Mitral Valve Prolapse and Its Impact on Heart Function - Internal Medicine

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Mitral valve prolapse with regurgitation?


Does "mitral valve prolapse" indicate a significant cardiac pathology? Additionally, if there is "mild regurgitation," does that suggest a "mild functional impairment" of the heart?

dodo, 20~29 year old female. Ask Date: 2000/11/21

Dr. Li Huixiong reply Internal Medicine


Mitral valve prolapse is a type of "structural heart disease." Mild "regurgitation" indicates a slight functional impairment, but the hemodynamics of the heart may not necessarily be abnormal, so there may not be any clinical symptoms.

Reply Date: 2000/11/21

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. Instead of closing tightly, one or both of the valve's leaflets bulge (prolapse) back into the left atrium during the heart's contraction. This condition is relatively common and can occur in otherwise healthy individuals.
To address your question, MVP does not necessarily indicate that there is a significant structural heart disease. Many individuals with MVP lead normal lives without any symptoms or complications. However, in some cases, MVP can be associated with mild to moderate mitral regurgitation, which is when blood leaks backward into the left atrium due to the improper closure of the valve.
The presence of "mild mitral regurgitation" as noted in your report suggests that there is a small amount of backflow of blood into the left atrium during ventricular contraction. This condition can be considered a form of functional impairment, but it is often not severe enough to cause significant symptoms or to require surgical intervention. In many cases, mild mitral regurgitation does not lead to noticeable heart function impairment, especially if the left ventricle is functioning well and there are no other significant cardiac abnormalities.

In terms of heart function, the left ventricular ejection fraction (LVEF) is a critical measure. It indicates how well the heart pumps blood with each contraction. Your report indicates that the LVEF is preserved, which means that the heart is functioning adequately despite the presence of MVP and mild regurgitation. An LVEF of 58% is generally considered within the normal range, suggesting that the heart is effectively pumping blood.

Regarding the impact of MVP and mild regurgitation on daily activities, most individuals with these conditions can engage in regular physical activity without restrictions. However, it is essential to monitor any symptoms such as chest pain, shortness of breath, or palpitations, especially during exertion. If symptoms worsen or new symptoms arise, it would be prudent to consult with a cardiologist for further evaluation.

In summary, while mitral valve prolapse and mild regurgitation indicate some degree of valve dysfunction, they do not necessarily imply significant heart disease or severe functional impairment. Regular follow-ups with a healthcare provider, maintaining a healthy lifestyle, and monitoring any changes in symptoms are essential for managing this condition effectively. If you have concerns about your heart health or specific symptoms, discussing them with your cardiologist is the best course of action.

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