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Heart Disease (Expert Forum)
fetal echo
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fetal echo
by Cathy12, Mar 09, 2003 12:00AM
Dear doctor,
My younger sister is 28 years old and expecting her first child, she was MVP with some MR, she was told that she needs to be followed by cardiologist throughout her pregnancy. Is it a routine recommendation? Futhermore, she was told that she needs to do a fetal echo, is it also a routine recommendation to someone with MVP or they are looking for something else? What is the frequency of someone with MVP to have a child also with MVP or congenital heart disease?
Thank you for the information.
My younger sister is 28 years old and expecting her first child, she was MVP with some MR, she was told that she needs to be followed by cardiologist throughout her pregnancy. Is it a routine recommendation? Futhermore, she was told that she needs to do a fetal echo, is it also a routine recommendation to someone with MVP or they are looking for something else? What is the frequency of someone with MVP to have a child also with MVP or congenital heart disease?
Thank you for the information.
Doctor's Answer
by CCF-M.D.-KE, Mar 10, 2003 12:00AM
Dear Cathy 12,
Mitral valve prolapse is a common disorder found in approximately 2.5% of the population. It can be an inherited disorder or acquired. It is is usually well tolerated during pregnancy, the increase in blood volume and decrease in peripheral vascular resistance associated with pregnancy both may help to improve mitral valve function. You did not comment on the severity of your sister's mitral regurgitation. If the amount of regurgitation is signigicant the doctors are probably being cautious and watching her closely. If your sister has familial MVP there is a risk of it being transmitted to her child. However, because of variable penetrance the an exact numerical risk is difficult to predict. This means that every mother with familial MVP does not transmit it to her child. The overall risk of inheriting MVP is somewhat low, but higher than in a person born of a mother without MVP. MVP can also be acquired during life in people with no family history of MVP.
MVP is a relatively benign condition, I would ask her doctors about the severity of her mitral regurgitation and if the left ventricle is normal. Also, ask them if they are specifically concerned about anything, since they know her history very well.
Hope this answers your questions.
Thanks for your question,
CCF-MD-KE
Mitral valve prolapse is a common disorder found in approximately 2.5% of the population. It can be an inherited disorder or acquired. It is is usually well tolerated during pregnancy, the increase in blood volume and decrease in peripheral vascular resistance associated with pregnancy both may help to improve mitral valve function. You did not comment on the severity of your sister's mitral regurgitation. If the amount of regurgitation is signigicant the doctors are probably being cautious and watching her closely. If your sister has familial MVP there is a risk of it being transmitted to her child. However, because of variable penetrance the an exact numerical risk is difficult to predict. This means that every mother with familial MVP does not transmit it to her child. The overall risk of inheriting MVP is somewhat low, but higher than in a person born of a mother without MVP. MVP can also be acquired during life in people with no family history of MVP.
MVP is a relatively benign condition, I would ask her doctors about the severity of her mitral regurgitation and if the left ventricle is normal. Also, ask them if they are specifically concerned about anything, since they know her history very well.
Hope this answers your questions.
Thanks for your question,
CCF-MD-KE
to be seen by a cardiologist. My kids never have had any type
of echos done. The only thing I was told is have antibodics after the births.
I also have a question for the doctor. I want to ask this but
I can never post the forum is always full. I was diagnosised
with mvp l3 yrs ago thru a echo. All my life my lips will turn
purple easily. IF I get cold, eat anything cold they turn very purple or even if I get nervous they get a blue tinge to them. I was told as a child that I have thin skin. Is it have anything to do with mvp? I can not find too much info on purple lips. Is there anything I can do to keep this from happening?
More excerise? I don't exercise enough and I am thinking maybe
there isn't enough oxygen in my blood?
Never.
?????? Good luck with it. Let us know.
Good luck!