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Does Grade 1 MVP Requires Surgery?

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Posted on Sat, 23 Apr 2016
Question: Do I need a surgery in future if i have Grade I MVP with 15% MR? AMVL is long redundant.

My EF is 62%.
doctor
Answered by Dr. Michelle Gibson James (55 minutes later)
Brief Answer:
normally if symptoms present or echo shows poor heart function or enlarged

Detailed Answer:
HI, thanks for using healthcare magic

The ejection fraction measures the ability of the heart to pump out blood. The normal level is between 50 to 70 though some persons use 55 to 70 as normal ranges.
At 62%, your ejection fraction is within normal range with is good.
In most persons, if the heart is failing, this is reduced.

Mitral valve prolapse is usually managed by monitoring if there are no symptoms.

Medications and surgery are usually indicated for persons with symptoms such as shortness of breath, chest pain, palpitations,swelling of legs/abdomen, evidence of heart enlargement on echo or a low ejection fraction.
Blood tests such as b natriuretic peptide , is also increased in heart failure and is used as an indicator.

If you have symptoms of heart failure/heart disease then surgery is indicated.

There are some surgical centers that operate even if no symptoms are present but you would need to ask your cardiologist if this is the procedure at his center.


I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (15 minutes later)
Thanks sir.
I am 27 yr old, 180 lbs.
My ECG shows abnormal but doctors say it is normal. What is missing?
My TMT is also normal with good exercise tolerance.

Earlier i used to run 10 Kms within an hour and did some 100 kg cycling also. I used to bench 100 lbs. Will doing these stuffs now worsen my MVP?

My symptoms are chest pain (which doctors say as costco/in my mind/t4 syndrome and not related to MVP). I had palpitations which caused panic attacks in the past (Full awareness of heartbeat when lying down). Do I need to take special care at someting?
doctor
Answered by Dr. Michelle Gibson James (18 minutes later)
Brief Answer:
no precautions at this time

Detailed Answer:
HI

The ecg may show insignificant abnormalities that your doctors would know do not mean that there is any serious problem.
Minor abnormalities are accepted if the heart is functioning ok.

A normal tmt test is also very good, means the heart is working well when under stress.
Exercise is good because it would keep the heart function normal once it has been cleared by your doctors

At the moment with these results, there are no particular precautions needed

Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (1 hour later)
Just one final question : Is my attached ECG normal?
Why it shows abnormal? Can it be due to MVP or is there something else. Can any specific exercise make it normal in say 3-6 months?
doctor
Answered by Dr. Michelle Gibson James (8 hours later)
Brief Answer:
insignificant change

Detailed Answer:
Hi

Sorry about the delayed reply

An ecg looks at the rate and rhythm of the heart. It can also give information about the size of the heart and if there are any areas not receiving enough blood based on the changes of the print out.

According to your ECG there is a small delay in the passage of the 'current' of the heart from one side to the other- interventricular conduction delay.

All of the other parameters- the rate, the rhythm were normal

This conduction delay is not thought to be significant this is why your doctors are not concerned.
The machine reads this delay as abnormal but when reviewed, it is not a significant change

If anything else unclear , can let me know
Note: click here to Consult a cardiac surgeon online. to know the best treatment option for your heart-related issues

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Does Grade 1 MVP Requires Surgery?

Brief Answer: normally if symptoms present or echo shows poor heart function or enlarged Detailed Answer: HI, thanks for using healthcare magic The ejection fraction measures the ability of the heart to pump out blood. The normal level is between 50 to 70 though some persons use 55 to 70 as normal ranges. At 62%, your ejection fraction is within normal range with is good. In most persons, if the heart is failing, this is reduced. Mitral valve prolapse is usually managed by monitoring if there are no symptoms. Medications and surgery are usually indicated for persons with symptoms such as shortness of breath, chest pain, palpitations,swelling of legs/abdomen, evidence of heart enlargement on echo or a low ejection fraction. Blood tests such as b natriuretic peptide , is also increased in heart failure and is used as an indicator. If you have symptoms of heart failure/heart disease then surgery is indicated. There are some surgical centers that operate even if no symptoms are present but you would need to ask your cardiologist if this is the procedure at his center. I hope this helps, feel free to ask any other questions