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The valve problem can get worse with time; it can be difficult to predict in whom this may happen ahead of time. Heavy exertion can also be a problem, but this depends on how severely the valve is damaged.
What are the chances a person with MVP will have a worsening condition? I have heard it is pretty low and my cardio. tells me not to worry about my MVP getting any worse, but I just can't help but wonder. I just feel like I am going to have to fret and worry over this MVP thing for the rest of my life (whether it will get better or worse). I hate that feeling.