What does MVP and MR in an Echo test mean?

Question

Hi doctor,

I have done my ECG, echo, TMT, and all blood tests are normal. Echo showing MVP with mild MR. I am worried about this I feel anxious and tired. Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Your echo report (attachment removed to protect the patient's identity) says moderate MVP (mitral valve prolapse), NO MR (mitral regurgitation) (there is no MR, but you wrote in your question mild MR). Anyways MVP is by birth, and we can just follow up with an echo yearly or whenever any specific symptoms like breathing difficulty. In your case, there is no MR - it is good, but MVP can cause raised heart rate, so your doctor prescribed you that medicine (it has medicine for anxiety and heart rate both). If this does not control the rate, I suggest you change medicine. Tablet Concor 2.5 mg (Bisoprolol 2.5 mg) once a day. (It will control heart rate; you will mostly not have anxiety once your heart rate is controlled). The second thing is in your TMT (treadmill test). I see significant changes that do not seem normal to me; kindly ask your doctor to review the report, especially during the peak exercise stage. Have a nice day.

Answer 2

Hi,

Welcome back to icliniq.com.

Yeah, in peak exercise, there are significant ST changes (ST depression), which suggests TMT (treadmill test) is positive. It suggests you may need a CAG (coronary angiogram), or you can repeat TMT if there are no symptoms of chest pain while walking or exertion. Did you feel any chest pain or discomfort during TMT? Just ask your doctor for a review as you have to take a second opinion from other doctors (me). Regards.