Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on Ask a Doctor service!

I passed carefully through your question and would explain that a slight mitral valve prolaps and diastolic dysfunction grade I do not indicate any serious heart condition.

I agree with you that anxiety and straining physical activity can exacerbate the situation.

For this reason, I would recommend reducing caffeine intake, avoiding straining physical activity and closely monitor your blood pressure values.

A betablocker (propranolol or metoprolol) at low doses can help improve your situation and also improve anxiety, without affecting your blood pressure values.

I would also recommend practicing aerobics or Yoga, which can help manage better your anxiety.

Consulting with a specialist of the field (psychotherapy, psychiatrist) can help you manage your anxiety better too.

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri

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Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

This is a very common finding in many patients, which have no clinical symptoms and perform a routine cardiac ultrasound.

Diastolic dysfunction grade I does not have any clinical significance.

Anyway, you should know that it is usually a progressive disorder, which depends on the patients lifestyle and risk factors like hypertension.

For this reason, I would just recommend trying to maintain your blood pressure under control and follow a healthy lifestyle (Mediterranean diet, low salt and caffeine intake, perform a lot of physical activity, avoid smoking or alcohol intake).

Hope to have clarified some of your uncertainties!

Wishing good health,

Dr. Iliri

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