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Heart Disease (Expert Forum)
echo result.
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.
echo result.
by rian, Jan 05, 2003 12:00AM
I'd an echo recently and found with MVP for both AML(anterior) and PML(posterior) and MR mild - moderate (doppler). Everything in the echo is in normal range except for LVEF 81% which is outside normal range of 53-77%. My cardiologist advise me to have an echo again every 2 years and an antibiotic praphylaxis as needed. He said that the LV EF is okay. Is it usual to have MVP for both aml and pml? Will I need to repair the valves in the near future? Do you have any advise to add? Thank you.
Doctor's Answer
by CCF-M.D.-RCJ, Jan 06, 2003 12:00AM
Rian,
Thanks for the questions.
(1) MVP is a disorder of the connective tissue of the mitral valve, and thus is frequently seen to involve both the anterior and posterior leaflets.
(2) Close follow-up is the only way to know if you will need surgery. If your EF remains normal-high and the mitral regurgitation remains the same, then it is quite possible that you will not need surgery. Having regular follow-up, as your doctor recommended, is the key. It should be reassuring to you that he/she didn't think that you needed another echo for 2 years.
I've included a quote from the American College of Cardiology Guidelines on Valvular disease (http://www.acc.org/clinical/guidelines/valvular/jac5929fla16.htm#D):
"Reassurance is a major part of the management of patients with MVP, most of whom are asymptomatic or have no cardiac symptoms and lack a high-risk profile. These patients with mild or no symptoms and findings of milder forms of prolapse should be reassured of the benign prognosis. A normal lifestyle and regular exercise is encouraged."
Hope that helps.
Thanks for the questions.
(1) MVP is a disorder of the connective tissue of the mitral valve, and thus is frequently seen to involve both the anterior and posterior leaflets.
(2) Close follow-up is the only way to know if you will need surgery. If your EF remains normal-high and the mitral regurgitation remains the same, then it is quite possible that you will not need surgery. Having regular follow-up, as your doctor recommended, is the key. It should be reassuring to you that he/she didn't think that you needed another echo for 2 years.
I've included a quote from the American College of Cardiology Guidelines on Valvular disease (http://www.acc.org/clinical/guidelines/valvular/jac5929fla16.htm#D):
"Reassurance is a major part of the management of patients with MVP, most of whom are asymptomatic or have no cardiac symptoms and lack a high-risk profile. These patients with mild or no symptoms and findings of milder forms of prolapse should be reassured of the benign prognosis. A normal lifestyle and regular exercise is encouraged."
Hope that helps.
Member Comments (2)
by rian, Jan 07, 2003 12:00AM
To: CCF-M.D.-RCJ
Thank you for your answers and the guideline informations. I downloaded the pdf and now reading it and found it very usefull. Thanks again.
