myxomatous changes and MVP

After a bizzare and brief episode of high blood pressure and Sinus Tach, an Echo revealed myoxematous changes. I was placed on a beta blocker (only 12.5 mg qd) and within a few months I discontinued it due to very low BP's (70/40) and bradycardia (48). I thought I was told that there was no regurg associated with it and no prolapse.  Everything I read about this uses these terms interchangably.  Did I misunderstand my doctor. Is there always regurg and prolapse with myxomatous degeneration?  I am concerned because every thing I read is stating that I should stay on a beta blocker and I am not.

[Cleveland Clinic]

mersek,

Thanks for the post.

Myxomatous change refers to changes in the visible structure of the mitral valve. So there may have been some changes in the valve which appeared abnormal. In some people these changes can stay stable indefinitely and never cause a problem. In some they can progress and cause prolapse or regurgitation.

Overall, myxomatous change is something that doesnt necessarily require medication, so the reason for the beta blocker was probably the high pressure.  If your pressure is well controlled off medication, you may not need it any further.

Your physician may get another echo sometime over the next few years or if you have symtpomatic changes such as shortness of breath to see if there is any change in the valve. Otherwise, you should strive to maintain a health lifestyle.

good luck

[magic-8.ball]

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