relax, Changhua Hospital cares about you.

Reply Date: 2016/04/09

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle, does not close properly. This can lead to mitral regurgitation, where blood leaks backward into the left atrium when the left ventricle contracts. MVP is relatively common and can occur in individuals of all ages, but it is often asymptomatic and may not require treatment unless it leads to significant complications.

In your case, the recent echocardiogram indicated moderate mitral valve prolapse with moderate regurgitation. The fact that your doctor did not prescribe medication and advised you to maintain a positive outlook is consistent with the management of MVP, especially in younger patients without severe symptoms or complications. It is important to understand that while MVP can lead to symptoms such as palpitations, shortness of breath, and fatigue, many individuals live normal lives without significant issues.

Regarding your concerns about the potential progression of your condition, it is indeed possible for mitral regurgitation to worsen over time. Factors that can contribute to this progression include the severity of the valve prolapse, the presence of other heart conditions, and overall cardiovascular health. Regular follow-up with your cardiologist is essential to monitor the condition and assess any changes in the severity of regurgitation or the development of symptoms.

As for your episodes of ventricular tachycardia (VT), this is a condition where the heart beats faster than normal due to abnormal electrical signals. While occasional VT can occur in healthy individuals, persistent or symptomatic VT may require further evaluation and treatment. Your doctor may recommend a Holter monitor or an electrophysiological study to assess the nature of the VT and determine if it poses a risk to your health.
In summary, while MVP and moderate mitral regurgitation can lead to symptoms such as palpitations and shortness of breath, many patients do not require treatment unless the condition worsens or leads to significant complications. It is crucial to maintain regular follow-ups with your cardiologist, especially given your history of ventricular tachycardia. Keeping a positive mindset, as your doctor suggested, is beneficial, but do not hesitate to reach out to your healthcare provider if you experience worsening symptoms or have concerns about your heart health. Regular monitoring and open communication with your healthcare team are key to managing your condition effectively.

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