Brief Answer:
It's mvp causing the symptoms, you are too young to have any heart attack,

Detailed Answer:
Hi, I am Dr. Mody and I would be addressing your concern.
Now of all the history you have provided I think the culprit here is Mitral valve prolapse. Before I start I would like to tell you that you don't have a heart problem in terms of blockages and stuff, it's just a little loose valve which is causing all the trouble.
Now in mitral valve prolapse, ectopic beats and some transient arrhythmia are very common . These ectopic beats would make you feel the sensation of palpitations , hereby a small dose of a drug should be good enough to give your relief from the symptoms as well as it will help in preventing the grade 2 mvp to progress any further. However before we start you on any medication, we need you to document the same.
So you need to get an EKG during the symptoms, which is nvr possible in most cases, so the best test here is to do a 24 holter test, and during those 24 hours you need to do everything that you usually do, like walking, going to gym, parting whatever you do, so if your symptoms occur everyday this would be the best test to document things.
As such your rhinitis and even montek lc wouldn't cause any racing of heart. However a drug like deriphylline, asthalin which are very commonly in rhinitis may surely increase would heart rate.
D dimer value too wouldn't suspect anything significant in your case
Went through your echo, both report s show mvp, the previous one had that you had septal hypertrophy which is a completely different entity, however the measurements mentioned doesn't fit into the same, so maybe it's a misdiagnosis and we may just avoid it. However I would like you to rpt a 2d echo after 1 year and than every 3 years
Hoping I could help,
Regards Dr. Priyank Mody, Lilavati Hospital, XXXXXXX

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Brief Answer:
measurements are normal , metoprolol would be the drug

Detailed Answer:
hey XXXXXXX ,
i went through the echo report , all measurements are normal , don't worry about the same
> for the mvp and palpitation in you , my first choice would be tab metoprolol 12.5 to 25 mg , however the dose would be decided on the symptom relief and your vitals , importantly the blood pressure. Do discuss the same with your doctor
> now 24 hotler is the ecg recording for 24 hours , which would record while you perform all the daily activities and we may corelate it with the symptoms by time .
now based on that we may start you the above drug and titrate the dose .
sometimes it happens that during the symptoms the holter recording was normal , it means the symptoms are subjective and no treatment needed for the same , as rarely MVP is know to cause panic attack like situation.
> if any problem i will arrange the holter test for you in XXXXXXX , its not really costly , and will help us objectify our treatment
lastly MVP is very common , like 2 out of 100 ppl , so just don't worry about the same as it does not increase any future risk of heart attack or any heart related significant problem
Hoping i could help .
Regards Dr. Priyank Mody .
Do rate the discussion so it may be helpful for others . Take care

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