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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Mild Mitral Valve Prolapse With Tricuspid Regurgitation Progress?

Hi, I have been suffering from severe chest pain since puberty, headaches and dizziness, fatigue and shortness of breath with the slightest exertion and more recently palpitations (I am currently in my mid twenties). I have been diagnosed with mild mitral valve prolapse with trivial mitral regurgitation and mild tricuspid regurgitation. My EF=70% Is this likely to progress? What should be done about these symptoms?
Mon, 29 May 2017
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Internal Medicine Specialist,  's  Response
MVP may lead to excessive stress on the papillary muscles, which,
in turn, leads to dysfunction and ischemia of the papillary muscles and
the subjacent ventricular myocardium. Rupture of chordae tendineae
and progressive mitral annular dilation and calcification contribute to valvular
regurgitation, which then places more stress on the diseased mitral
valve apparatus, thereby creating a vicious circle.

However the clinical course is most often benign and most patients are asymptomatic and remain so for their entire lives.Initial MR severity is the primary predictors of progression.In your case LVEF (70%) is excellent and long-term course is likely to be benign .

Beta blockers sometimes relieve chest pain and control palpitations.
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Does Mild Mitral Valve Prolapse With Tricuspid Regurgitation Progress?

MVP may lead to excessive stress on the papillary muscles, which, in turn, leads to dysfunction and ischemia of the papillary muscles and the subjacent ventricular myocardium. Rupture of chordae tendineae and progressive mitral annular dilation and calcification contribute to valvular regurgitation, which then places more stress on the diseased mitral valve apparatus, thereby creating a vicious circle. However the clinical course is most often benign and most patients are asymptomatic and remain so for their entire lives.Initial MR severity is the primary predictors of progression.In your case LVEF (70%) is excellent and long-term course is likely to be benign . Beta blockers sometimes relieve chest pain and control palpitations.