Mitral valve prolapse with mild MR

[mennah]

dear dr,i read in many sites that not all cases of mitral valve prolapse should take therapy,is this true?
if so when should i take ?
iam 30 yrs,60 kg,165 cm tall,17wks pregnant semi vegeterian.no exercise at all,sedentary life from 3 yrs.
I did an echo 3 wks ago and was told that i have MVP with a very little  regurge,EF=57%,SV=54.1ml,EDV=94.3ml,ESV=40.3ml.are these results normal being pregnant &heart rate at that moment because of fear was 140.
blp=90/60,pulse=80-95 when resting at home,but since iam very phobic,panic ,it increases rapidly under stressful situations.
i know well pulse is still within normal but this was not my normal at rest from just one month.
Rythm : regular with occassional dropped beats.but in last 6 month i experienced 2 attacks of racing,pounding,irregular palpitations i dont know what was their nature really,fibrillation or what??
no family history of similar conditions,but my father has pvcs only but without prolapse.
my specialist prescribed concor and penicillin as he thought its of rheumatic origin,but another consultant said its not rheumatic.
so, may i take a drug on light of this previous history, what drug safe for fetus if i owe to take a drug?
is a normal delivery amenable for me? or better to do caeserian? what precautions to take?

[Jerry_NJ]

As obvious I don't know anything about heart medication and being pregnant, but it seems strange a cardiologist would prescribe something you can't take...well so it goes, proof that it "pays" to do the research for oneself.  

My AFib is constant, but subtle, I hardly notice it, but do have limited physical endurance when it come to working muscles.  I haven't ran/jogged in over a year, when I was last in sinus.

On thing I didn't mention, and usually do for AFib.. unless your doctor says otherwise or it isn't to be used when pregnant, again something I don't know, or your stomach can't take it, I suggest taking an aspirin a day .. or a half aspirin (that's what I take) or a baby aspirin if you want to go real small (85mg I think).  I note too that I take both a half aspirin and 5 mg of warfarin.  In general one can't take aspirin when on an anticoagulant, but it seems one can take limited amounts and gain the extra benefits...my stomach so far has not rebelled.

[Neevy76]

hi jerry thank u for your helpful reply.
i know this is a community forum ,really i misspost it instead of doctor forum,but it was worthy to read your supporting reply.
perhaps iam anxious about my condition,but beta blockers medications can affect fetal growth and also cause bradycardia as written in many sites and books,iam really in a mess between having  this medication prescribed by my cardiologist who know well that iam a pregnant or leaving my self with out therapy which can put me in attacks of palpitations and fibrillation which are very fearful,what do u do when experience these attacks ,do u advice me to put holter monitor,?thank u again jerry and wish u good health.

[Neevy76]

hi jerry thank u for your helpful reply.
i know this is a community forum ,really i misspost it instead of doctor forum,but it was worthy to read your supporting reply.
perhaps iam anxious about my condition,but beta blockers medications can affect fetal growth and also cause bradycardia as written in many sites and books,iam really in a mess between having  this medication prescribed by my cardiologist who know well that iam a pregnant or leaving my self with out therapy which can put me in attacks of palpitations and fibrillation which are very fearful,what do u do when experience these attacks ,do u advice me to put holter monitor,?thank u again jerry and wish u good health.

[Jerry_NJ]

This forum is an information/experience exchange forum, not one in which we normally get replies by medical doctors.

That said, I will say that MVP is to my knowledge usually benign, and may not require any medical or other therapy ... same for mild MR.  

I think it best you try to accept the valve situation as nothing to worry about, and just focus on having a healthy baby.  This means for sure that you take only medications that have been prescribed by a doctor who knows you are pregnant.  In this case I think less is better if that is acceptable to you and your doctor.

I think the method of your delivery is not driven by your MVP condition, but is decided by other factors you can discuss with the doctor who will handle the delivery.