Mitral Valve Prolapse

Mitral Valve Prolapse (MVP) is a heart valve condition where the two flaps of the mitral valve bulge into the left atrium and do not close properly. The heart valve that is present between the left atrium and left ventricle is called the mitral valve. Sometimes, this condition results in mitral valve regurgitation, which is blood leaks back into the left atrium from the left ventricle.

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Can MVP be detected through ECG and TMT?

Query: Hi doctor, For two years, I have been suffering from MVP (mitral valve prolapse). Then, I have undergone ECG and TMT, but no MVP detected. But, I was advised to take the tablets given for MVP, which includes Metolac-ER 50 and Dothimax 25. Will these tablets cause any side effects?  Read Full »

Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to Mitral valve prolapse cannot be detected on ECG - electrocardiogram or a TMT - treadmill test unless has very advanced and causing severe problems. It can be picked up by an echocardiogram, which is a heart ultrasound. Now coming back to your medications, Dothimax (...  Read Full »

KIndly guide me on seeing my reports whether I need a medication or not.

Query: Hello doctor,I had a seven-day monitor, and I have attached my reports. Nothing has been added about whether I need medication, etc. This sounds dangerous. should I be worried?  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to Can you upload the report again? I did not get the part narrow complex 5 qrs hr etc. Do you have any chest pain or discomfort heaviness on exertion, or shortness on exertion? These are ectopics or extra beats. These are usually benign and not life-threatening. These ...  Read Full »

Does a mild mitral valve prolapse require a surgery?

Query: Hi doctor, I am 21 years old. I had been diagnosed with a mild mitral valve prolapse four years ago. I have been prescribed beta-blockers for the same. Last year when an echo was performed, it showed that the prolapse had reduced. But, in the last few months, due to an increased amount of activity a...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hello,  Welcome to If you have only MVP (mitral valve prolapse), and no other complication such as valve leakage, there is nothing much to worry about. Have you ever had a stroke? I want to see your current ECG (electrocardiogram) and echocardiography report to guide you properly. Re...  Read Full »

Please explain my father's heart problem from the medical report.

Query: Hi doctor, My father has diabetes for the past 15 years and he is suffering from heart problem for the past four years. Recently he was admitted to the hospital due to severe breathing problem, sudden fainting, loss of appetite and water accumulation in the stomach and legs. After taking treatment ...  Read Full »

Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to After careful review, I can appreciate well the sensitivity of the issues you and your family is suffering from. Your father seems to have left heart failure (attachment removed to protect patient identity) that landed him twice in the hospital. He is having the...  Read Full »

What are the causes for continuous chest pain?

Query: Hello doctor, I am suffering from chest pain since last three years. About two weeks back, I felt uneasiness, shortness of breath and mild chest pain. The ECG was abnormal. I was admitted to the hospital and was on Lomo injections. They advised me for an angiography and the reports were normal. But...  Read Full »

Dr. Rishu


Answer: Hi, Welcome to Creatine phosphokinase-MB (CKP-MB) is an indicator of the cardiac event, but it is not very specific. There are a number of conditions in which CPK-MB could be raised apart from cardiac issues. Troponin I is a better indicator. Troponin I has very high sensitivity le...  Read Full »

Why is there fast heart rate and high blood pressure in a mitral valve prolapse patient?

Query: Hello doctor, I have a fast heart rate, palpitations, and high blood pressure. I have a mitral valve prolapse. I have been put on Amitriptyline, Florinef, and Propranolol.  Read Full »

Dr. Bilal Munawar

Family Physician

Answer: Hi, Welcome to This is most likely pheochromocytoma, anxiety, panic attacks or essential hypertension. A pheochromocytoma can also cause arterial resistant hypertension which could be fatal sometimes and this blood pressure is usually not controlled with common blood pressure medicati...  Read Full »

My homocysteine and lipoprotein values are elevated. Is it worrisome?

Query: Hello doctor, I have homocysteine value 23.6, and lipoprotein 31.5. ECG and TMT are normal. Is it serious? As I smoke, is it normal because of my smoking? Do I need to visit a doctor?  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to I have gone through your reports (attachment removed to protect patient identity). This is not worrisome. Lipoprotein is just borderline, and you just need to have a healthy lifestyle to control it like low oily, fat and calorie diet along with regular exercises at l...  Read Full »

Do you see signs of ischemia in my ECG reports?

Query: Hello doctor, Abnormal t-wave. High QRS Voltage. Abnormal Qtc. Pulse 60. Two readings were taken. Marfan syndrome present. Male 33 years old, 180 lbs, 6.1 feet tall. Chest tightness, heart palpitations, fast heartbeat, fluttering, fatigue, inverted sternum since birth (abdominal area protrudes, not...  Read Full »

Dr. Vivek Pillai


Answer: Hi, Welcome to I have gone through the ECG and images (attachment removed to protect patient identity). The abnormally high QRS voltage could be due to the chest wall deformity and thus the heart being closer to the chest wall than usual. Hence, the recording electrodes recording high...  Read Full »

Reports show AML prolapse. Is there a way to avoid mitral regurgitation developing?

Query: Hello doctor, My blood pressure is 140/90 since one year and I am using Telmikind 40 tablet in the morning. Today, I visited the cardiologist and he suggested 2D echo and ECG. The reports show mitral valve has AML prolapse and no MR. Kindly clarify this. Is something wrong? I am attaching the repor...  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to I have gone through your reports (attachment removed to protect patient identity). Your ECG is normal. In the echo, there is AML (anterior mitral leaflet) prolapse, which means there is slight backward bulging of the valve leaflet. This is mild and there is no leakag...  Read Full »

Is mitral valve prolapse a reversible condition?

Query: Hello doctor, I was recommended by my cardiologist for a heart valve replacement surgery as my latest echocardiogram results, both transthoracic (TTE) and transesophageal (TEE), revealed that my mitral valve prolapse had worsened. The diagnosis was severe eccentric MR. However, during the latest TT...  Read Full »

Dr. Prashant Valecha

Cardiologist, General Practitioner

Answer: Hello, Welcome to First of all, the severity of MR (mitral regurgitation) will be correctly deciphered by your cardiologist. An eccentric type of MR is actually a grade higher than what it looks. Like your radiologist may think it is moderate but it is severe, but bec...  Read Full »

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