Questions posted in the Heart Forum have been answered by doctors from The Cleveland Clinic Foundation.

Subject: Re: mitral valve regurgitation
Forum: The Heart Forum
Topic Area: Mitral Valve
Posted by CCF CARDIO MD - CRC on March 17, 1999 at 12:20:22:
In Reply to: mitral valve regurgitation posted by Helena on March 16, 1999 at 17:12:25:



Dear Doctor, Thank You for the great service you provide. I'm sure many would agree that your services reduce many of our anxieties!
Just a few questions: Mild mitral regurgitation is observed as being a trivial condition by many doctors, yet this is not reassuring to me since I interpret any amount of valve leakage as something to be concerned about...not overly concerned about it, but it shouldn't be ignored either. Why do you suppose doctors react that way?
Secondly, is there a difference between mitral regurgitation that results from MVP or other conditions such as rheumatic fever or a heart attack? In other words does the likelihood of regurgitation progression depend on what caused the valve damage in the first place? My valve was supposedly damaged from rheumatic fever when I was a baby.
Finally, is taking 120mg of Inderal daily considered to be an average or high dosage of medication to control BP and heart rhythm. I've been taking this medication for 16 years and I know that it's not taking care of the regurgitation problem, but, is it preventing it from getting worse? How safe is taking beta-blockers for so many years? I suspect I'll probably have to take Inderal for the rest of my life since last summer when I stopped taking the med. for two days before taking a stress test, the BP went up and I felt a lot of palpitations. (Stress test revealed no coronary disease-which was a great relief to know.)
Thank You for your time and the information.
helena



Dear helena,

Q: Is there a difference between mitral regurgitation that results from MVP or other conditions such as rheumatic fever or a heart attack?
A: Mitral regurg due to prolapse is the most benign and least likely to progress. The concern with rheumatic fever is more with stenosis (narrowing) rather than regurg. Regurg due to heart attack is usually a surgical emergency.

Q: Finally, is taking 120mg of Inderal daily considered to be an average or high dosage of medication to control BP and heart rhythm.
A: Average.

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