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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for heart murmur

I went to my school urgent care today and the physcian was kind of confused about my heart rate sound, she noticed late end-systolic click murmur that reduced with valsalva and didn't increase with hand grip. she also put in my note ECG-NSR with incomplete RBB, AND CBC MILD ANEMIA what does all this mean I'm 21 years old and this is my second time going to a physician and experiencing the same symptomps and was reffered to see a cardiologist. can you please tell me what all of this could mean. thanks

Fri, 5 May 2017
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Pulmonologist 's  Response
Hello
thanks for posting at HCM.
I have gone through your description. You have mentioned experiencing the same symptoms but not mentioned any symptoms. I would like to know about your symptoms and how they affect your quality of life.
The findings of your physician on auscultation seem to be due to mitral valve prolapse (MVP). Mitral valve is a valve which is present between the left atrium and the left ventricle. In MVP, some part of the valve prolapses, and when the ventricle pumps to send oxygenated blood to the body, this valve gets pushed back due to the prolapse and causes minor blood leak in the opposite direction. It is a common finding in young people and it does not cause any health issues. Also there is no need of medications for MVP. Medications are required if and only complications arise and the leak gets severe, which is rare. So you need not be worried about the auscultatory findings.
ECG findings show incomplete RBBB which means a defect in electrical impulse conduction on the right side. Again, it seems to be since your birth and will not cause you any health issues neither now nor in the future.
CBC shows mild anemia which can be treated with iron supplements.
Wishing you good health.
Regards
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