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Heart Disease (Expert Forum)
Echo /holter results.....
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Echo /holter results.....
by suzzie1, Oct 17, 2006 12:00AM
Hi, This is my 2nd question on the forum (I hope thats ok)!!! I have recently had an echo done and it stated that (a) there are 3 clefts in the Anterior MV leaflet, (b) MV prolapse 'small', (c) Late Systolic MVP, (d) Moderate overall MR , (e)Mitral Pulmonary Pressure 35mm and 41mm. Also my cardio wants to perform an ablation due to the results from my 24hr holter monitor which showed the following: (1)Wide Complex Tachycardia, significant events 2,heart rate 206, consider VT, (2)Ventricular Ectopic Beats 1296,rate 57 per hour,(3) Atrial Ectopic beats 57, (4),MF Ventricular Ectopic Beats 10, (5) Bradycardic Episodes 1, 46 beats per minute. Can you please explain what the 'clefts' mean, and what is your general opinion on these results. As I said in my 1st posting, I am feeling quite unwell, cannot work, cannot walk far without chest pain, SOB a LOT. Do you think I am a candidate for MV repair or replacement (I am 46 years old, and would love to live the next part of my life feeling well, as I have felt unwell for soooo long. Thank you in advance 8).
Doctor's Answer
by CCF-M.D.-MJM, Oct 18, 2006 12:00AM
hello suzzie,
This is not a straight forward situation. The first thing I would do is look at your echo. If you have significant mitral regurgititation, I would put you on a treadmill and do an exercise echo stress test. If your pulmonary pressures increase dramatically with exercise and the mitral regurgitation increase, you are a candidate for MV repair/replacement. This should be done at a high volume center because they tend to have better results. A cleft in your mitral valve is a slit or pouching in your mitral valve that can cause leaking of the mitral valve and can be associated with other congenital cardiac malformations (usually seen on echo).
Regarding the heart rhythm issues, I would want to see the holter and know the duration of the wide complex tachycardia. If it is not sustained, I would probably just treat you with a beta blocker. If it is sustained, an EP study is not unreasonable. I think the first step is the exercise echo to make sure you have a good functional capacity and that your pulmonary pressure don't increase too much. Consider obtaining a second opinion before any invasive studies.
I hope this answers your questions. Good luck and thanks for posting.
This is not a straight forward situation. The first thing I would do is look at your echo. If you have significant mitral regurgititation, I would put you on a treadmill and do an exercise echo stress test. If your pulmonary pressures increase dramatically with exercise and the mitral regurgitation increase, you are a candidate for MV repair/replacement. This should be done at a high volume center because they tend to have better results. A cleft in your mitral valve is a slit or pouching in your mitral valve that can cause leaking of the mitral valve and can be associated with other congenital cardiac malformations (usually seen on echo).
Regarding the heart rhythm issues, I would want to see the holter and know the duration of the wide complex tachycardia. If it is not sustained, I would probably just treat you with a beta blocker. If it is sustained, an EP study is not unreasonable. I think the first step is the exercise echo to make sure you have a good functional capacity and that your pulmonary pressure don't increase too much. Consider obtaining a second opinion before any invasive studies.
I hope this answers your questions. Good luck and thanks for posting.
I can't do my shopping. Pretty same like you, the bed is my best friend. I have a lot of chest pain, SOB and light headed too. I didn't have the valves problems but I have wpw (1973) and a pacemaker (1982).
I would like to compare the echo and holter with you if you don't mind. What is your EF? In the other site, I got someone explainted my holter result line by line for me. I showed the report to my cardio and he said "it didn't make sense"!
I hope we both can see some light at the end of the tunnel. Take care.
Pika