Doctor & Patient Education Cardiac Specialist Centre
Echo
1. Mitral Valve Prolapse (MVP)
Mitral valve
  • The mitral valve is the valve that regulates blood to pass from the left upper chamber (Left Atrium) to the left lower chamber (Left Ventricle)
  • It is so called due to the similarity in shape with a 'Mitre' (also spelt Miter)
  • This is a headgear which a Pope or Bishop wears in formal ceremonies
MVP
  • Mitral valve prolapse is one of the most common congenital defect in the heart
  • It is often shortened to 'MVP'
  • One of the most common ways of picking these cases up is when the doctor listens to your heart with a stethoscope
  • A murmur is heard
Diagnosis
  • The definitive way to make a diagnosis is by echocardiogram
  • This can be easier said than done
  • This is because the alignment of the echo beam must be perfect
  • Otherwise there will be an over diagnosis of this condition

The diagnosis should be made on Parasternal Long Axis only

Definition of Mitral Valve Prolapse. This is a enlarged picture of the previous echocardiogram

So what if I have MVP?

  • This depends on the severity of the prolapse
  • The greater the prolapse, the more the valve leaks
  • Over the long term the back flow of blood to the left atrium will cause it to dilate
  • Eventually heart failure develops

Colour flow mapping shows

 

What do I have to do?
  • You will need regular echocardiogaphic examination
  • Depending on the severity of the prolapse and MR, the follow up echo may range from 3 to 5 yearly to as frequent as 6 monthly
  • The MVP and MR if not severe may be very well tolerated and nothing may need to be done
  • But if it becomes severe, valve repair or replacement may need to be carried out
Consultation
Know Your Cardiologists

I feel breathless when walking.

I feel a tightness over my chest.

Do I need to take my medicine for my blood pressure?

Do I need to take my medicine for my cholesterol?

Do I really need stents for my artery?

Do I really need to have a bypass operation?

When should I go for health screening?

I have heart problem, can I take Viagra?

I have heart problem, should I exercise?

Heart Disease
Learn about your heart Conditions

You may need an ultra sound scan of your heart to assess its function.

You may need a treadmill stress test.

You may need closer monitoring.

You may need a more thorough risk assessment and life style change.

You may only need to take your medicine.

You may get away with just stenting.

This generally should start at 40 years old.

Yes, but there are certain strict conditions to fulfill.

Yes, but you will need to find out the appropriate intensity.