General fitness, health and nutrition · Public discussion

My Mitral Valve Prolapse.

Peter Jason · 2003-10-07T06:22:01+00:00

I have been getting my heart echoed for several years and the mitral prolapse is well established though all the rest is normal. I wonder if I should bite the bullet and have it fixed (by trimming it so it fits) and so avoid the possibility of the need for an artificial valve. Would this be a good idea?

Started by Peter Jason · 7 October 2003 · Last activity 13 October 2003 · 7 posts · 629 views

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01 / Original postMy Mitral Valve Prolapse.Peter Jason · 7 Oct 2003 02 / This pagePosts 1–7Page 1 of 1 · chronological order 03 / Latest replyPost #7Dr. Andrew B. Chung, MD/PhD · 13 Oct 2003

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Original section: General fitness, health and nutrition
Published: 7 October 2003
Last activity: 13 October 2003
Original author: Peter Jason
Posts: 7
Discussion status: Public discussion
Total views: 629
Views / 30 days: 0

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Original post
Peter Jason
Archived post

7 October 2003, 06:22 UTC #1

I have been getting my heart echoed for several years and the mitral
prolapse is well established though all the rest is normal. I wonder if I
should bite the bullet and have it fixed (by trimming it so it fits) and so
avoid the possibility of the need for an artificial valve. Would this be a
good idea?

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Eric Inazaki
Archived post

7 October 2003, 14:04 UTC #2

In article <[email hidden]>,
Peter Jason said:
I have been getting my heart echoed for several years and the mitral
prolapse is well established though all the rest is normal. I wonder if I
should bite the bullet and have it fixed (by trimming it so it fits) and so
avoid the possibility of the need for an artificial valve. Would this be a
good idea?
Is it leaking?

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Peter Jason
Archived post

7 October 2003, 21:58 UTC #3

"Eric Inazaki" <[email hidden]> wrote in message
news:[email hidden]...
Quoted message said:
In article <[email hidden]>,
Peter Jason said:
I have been getting my heart echoed for several years and the mitral
prolapse is well established though all the rest is normal. I wonder if

I
Quoted message said:
Quoted message said:
should bite the bullet and have it fixed (by trimming it so it fits) and

so
Quoted message said:
Quoted message said:
avoid the possibility of the need for an artificial valve. Would this

be a
Quoted message said:
Quoted message said:
good idea?
Is it leaking?
Only trivially, though recently I have started taking Sotalol for paroxymal
arrhythmia.

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Eric
Archived post

10 October 2003, 18:37 UTC #4

Peter Jason said:
"Eric Inazaki" <[email hidden]> wrote in message
news:[email hidden]...
Quoted message said:
In article <[email hidden]>,
Peter Jason said:
I have been getting my heart echoed for several years and the mitral
prolapse is well established though all the rest is normal. I wonder if I
should bite the bullet and have it fixed (by trimming it so it fits) and so
avoid the possibility of the need for an artificial valve. Would this be a
good idea?
Is it leaking?
Only trivially, though recently I have started taking Sotalol for paroxymal
arrhythmia.
What does your doc say? I'm not in the business, but it sounds to me
like you're jumping the gun a bit.

Report
Dr. Andrew B. Chung, MD/PhD
Archived post

11 October 2003, 06:17 UTC #5

"Peter Jason" <[email hidden]> wrote in message news:<[email hidden]>...
<snip>
Quoted message said:
By the way, how does one tell the first cardiologist that there is a second
cardiologist? What is the etiquette here?
Tell the first that the second found something on a holter and that
the first might want a copy of the results.
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com

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Peter Jason
Archived post

12 October 2003, 01:35 UTC #6

Many thanks for all replies:
Enclosed are results from three echos.
Nov95/Jan01/Sep03
LV diastolic 5.4/5.3/5.4cm
LV systolic 3.5/3.4/3.7cm
LV shortening 35/36/31%
RV 2.0/?/?cm
LV WallMotion Grades 1/1/1
Est E.F. 59/59/59%
AorticRoot. 3.7/3.9/3.9cm
Left Atrium 3.0/3.6/4.4cm
IV Septum 0.8/1.0/0.9cm
PosteriorWall 0.9/1.0/0.9cm
Mitral Valve:-
E/A: 0.6/0.4,0.5/0.6,0.6/0.6 mean gradient
Regurgitation: nil/mild/trivial
IVRT: 90/90/80 ms
DT: 200/230/270 ms
V2: 1.1/1.1/1.2 ms
V1: 0.8/0.7/0.8 ms
AorticValve:-
ValveArea ?/?/?/
PeakGradient: 5/5/6 mmHg
Regurgitation: nil/nil/nil
Tricuspid:
Regurgitation: trivial/mild/trivial
Pulmonary:-
Regurgitation: trivial/trivial/trivial
PAT 180/200/170ms
RVSP: ?/?/26mmHg
RAP: ?/?/10mmHg
LeftVentric Size: MildlyDilated/Normal/Normal
AtrialSize: Normal/Normal/MildEnlargement.
Notes at the reports' end....
Nov95:
Unrestricted trileaflet aortic valve.
Aortic root is mildly dilated
at the sinus level. Mildly myxomatous mitral leaflets
that both prolapse mildly. No mitral regurgitation.
Normal tricuspid and pulmonary valves.
Jan01:
Unrestricted trileaflet aortic valve.
Mildly dilated aortic root (3.9cm)
Mildly thickened and redundant mitral
valve leaflets with mild bileaflet prolapse.
Mild posteriorly directed mitral regurgitation.
Normal right heart chambers.
Normal pulmonary valve.
Mild tricuspid valve prolapse.
Sep03:
Mild left atrial enlargement.
Unrestricted trileaflet aortic valve.
Mildly dilated aortic root (3.9cm)
Normal ascending, descending aorta & arch.
Mildly thickened and redundant
mitral valve leaflets with mild bileaflet prolapse.
Trivial to mild mitral regurgitation.
Normal right heart chambers & pulmonary valve.
Unrestricted tricuspid leaflets with mild prolapse.
Trivial to mild tricuspid regurgitation.
Estimated right ventricular systolic pressure 26mmHg.
"Peter Jason" <[email hidden]> wrote in message
news:[email hidden]...
Quoted message said:
I have been getting my heart echoed for several years and the mitral
prolapse is well established though all the rest is normal. I wonder if I
should bite the bullet and have it fixed (by trimming it so it fits) and

so
Quoted message said:
avoid the possibility of the need for an artificial valve. Would this be

a
Quoted message said:
good idea?

Report
Dr. Andrew B. Chung, MD/PhD
Archived post

13 October 2003, 18:12 UTC #7

Peter Jason said:
Many thanks for all replies:
Enclosed are results from three echos.
Nov95/Jan01/Sep03
LV diastolic 5.4/5.3/5.4cm
LV systolic 3.5/3.4/3.7cm
LV shortening 35/36/31%
RV 2.0/?/?cm
LV WallMotion Grades 1/1/1
Est E.F. 59/59/59%
AorticRoot. 3.7/3.9/3.9cm
Left Atrium 3.0/3.6/4.4cm
IV Septum 0.8/1.0/0.9cm
PosteriorWall 0.9/1.0/0.9cm
Mitral Valve:-
E/A: 0.6/0.4,0.5/0.6,0.6/0.6 mean gradient
Regurgitation: nil/mild/trivial
IVRT: 90/90/80 ms
DT: 200/230/270 ms
V2: 1.1/1.1/1.2 ms
V1: 0.8/0.7/0.8 ms
AorticValve:-
ValveArea ?/?/?/
PeakGradient: 5/5/6 mmHg
Regurgitation: nil/nil/nil
Tricuspid:
Regurgitation: trivial/mild/trivial
Pulmonary:-
Regurgitation: trivial/trivial/trivial
PAT 180/200/170ms
RVSP: ?/?/26mmHg
RAP: ?/?/10mmHg
LeftVentric Size: MildlyDilated/Normal/Normal
AtrialSize: Normal/Normal/MildEnlargement.
Notes at the reports' end....
Nov95:
Unrestricted trileaflet aortic valve.
Aortic root is mildly dilated
at the sinus level. Mildly myxomatous mitral leaflets
that both prolapse mildly. No mitral regurgitation.
Normal tricuspid and pulmonary valves.
Jan01:
Unrestricted trileaflet aortic valve.
Mildly dilated aortic root (3.9cm)
Mildly thickened and redundant mitral
valve leaflets with mild bileaflet prolapse.
Mild posteriorly directed mitral regurgitation.
Normal right heart chambers.
Normal pulmonary valve.
Mild tricuspid valve prolapse.
Sep03:
Mild left atrial enlargement.
Unrestricted trileaflet aortic valve.
Mildly dilated aortic root (3.9cm)
Normal ascending, descending aorta & arch.
Mildly thickened and redundant
mitral valve leaflets with mild bileaflet prolapse.
Trivial to mild mitral regurgitation.
Normal right heart chambers & pulmonary valve.
Unrestricted tricuspid leaflets with mild prolapse.
Trivial to mild tricuspid regurgitation.
Estimated right ventricular systolic pressure 26mmHg.
"Peter Jason" <[email hidden]> wrote in message
news:[email hidden]...
Quoted message said:
I have been getting my heart echoed for several years and the mitral
prolapse is well established though all the rest is normal. I wonder if I
should bite the bullet and have it fixed (by trimming it so it fits) and

so
Quoted message said:
avoid the possibility of the need for an artificial valve. Would this be

a
Quoted message said:
good idea?

There should not be any cardiac surgeons out there willing to do it even if you
wanted them to. Your echocardiogram results as reported are just not that bad.
If your doctors can get/keep your blood pressure perfect (less than 115/70
mmHg), therein will be your greatest chances for never needing heart valve
surgery.
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

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