Heart Disease Expert Forum
LVOTO from abnormal MV chordae w/o hypertrophy
About This Forum:

This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Font Size:
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

LVOTO from abnormal MV chordae w/o hypertrophy


I'm having trouble finding out any information about my condition described as:

"… quite abnormal appearance of the anterior mitral valve leaflet chordae with significant redundancy and systolic anterior motion.  In addition, patient has post-exercise left ventricular outflow tract obstruction which is at least 45 mmHg and may be as high as 115mmHg at peak exertion."

Most people who have LVOTO also suffer from hypertrophic cardiomyopathy, but I do not.  From my cardiologist's report from an echo, stress echo and MRI:

- hyperdynamic left ventricle w/ EF over 65%
- no evidence of hypertrophic cardiomyopathy (max LV wall thickness of 10mm, apical septum at 9mm, apical lateral wall at 8mm, significant apical thinning at true apex less than 4mm)
- resting systolic BP: 133
- peak exercise systolic BP: 205 mm Hg
- no arrhythmia after exercise
- EKG sinus rhythm w/ biphasic t-waves in V3/V4 and inverted t-waves in III and aVF, and early repolarization pattern
- soft mid-peaking systolic murmur best heard at the base with repeated squat to stand
- patient complains of

- normal CTA test
- normal 48-hr Holter test

There's no fancy WebMD page for this condition- just wanted to know how serious this condition is. How safe is it for me to exercise (no idea what 45mmHg - 115mmHg of obstruction means)? And if there's anything I should look out for or in terms of critical symptoms.

Thanks in advance!
Tags: chordae, mitral, valve, leaflet
Continue discussion Blank
Request an Appointment
MedHelp Health Answers
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank