Is Late Systolic Click normal?

[Qatada]

I am 24 year old male, 165 lbs. (75 kg), non-smoker, and I don't drink alcholic drinks. Three months ago I visited a cardiologist for some complaint which he said was a normal thing. However, when he listened to my heart he heard late systolic click. For this he asked for ECG and echo for the possibility for Mitral Valve Prolapse. Both tests returned normal thank God.

My question is that should I go to a cardiologist to have him listen to my heart again to check if the late systolic click is still present or not?

Do you think it might have disappeared?

Once there is late systolic click, does it mean I could develop MVP later in life?

Thanks.

[kenkeith]

QUOTE: "But is there really a chance of developing MVP now that a late systolic click has been heard, or does it (the click) go away on its own?"

I haven't ever read a murmur heard with a stethoscope has any predictability for a heart valve disorder so negative to that possibility.  If your tests are negative, the probability is it won't be heard again. But there also a slight probability (5%?) that the echo was a false negative. You may have to trust your doctor on this one!  

[ed34]

"Thanks for calling everyone's attention to my error :).  "

I'm going to be honest here, I had to read it twice before I saw the word echo in there :)

[ed34]

The problem with new operating systems is that they are released too early and the general public are used as the testing platform. When I purchased my Sons laptop, it had vista on it, I hate that software because it's full of bugs. I formatted the hard drive and took it back a stage to XP professional which seemed to make it run much faster. I am holding fire on windows 7 for as long as possible until they iron out all known issues. It's good lots of people are using it to help get it working properly. One of the other reasons I had to remove vista was half my existing applications didn't work, I would have to wait until they all released the necessary updates. Do you have this with 7?

[Qatada]

But is there really a chance of developing MVP now that a late systolic click has been heard, or does it (the click) go away on its own?

[kenkeith]

Thanks for calling everyone's attention to my error :).  With my new laptop computer, I make many grammatical and typing error mistakes, but usually able to correct.   Unable to delete (costs dollars) the phrase because of forum's software, (Don't know WHEN  you had an echo but)...and start with "Since the echo there could be a papilary muscle dysfunction (heart wall where the cordae tendineae attaches.  Cordae hinge like apparatus that attaches to the leaflet to close the valve opening, that could be elongated.  The valve itself can have a muscular disease".

Another problem I have with the forum's software is one can lose their work  by going to some other page, etc.   Additionally my new computer has Windows 7 software, and one can lose their entire post with the touch of a key when there are several windows open...but I like it and will try to do my best not to make any more typing mistakes that you can catch draw attention.

By the way I notice you have included quotation marks now representing someone elses comments.  I used to be annoyed when you included something from my post in with your post without quotation marks.  But I understood your point...someone else maybe not!

[ed34]

"Don't know WHEN  you had an echo"

I think it was three months ago?

"Three months ago I visited a cardiologist....... For this he asked for ECG and echo.....Both tests returned normal thank God"

[kenkeith]

Transient MVP may occur when intravascular volume decreases significantly, as in severe dehydration.

Don't know WHEN  you had an echo, but since the echo there could be a papilary muscle dysfunction (heart wall where the cordae tendineae attaches).  Cordae hinge like apparatus that attaches to the leaflet to close the valve opening, that could be elongated.  The valve itself can have a muscular disease.

The echo could have missed a problem due to location or interference of ultrsound waves.  If the doctor is concerned with that possibility there is a transesophageal echocardiography with high resolution (TEE). TEE is a useful method for detecting ruptured chordae of the mitral valve missed by a thoracic echo.,

[Qatada]

"Many individuals have congenital MVP and the condition never progesses nor present any symptoms."

Mine doesn't seem congenital since before going to that particular cardiologist I had seen at least two different ones six months before, but none of them reported any click.

By the way, I've already said I had echo done one me and it came back normal, thank God.

ChatterAlly thanks for your comment, however I'm talking about late systolic click here, your click could be different, or it could be a murmur.

[ChatterAlly]

I was about your age when I developed a click that could be heard by my husband when we were in the bed.  I could feel it and hear it.  My GP heard it also and was intrigued by it.  I was seen by a cardiologist who diagnosed this as a MVP.  He said it was benign and more a nuisance than anything else.  In time it went away.  I haven't heard it in over 30 years now.  Trynot to worry, but do see your doctor on a regular basis.  Ally

[kenkeith]

The EKG is not a very good test to determine a heart valve issue....EKG is good for a rhythm disorder and that is not associated with MVP.

Many individuals have congenital MVP and the condition never progesses nor present any symptoms.  The best test if warranted is an echocardiogram for a valve issue.  You can accept you have MVP and not be concerned, or you can ask for an evaluation of the condition with an echo.  An echo can also serve as a baseline for future tests to confirm there is no progression.