Cardiomypotahy and mvp

Helo im an 18 years old male and i have a few questions about my helth. 1 year ago i was diagnosed with dilated Cardiomyopathy, doctors were not shure about the cause but they say it was probably myocarditis. My EF then was 30% now a year later its somewere betwen 40-44% and i know that its geting beter coz i fell beter and betery by the day. I alo have a small MVP i was born with it and i have MR2. I know that valuve prolapses can cause cardiomyopathy but is therer any rule how severe does the MR got to be to cause it. Can MR2 cause it and does playin alot of sports with an MVP make the proces ov developing cardiomyopathy faster (in my case heavy weight lifting). My Ef is geting beter and beter the heart size is also strting to get normalized and im shure my heart will recover completly from  cardiomyopathy but should i repare my MVP. In my case the MV is just to weak to hold the blood in the chamber it flip flops aroun. Is MV a muscle if it is why cant it get beter in fuly grovn and developed persons. If a chose to operate it is there any way to operate it without opening the cheast. VSD can be operated without opening it why cant MVP be? Can u tell me something about how does the ring work, last and whot are the ristrictions with it. And have u maybe heard of something caled the "bow tie" where only one stich is used to repear the valuve is that realy posible and when is it used. Thank u and sory for my bad english im from eastern Europe.

[Forum-M.D.-bkj]

Milsoh,

Thanks for the post.

Actually, prolapse is a result of cardiomyopathy and not the cause unless it is associated with significant mitral regurgitation.  Usually however, mitral regurgitation and prolapse from the changes in the hearts geometry as the cardiomyopathy develops.

It is important to figure out the cause of the regurgitation because in the cases where the cardiomyopathy is due to the valve, repairing the valve may help the cardiomyopathy. In the other cases, it generally will not.

There are several options for fixing a faulty mitral valve.  These include repairing the valve or replacing the valve with either a biologic or mechanical valve. The decision is based on the age of the patient, the reason for regurgitation and the presence of other heart disease.  A ring is used for repair of the valve.  There really are no major restrictions once the valve is fixed.  The stich is not thought to be as effective as actual valve repair and is not performed at too many centers.

good luck