Is mitral valve prolapse a reversible condition?

Q. Is mitral valve prolapse a reversible condition?

Answered by
Dr. Prashant Valecha
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 14, 2018 and last reviewed on: Jun 08, 2023

Hello doctor,

I was recommended by my cardiologist for 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 TTE scan, the radiographer who did the scan said that my regurgitation was only moderate. I find this very confusing and was wondering if MVP is a reversible condition. No current medications.



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 it looks. Like your radiologist may think it is moderate but it is severe, but because of its eccentric nature, it looks lesser than what it is. The second thing is, why are you not on any medicine yet? You should be on ACE (angiotensin-converting enzyme) inhibitors and diuretics. If you have symptoms like breathlessness, these medicines will relieve that and prevent heart events too. If you have symptoms and your heart chamber size increases, then you should go for MVR (mitral valve replacement). If a prolapse is worsening, then it will not reverse.

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