Patient's Query
Hello doctor,
My blood pressure has been 140/90 mmHg for the past year, and I have been taking Telmisartan 40 mg tablets in the morning. Today, I visited the cardiologist, who suggested a 2D echo and an ECG. The reports indicate that the mitral valve has anterior mitral leaflet (AML) prolapse and no mitral regurgitation (MR). Could you please clarify this? Is there something wrong? I am attaching the reports.
Hello,
Welcome to icliniq.com.
I have reviewed your reports (attachment removed to protect patient identity). Your ECG (electrocardiogram) is normal. In the echo, there is anterior mitral leaflet (AML) prolapse, which indicates slight backward bulging of the valve leaflet. This is mild, and there is no leakage in the valve. The associated risk is valve leakage, known as mitral regurgitation, but this is not present in your case. In most individuals, this condition is benign and does not lead to any complications, although some may develop leakage over time. For you, it is less likely to develop leakage since it is not present at the moment. Therefore, there is no need to worry about it now; however, it is advisable to get an echo done once every three to five years to monitor the situation.
I hope this information helps, and please feel free to reach out if you have any questions.
Patient's Query
Hello doctor,
Thank you for the reply.
To reduce my blood pressure, the doctor suggested switching from Telmisartan 40 mg to Telmisartan along with Hydrochlorothiazide. Is this dosage sufficient? How can I avoid mitral regurgitation?
Hello,
Welcome back to icliniq.com.
Yes, you should take Telmisartan and Hydrochlorothiazide. This dosage was increased because your blood pressure is borderline. Our target is to keep it below 140/90, preferably under 130. Therefore, you should continue with it. You just need to keep your blood pressure under control; no other action is needed to reduce the risk of mitral regurgitation. There is no treatment available to prevent mitral regurgitation from developing, as it is a genetic condition. Overall, you should not worry too much about it, but just keep an eye on it.
All the best!
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Answered byDr. Sagar Ramesh Makode
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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