How serious is mitral valve prolapse?

Question

Hello doctor,

I use a Holter monitor test for my palpitations. I use them when I lay down, especially on the left side, but they disappear after some time. My physician told me it could be mitral valve prolapse and is not something to worry about. I also underwent ECHO, which was normal, but the Holter monitor test showed the longest QTc being 512. So, the physician advised doing an ECG, which was also normal. I never had syncope, shortness of breath, or a family history of sudden death or seizures. Should I be worried? Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for your query.

I reviewed your query (attachment removed to protect the patient's identity). Do not worry about QT, as I found QTc to be normal in your ECG (electrocardiography). However, the Holter monitor test shows a lot of premature complexes. So I suggest you follow the instructions mentioned below. Get serum electrolytes checked - Sodium, Potassium, Magnesium, and Calcium. Check (Hb) hemoglobin level. Check vitamin D levels. Also, to rule out any coronary artery disease, get a TMT (treadmill test) test done whenever possible. I hope this has helped you. Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Your echo (echocardiogram) is good (attachment removed to protect the patient's identity), and prolapse is there, but no good insufficiency. Also, I suggest you take vitamin D supplements as it is also one of the causes of palpitations, and long-term deficiency can lead to cardiomyopathy. So I suggest you take vitamin D3 60000 IU (sachet or capsule) once a week for ten weeks. Followed by the same dose once per month for a year. Kindly consult a specialist, talk to them, and take the medications with their consent.

I hope this has helped you. Thank you.