Is MVP with mild MR normal?

Hi,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect the patient's identity).

Except for mitral valve prolapse (MVP) with mild PR interval, nothing abnormal is mentioned in the summary. Regarding this MVP with mild mitral valve regurgitation (MR), it is in the early stages and causing a slight backflow of blood across the valve. Therefore, it requires treatment when backflow (regurgitation) increases severely.

However, it does not progress to that level in most individuals requiring no treatment. So, in my opinion, there is nothing to worry about at present. However, you should undergo an echo after every three to five years just to keep watch over it. As you mentioned, TMT (treadmill test) was also normal then; it suggests that the cause for your symptoms is not cardiac. Instead, it is likely related to anxiety.

I hope this helps you.

Get back to me if you have any more doubts or need more information to share.

Thank you.

Hi,

Welcome back to icliniq.com.

Yes, Clonazepam 0.25 mg and Propranolol 10 mg are fine, and they should be tapered off whenever symptoms are controlled.

Now, improving your diet is the best way to increase weight. Taking all meals, including breakfast, lunch, and dinner, is important on time and in adequate quantities. Some activities like walking or brisk walking after each meal help in digestion. Spicy and oily products should not be consumed in high quantities as they can hamper digestion. However, if weight loss is rapid, say in less than three months, the cause of weight loss needs to be found out. Certain illnesses can cause weight loss, in that case, you have to visit any local physician for examination, and further tests may be undertaken according to examination findings.

I hope this helps.

Please revert so I can assist you further.

Thank you.