Heart & Cardiology/MVP

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Question
Dear Dr. Ahmed,

In 2010 I had an echo cardiogram.  After reviewing the results the Dr. said I looked fine and that the only "bad" things was that I had mild mitral valve regurgitation.  On subsequent visits he could not detect it when listening through the stethoscope.

Is this a serious condition and could this be the cause of my PVCs, or are the two unrelated?  

Is this likely to get worse with age?

Lastly, if I had MVP would it have shown up on that echo in 2010 or could it have sprung on since then?  (I am assuming MVP is "worse" than mitral valve regurgitation but I actually do not know if that is the case)

Thanks,
Will

Answer
Hi Will,

I have written a series on MVP and mitral regurgitation, and I have posted several links at the bottom to articles with easy to understand information and diagrams that tackle this subject in the same way that i explain this to my patients. These will help you to understand MVP, MR and the relationship between the two.

Your echocardiogram in 2010 showed mild MR. I would not classify this as a bad thing, in fact mild MR is extremely common and in the absence of underlying valve disease (which you would have been told about) this is not likely to progress to be significant over time or affect you in any way. If you had MVP then yes it would have shown up on the previous echocardiogram you had. The lack of a murmur on follow up visits also supports the lack of progression of the mitral regurgitation. I wouldn't worry at all if i were you and in the case of mild MR unless a  murmur is picked up in the future. There is usually no need to even repeat echocardiograms for mild MR so just go to regular physician yearly checkups as anyone should.

The good news is that most of the time PVC's are benign and not at all cause for concern. In fact studies of healthy people that have involved wearing a heart monitor showed that not only are PVC's common, but they occur in most people. Although its possible for PVC's to be related to MVP, its much more likely that the PVC's are occurring independently of this and regardless of this only very rarely are they worrisome.

Leaky heart valves: http://blog.myheart.net/2014/06/01/leaky-heart-valve-when-the-mitral-valve-fails

Basic articles on MVP: http://blog.myheart.net/2013/04/26/mitral-valve-prolapse-the-basics/ and http://blog.myheart.net/2013/05/01/mitral-valve-prolapse-what-is-happening-to-th

Hope this was helpful,  

Heart & Cardiology

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Mustafa Ahmed MD

Expertise

Cardiology, Interventional Cardiology, Cardiac Surgery, Hypertension, Pulmonary Embolism, Structural and Valve Disease

Experience

Board Certification Internal Medicine and Cardiology Interventional and Structural Cardiology

Organizations
http://blog.myheart.net

Publications
Multiple Publications In High Quality Peer Reviewed Journals. Internationally Recognized.

Education/Credentials
MD from The Royal Victoria University of Manchester, England Medicine, Cardiology, Interventional Cardiology, Research Training - University of Alabama

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