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Mitral Valve Prolapse (cont.)

Medical Treatment

Usually a person needs no medications for mitral valve prolapse, just a strong dose of reassurance.

  • If a person has unusual heart rhythms, such as palpitations, she may need treatment with beta-blockers.

Surgery

On rare occasions, worsening valve leakage or extreme prolapse may require surgery to repair the valve. Improvements in heart surgery in the past 10 years have shown less need for mitral valve replacement with an artificial valve.

Follow-up

A person with mitral valve prolapse should see a health care provider for a follow-up exam every 2-3 years, including a clinical evaluation and possibly an ECHO test to assess whether blood leakage is worsening.

Outlook

Mitral valve prolapse is usually a harmless disorder that does not lead to a heart attack and does not prevent a person from having a normal, active life. The condition does trigger some possible complications, but overall risk for them is very low. These complications include the following:

  • Cardiac arrhythmias: These are usually only benign premature beats that need no drug treatment. Occasionally, they can have sustained supraventricular tachycardia needing further, more definitive, medical therapy. Sudden cardiac arrest due to a ventricular tachycardia, which is life threatening, is very rarely reported.
  • Worsening mitral regurgitation/insufficiency (backward blood flow) from either worsening prolapse or rupture of a heart muscle or tendon
  • Congestive heart failure, due to the mitral regurgitation
  • Stroke from a blood clot reaching the brain from the heart
  • Inflammation of inner portions of the heart valves, called endocarditis
Medically Reviewed by a Doctor on 7/24/2014
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Mitral Valve Prolapse - Treatment

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Mitral Valve Prolapse »

Mitral valve prolapse (MVP) is the most common valvular abnormality, affecting approximately 2-6% of the population in the United States.

Read More on Medscape Reference »


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