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Interventional Cardiology (Expert Forum)
NSVT,Mitral Regurg
Answered by
Mukesh Garg, MD - Cardiology, Internal Medicine
Truman Medical Center
Kansas City - MO
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.
NSVT,Mitral Regurg
by Sailinalong, Oct 29, 2007 11:22AM
I am a 50yo woman referred to Cardiology with unstable angina, shortness of breath, extreme fatigue and three severe presyncopic episodes over three weeks. My HR has been 46-54 BP 80/60 and a MVP click was heard.Lab results have been significant for high cholesterol and MPV for several months. I was referred for an Stress which induced one long run of Nonsustained Ventricualr Tachy that did not recur. The Sestamibi perfusion showed mild fixed anterior perfusion defect . I had to call to follow up on the results a week later and when reviewed was immediately sent for a cardiac cath. I have not recieved the results but the resident reported a Left Ventrical Artery that is irregular and congenitally narrowed . Ejection Fraction in the Ventrical was 60% and "no perfusion problems".There is definate regurgitation of the Mitral Valve and thickening but I am not sure if there is also stenosis on the echo. I sent home with a 48 hour Holter , 24 hour after administration of atenolol 12.5 mg.
How serious is this and what are the possible outcomes? I have symptoms with a V- tach arrythmia, the valve incompetancy and the conginital artery annomoly .I always thought anyone with NSVT was stabilized immediately as an inpatient.Reading the journals, the risk of SCD with NSVT in addition to structural change was very high.I have not seen or talked the attending physician since the original exam 10 days ago. Should I seek another physician? I appreciate your feedback.
How serious is this and what are the possible outcomes? I have symptoms with a V- tach arrythmia, the valve incompetancy and the conginital artery annomoly .I always thought anyone with NSVT was stabilized immediately as an inpatient.Reading the journals, the risk of SCD with NSVT in addition to structural change was very high.I have not seen or talked the attending physician since the original exam 10 days ago. Should I seek another physician? I appreciate your feedback.
Doctor's Answer
by Mukesh Garg, MD, Oct 29, 2007 06:11PM
, Oct 29, 2007 06:11PMTo: Sailinalong
I suggest, you speak to your cardiologist before making any conclusions and decisions. The significance of the Mitral Vave leak depends on the severity of the leakage. If you have no perfusion problems and the left ventricle ejection fraction is 60%(which is normal), the NSVT is not as ominous as it would be if you either had perfusion abnormality or low EF.
Member Comments (2)
by Sailinalong, Oct 29, 2007 07:31PM
To: Dr Garg
Thank you so much for the your reassurance. I was thinking that I had fallen through the cracks after my Stress Test was mislaid and needed renewed confidence that the Congenital Ventrical Artery Defect, Mitral Insuffenciency, Bradycardia and the NSVT did not converge with the syncopy for a Perfect Storm before I talk to my attending doc about the results and treatment plan. I am so grateful to you to know that this the normal management of my symptoms. You are a blessing!
