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Is Dizziness Symptom Of Mitral Valve Prolapse Relapse?
Question: I was diagnosed w a minor case of Mitral Valve Prolapse when I was 21. I had an allergic reaction to a corticosteroid injection & it started symptoms that felt like panic attack including heart racing. My cardiologist told me at the time my MVP via echo was so slight it could self resolve. After about a year & some improved lifestyle modifications (no more coffee, more water, etc) the symptoms disappeared.
Now 10 years later, after a particuarly stressful year the symptoms returned along a lightheadedness after eating & minor tachycardia I went to another cardiologist who did an echo and concluded I did NOT have MVP & heart is normal.
But Ive heard MVP doesnt always show up on echo & once u have been diagnosed u always have it?
Now 10 years later, after a particuarly stressful year the symptoms returned along a lightheadedness after eating & minor tachycardia I went to another cardiologist who did an echo and concluded I did NOT have MVP & heart is normal.
But Ive heard MVP doesnt always show up on echo & once u have been diagnosed u always have it?
Brief Answer:
Usually mitral valve prolapse does not disappear.
Detailed Answer:
Dear Mrs,
In mitral valve prolapse the leaflet of the mitral valve bulges(prolapses) back to the atrium when heart contracts. It is structural abnormality of leaflet. Usually once it is diagnosed it doesn't disappear during the life. There are few conditions which can worsen mitral valve prolapse, it is hypervolemia and tachycardia.
The good example is pregnancy; during pregnancy there is hypervolemia, tachycardia can be noticed as well, so there can be aggravation of prolapse. And even such condition can cause prolapse in people who didn't had it before. When patient's hemodynamics returns to normal, leaflet also returns back.
Minor prolapse(MP) is quite common finding, nothing serious. So the diagnosis can vary a little from echocardiographer to echocardiographer. The same patient can be diagnosed as having MVP in one, and as a normal in another.
In your case there can be 2 options;
1. it is possible you had tachycardia during your first echo, and normal heart rate during the last
2. as it was minor, it considered prolapse by first physician and normal by the second
Anyway in both cases there is nothing serious and nothing to be concerned about.
You should find other cause for your symptoms, it may be related to anxiety as well.
Hope I could help you
In case of further questions don't hesitate to ask
Wishing you good health
Regards.
Usually mitral valve prolapse does not disappear.
Detailed Answer:
Dear Mrs,
In mitral valve prolapse the leaflet of the mitral valve bulges(prolapses) back to the atrium when heart contracts. It is structural abnormality of leaflet. Usually once it is diagnosed it doesn't disappear during the life. There are few conditions which can worsen mitral valve prolapse, it is hypervolemia and tachycardia.
The good example is pregnancy; during pregnancy there is hypervolemia, tachycardia can be noticed as well, so there can be aggravation of prolapse. And even such condition can cause prolapse in people who didn't had it before. When patient's hemodynamics returns to normal, leaflet also returns back.
Minor prolapse(MP) is quite common finding, nothing serious. So the diagnosis can vary a little from echocardiographer to echocardiographer. The same patient can be diagnosed as having MVP in one, and as a normal in another.
In your case there can be 2 options;
1. it is possible you had tachycardia during your first echo, and normal heart rate during the last
2. as it was minor, it considered prolapse by first physician and normal by the second
Anyway in both cases there is nothing serious and nothing to be concerned about.
You should find other cause for your symptoms, it may be related to anxiety as well.
Hope I could help you
In case of further questions don't hesitate to ask
Wishing you good health
Regards.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
How do I know which diagnosis was correct? The initial diagnosis of MVP was done whilst I was having an allergic reaction to a corticosteroid . All other subsequent tests said no MVP
Brief Answer:
It seems there is no prolapse
Detailed Answer:
Dear Ms,
To say sure for 100% I need to have a look on your echo recordings.
Considering the fact that mitral prolapse is overdiagnosed and also you have allergic reaction, which could have led to tachycardia when your first echo was performed, it is more probable that you don't have mitral prolapse.
Regards,
It seems there is no prolapse
Detailed Answer:
Dear Ms,
To say sure for 100% I need to have a look on your echo recordings.
Considering the fact that mitral prolapse is overdiagnosed and also you have allergic reaction, which could have led to tachycardia when your first echo was performed, it is more probable that you don't have mitral prolapse.
Regards,
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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