Does mild mitral valve prolapse require surgery?
Patient's Query
Hello doctor,
I am 21 years old and was diagnosed with mild mitral valve prolapse four years ago. I have been prescribed beta-blockers for this condition. Last year, an echocardiogram revealed that the prolapse had reduced. However, in the past few months, due to increased physical activity and my varicocele medication, I have been experiencing chest pain. I also feel symptoms of depression, anxiety, and panic, even though there is nothing to worry about. Do I need surgery, or can I continue with my current medications?
Please advise.
Thank you.
Hello,
Welcome to icliniq.com.
If you have only mitral valve prolapse (MVP) and no other complications, such as valve leakage, there is not much to worry about. Have you ever had a stroke? I would like to see your current electrocardiogram (ECG) and echocardiography reports to provide proper guidance. Regarding your symptoms, they are not likely due to the mitral valve prolapse. Please avoid caffeine and alcohol, and continue taking the prescribed medications. A follow-up with echocardiography and ECG is advised.
Thank you.
Patient's Query
Hello doctor,
Thanks for the reply.
I have attached the files.
Hello,
Welcome back to icliniq.com.
I have reviewed your electrocardiogram and echocardiography reports (attachment removed to protect patient identity). Based on your reports, I can confirm that you have only mitral valve prolapse (MVP) with no associated complications. Regarding mitral regurgitation (MR), it is only trivial, which means it is of no significance. MVP is a concern only in cases of moderate to severe MR. Your echocardiography results are normal, and there is nothing to worry about. I recommend repeating the echocardiogram after a year to monitor progress. Surgery is not needed.
Thank you.
Patient's Query
Hello doctor,
Thanks for the reply.
However, the echocardiogram was performed more than two years ago, while the ECG was done recently. Do I need to get another echocardiogram? After finishing my workout at the gym, I felt pain and pressure in my chest. Additionally, does my varicocele affect blood circulation?
Hello,
Welcome back to icliniq.com.
Yes, you should get another echocardiogram to check for any progression or regression. For the varicocele, please consult a surgeon. A varicocele has no effects on the heart.
Thank you.
Patient's Query
Hello doctor,
Thanks for the reply.
I have another question regarding the indication of "TR trivial" in the echocardiogram. Does it refer to tricuspid regurgitation? However, my physician did not mention anything about it. Why is that?
Same symptoms don't mean you have the same problem. Consult a doctor now!
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