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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Start Taking Medication For Mitral Valve Prolapse?

I was diagnosed with mitral valve prolapse several years ago. Never have had to take any medication for it up until this past January. My cardiologist gave me lisonpril to take when I need it. For the past 4 weeks, I have had to take it everyday and still doesn't entirely stop the palpitations. When it really gets bad, it gives me the urge to cough. Is this to me expected with MVP?
Tue, 11 Aug 2015
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Cardiologist 's  Response
Hello. Welcome to HCM. Thank you for your question. I understand your conern.

First, I suppose your doctor also informed you that lisinopril does not exert such effect like lowering the heart rate, thus reducing the palpitations. Also, lisinopril and other ''prils'' can cause dry cough as a side effect. I am assuming you had high blood pressure and that is why your doctor prescribed lisinopril.

In this point that we are standing, I would recommend you to do an EKG, to clear what these palpitations are; an echocardiogram to re-evaluate your mitral valve prolapse and if it is causing mitral regurgitation (returning of the blood through the mitral valve during systole, when it is normally shut) and, if so, what grade is it and does it correlate with symptoms; also, a 24-hour Holter rhythm registration, to see how often the palpitations do happen during a day. It is only when these tests are performed, you can discuss treatment strategies with your curing doctor.

I hope I was helpful with my answer. Feel free to contact me again.

Best regards,
Dr. Meriton
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Should I Start Taking Medication For Mitral Valve Prolapse?

Hello. Welcome to HCM. Thank you for your question. I understand your conern. First, I suppose your doctor also informed you that lisinopril does not exert such effect like lowering the heart rate, thus reducing the palpitations. Also, lisinopril and other prils can cause dry cough as a side effect. I am assuming you had high blood pressure and that is why your doctor prescribed lisinopril. In this point that we are standing, I would recommend you to do an EKG, to clear what these palpitations are; an echocardiogram to re-evaluate your mitral valve prolapse and if it is causing mitral regurgitation (returning of the blood through the mitral valve during systole, when it is normally shut) and, if so, what grade is it and does it correlate with symptoms; also, a 24-hour Holter rhythm registration, to see how often the palpitations do happen during a day. It is only when these tests are performed, you can discuss treatment strategies with your curing doctor. I hope I was helpful with my answer. Feel free to contact me again. Best regards, Dr. Meriton