Asymptomatic MV regurgitation with prolapse, to surgery or not
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Hello
47 year old, 2.5 years ago I was diagnosed with MV regurgitation with prolapse. I dont have symptoms like shortness of breath .
6 months before MV diagnose I was diagnosed with High Blood pressure, which I never had in my life.
I dont have any major illness .
Since visited cardiologist first time , I had 5 echocardiagrams and 2 TEE's , as well as some other procedures like Carotid etc.
In those echo's the result was medium/severe mitral valve regurgitation with prolapse
My cardiologist kept telling me we should watch and wait , I moved to a new city and now my new cardiologist says I should have the surgery because LV got bigger.
He asked for a TEE which confirmed :
Severe Regurgitation with posterior leaflet prolapse , likely a fail segment
LV: Moderately dilated
LA: Moderately dilated
I also started to have PVCs (6000 a day) since oct 2021
I wanted to ask whether anyone had similar experience? Any tips?
A few things dont makes sense to me.
First of all some of the echos said I have posterior prolapse some said its anterior some said its bi-leaflet.
How come they cant identify which leaflet?
The last TEE says "likely a flail segment" , so they are not sure again whether I have a flail or not
The LA and LV sizes were going up and down +- 10%, is this human mistake when measuring?
The echo's were alternating between moderate/severe and severe regurgitation, again is this human mistake ?
Below are the echo details:
8/2020 echo:
EF :57%
LA :4.2 cm ( dilated)
LVIDd: 5.5 cm
Moderate/Severe Regurgitation
moderate prolapse of mv leaflets
2/2021 echo:
EF: 60%
LA:4.3 cm (dilated)
LVIDd: 5.1 cm
Severe Regurgitation
Anterior and posterior prolapse
6/2021 Echo:
EF : 60-65%
LA:3.7
LVEDD: 5.3
Moderate/Severe Regurgitation with posterior leaflet prolapse
11/2021 Echo:
EF : 65-70%
LA:4
LVEDD:5
Severe Regurgitation ,
Anterior leaflet prolapse, thickened leaflets
5/2022 Echo:
Dont have all the details but the dr said LV is dilated with severe regurgitation
6/2022 TEE:
EF: 65-70%
Severe Regurgitation with posterior leaflet prolapse , likely a fail segment
LV: Moderately dilated
LA: Moderately dilated
I started to have arythmias in oct 2021, (after a dinner) , the holter shows 6000 PVC
No AF
In the past :
in 2002-2003, I had arhytmias happening once a month , it was like : my heart rate goes up to 130 for a few mins and suddenly dropping to regular rate. At that time I visited a cardiologist, they put me on holter and stress test. They said everything is good. This artyhmia disapperad in 2006 or so ..
2010, My then primary care dr heard a murmur and asked me if I had any heart problems, I told him the arythmias that happened before. He didnt refer me to cardiologist.
Appreciate any tips suggestions
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