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LAE and MVP

Hello,

Recently I visited my Cardiologist to try and figure out why I have had periodic left sided chest discomfort for the past 4-years.  He performed two tests; a NST with came back normal and an Echo which revealed MVP and a “moderately enlarged left atrium due to hypertensive heart disease” (his words) Anyway, he didn’t seem to concerned AT ALL, and shoed me on my way, “See you in 8-months for another Echo” Uhhhh…I then went to my PCP and he adjusted my BP meds and didn’t seem concerned either about the aforementioned diagnoses.  Am I making too big of a deal of this or should I be worrying?  41-year old male.
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612551_tn?1247839157
Mild MVP is pretty common and usually benign.  

Enlargement of the left atrium is more worrisome in my mind as it can contribute to the development of atrial fibrillation a problem which may come as you get older and if the atrium continues to enlarge...guess that's why your doctor wants to do another echo in 8 months.  He will be able to see if your atrium size is stable, if it is the next echo an be put off for two or three years. Given the enlarged atrium I think you should undergo a periodic echo to measure the size.

The echo is not extremely accurate, so small changes my be just reading variations, not real change in size.  The doctor has to make that call.
612551_tn?1247839157
Mild MVP is pretty common and usually benign.  

Enlargement of the left atrium is more worrisome in my mind as it can contribute to the development of atrial fibrillation a problem which may come as you get older and if the atrium continues to enlarge...guess that's why your doctor wants to do another echo in 8 months.  He will be able to see if your atrium size is stable, if it is the next echo an be put off for two or three years. Given the enlarged atrium I think you should undergo a periodic echo to measure the size.

The echo is not extremely accurate, so small changes my be just reading variations, not real change in size.  The doctor has to make that call.
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