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Heart Disease (Expert Forum)
prolapsed mitral valve
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.
prolapsed mitral valve
by Kathy__0__0, Oct 29, 1998 12:00AM
I am 48 yrs old (female) and have been told I had a murmur since a teenager. I have episodes of palpitations (lasting a few minutes)that have been recorded (King of Hearts) as supraventricular tachcardia and atrial fib. A recent echo showed anterior leaflet mitral valve prolapse with trace to mild regurgitation. Ejection fraction 60-65%. Everything else was normal except mild tricuspid regurgitation without PA systolic pressure elevation. I had a EKG several years ago that was borderline consistent with rt ventricular conduction delay. I was recently diagnosed as being hypertensive and am on Diovan and Hydrochlorthiazide. My BP is lower but I continue to have problems with fluid retention and,when holding fluid, experience shortness of breath with stairs and tire more easily. I continue to exercize (treadmill 4MPH, 20 min, 4-5 times per week with a pulse range of 130-140). My resting heart rate is in the upper 60s.I am not overweight.Questions: Should I have any more tests done? Is this all part of MVP? Why am I continuing to have fluid retention? It seems that all of this has become gradually worse--is it likely to continue getting worse? Is there anything else likely going on?
Thank you!
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Dear Kathy,
We cannot comment on specific case management but I wonder if you don't have more significant mitral regurgitation. Ask you doctor about getting a transesophageal echo (TEE) to better evaluate the mitral valve.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
