Mitral Valve Prolapse: Seeking Medical Guidance and Military Certification - Cardiology

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Mitral valve prolapse issue?


I previously had a diagnosis of mitral valve prolapse at Chang Gung Memorial Hospital, and later I also had consultations at Taipei Hospital.
However, since it has been a long time since my last visit, I am unsure about the severity of my condition.
As I am about to enlist in the military, I would like to obtain a military service certificate.
Can Taipei Hospital issue this certificate, considering my initial diagnosis was at Chang Gung Memorial Hospital?
Additionally, I have not seen a doctor in a long time because they often do not conduct thorough examinations and say that this condition is not a concern.
However, I clearly experience significant difficulty in breathing.
Should I still see a doctor? I have become discouraged from seeking medical attention due to being turned away in the past.
Thank you for your assistance.

Shangxinren, 20~29 year old female. Ask Date: 2006/08/06

Dr. Zhu Nianfeng reply Cardiology


Please visit Taipei Hospital for a follow-up appointment to determine if another echocardiogram is necessary to assess the condition of the mitral valve.
For inquiries regarding military service certification, please contact the military service division of your local city or county government.

Reply Date: 2006/08/06

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to a variety of symptoms, including palpitations, shortness of breath, and in some cases, anxiety. It is important to understand that while MVP is often benign and does not require treatment, it can sometimes lead to more serious complications, such as mitral regurgitation or arrhythmias.

Given your situation, where you have been diagnosed with MVP but have not had a recent evaluation, it is crucial to seek medical attention, especially since you are experiencing symptoms like difficulty breathing. Even if previous doctors have downplayed your condition, your symptoms warrant further investigation. It is possible that your MVP may have progressed or that there are other underlying issues contributing to your breathing difficulties.

Regarding your military certification, it is common for military service requirements to include a thorough medical evaluation. Since you have previously been diagnosed with MVP, it is advisable to obtain a current assessment from a healthcare provider. This assessment can help determine the severity of your condition and whether it poses any risks for military service.
You mentioned that you have seen doctors who did not provide detailed examinations. It may be beneficial to seek a second opinion or visit a cardiologist who specializes in valvular heart diseases. They can perform a comprehensive evaluation, which may include an echocardiogram to assess the structure and function of your heart and mitral valve. This test is non-invasive and can provide valuable information about the severity of your MVP and any associated complications.

As for obtaining a military certification from Taipei Hospital, it is possible, but it would depend on their policies and your medical history. You should contact the hospital directly to inquire about their ability to provide documentation regarding your MVP and its implications for military service. It may also be helpful to bring any previous medical records from Chang Gung Hospital to ensure continuity of care and provide the new physician with a complete picture of your health history.

In summary, it is essential to prioritize your health by seeking a thorough evaluation from a qualified cardiologist. Your symptoms should not be ignored, and understanding the current status of your MVP is crucial, especially as you prepare for military service. Do not hesitate to advocate for yourself and seek the care you need. If you feel that your concerns are not being addressed, consider finding a healthcare provider who will take your symptoms seriously and provide the necessary evaluations and support.

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