ecg

[pursue]

im 21 years 0ld and i had the illness for about 10 years now. im under moderate to severe regurg. by now..
im applying for a flight attendant position. At times my heart beats so normal that i can hardly hear it..or i feel that it was kinda normal..though when im tired my heart really pounds..the medical exam for flight attendants require an ecg test. would it be really evident that i have the illness..even though my heart beat is sounds very normal to me when im on rest. thanks pls. reply asap.

[kenkeith]

"I did not say it can be diagnosed, but I said it can show up".

>>"Show up" (EKG) indicates a visual representation.  Not possible.

"I was diagnosed via Echo, the most reliable source there is for MVP".

>>Enchocardiogram is ultra sound and sound waves are the medium for imaging...electrophysiology is the phenomenon of electrical wave formation during the transmission of electrical impulses as it passes through the heart.

You are parsing words without an understanding that what you wrote. The subject by PURSE refers to EKG and whether that test can determine mitral valve regurgitation and she referenced the post specifically the association of heart palpitation, and if an employment test EKG would disclose MVR? The correct answer it will not show up on an EKG your personal condition notwithstanding.  Reading between the lines of original post indicated some concern whether or not she would pass the employment exam, and if the EKG detects MVR.

[musikbox]

I did not say it can be diagnosed, but I said it can show up.

I was diagnosed via Echo, the most reliable source there is for MVP.

I was not born with any heart problems, I just suddenly developed symptoms and my GP wanted an Echo done, so I did and the end of December, I found out I had it.

And now, things are showing up on my EKG as a result of MVP. Maybe MVP won't show up, but the complications will.

I doubt there are other underlying causes. I have gone though many tests and going through another one tomorrow.

I have been tested for electrolytes, I have been tested for my thyroid, and I have had a stress test which showed nothing except significant SVT.

EKG's show ventricular bigeminy, and the other changes I have mentioned.

[kenkeith]

Valve regurgitation cannot be dx'd with an EKG.  EKG involves measurements of electrical impulses that change in amplitude (volts on the vertical plane of the gragh) based on resistance to the impulse and transmission time (msec on the horizontal plane) based on distance of the electrical pathways.  As an example an enlarged heart will increase the time sequence and damaged tissue will increase resistance to electrical impulse and there will be an increase in amplitude.

What you describe is the possible result of MVR not MVR. A test other than an EKG would be required to determine the underlying cause of the conditions you cite, and that could be a prior heart attack. congenital birth defect, coronary artery disease, heart muscle disease, etc.

[kenkeith]

Regurgitation is the backflow of blood into the atrium rather than pumped into circulation. Treatment would depend on the underlyiong cause.  Cause can be elongated hinge-like chords that fasten the leaflets to heart wall reulting in leaflets not properly or completely closing the orifice and blood flows back into the atrium.  The orifice may be geometrically malformed, etc

Sometimes the valve apparatus can be repaired with minimum intervention; treatment may involve repair or replacement that involves open heart surgery.

[musikbox]

EKG's can show valve regurgitation.

Some people with chronic mitral regurgitation have Atrial Fibrillation, and some don't.

There might also be signs such as left atrial enlargement, or left ventricular hypertrophy.

I have noticed since I was diagnosed with MVP & regurgitation, my EKG's have changed.

My ST & T waves are flat & I have an enlarged left atrium, which shows up on an EKG as notched P waves.

[pursue]

thanks f0r the reply. how would regurgitation be corrected? i have a continuous treatment f0r almost 10 years its a shot of penicillin every 21 days..after 8 years my doctor trim it down to every 28 days..but then i was told that this is just a prevention but not a cure..s0 how would i correct the regurgitation anyway?

[kenkeith]

An EKG will not indicate there is valve regurgitation.  A dx for a heart valve non-compliance can be heard with a stethoscope or an echo/doppler test that monitors the blood flow through the heart..  

You should have the regurgtitation corrected before you develop symptoms that can be fatigue and shortness of breath.