Can echocardiogram miss mitral valve prolapse?

0 votes
asked Nov 23, 2023 in Diseases Conditions by LouisRoss (4,040 points)
Can echocardiogram miss mitral valve prolapse?

1 Answer

0 votes
answered Mar 23 by Chambliss (46,100 points)
An echocardiogram can miss mitral valve prolapse although in most cases the echocardiogram will detect the mitral valve prolapse.

Many people with mitral valve prolapse have it without any noticeable symptoms and sometimes the symptoms of mitral valve prolapse may be mistaken for something else.

Mitral valve prolapse makes you tired as a result of inadequate blood oxygen being delivered to your working muscles which causes fatigue.

Mitral valve prolapse can affect your blood pressure and can cause low blood pressure and for some people mitral valve prolapse can cause high levels of catecholamines and high heart rate.

The first and only manifestation of mitral valve prolapse are a click or murmur and the murmur is caused by some of the blood leaking back into the left atrium.

The neurological symptoms of mitral valve prolapse are cerebral ischemia, transient global amnesia, migraine, autonomic dysfunction, and psychiatric disease.

Shortness of breath is a symptom of mitral valve prolapse.

The symptoms of mitral valve prolapse are cough, heart palpitations, chest pain, fatigue, shortness of breath when laying down and difficulty breathing after exertion.

The first heart sound in mitral valve prolapse is a crisp mid systolic click as the subvalvular apparatus abruptly tightens.

The age that is most affected by mitral valve prolapse is people older than 50.

However anyone of any age can be affected by mitral valve prolapse.

Exercise can improve mitral valve prolapse and improve heart health.

Exercise cannot worsen mitral valve prolapse as long as you safely exercise and not over exert yourself.

Exercise when done in a healthy way can be beneficial to your mitral valve prolapse condition.

The signs that your mitral valve prolapse is getting worse are shortness of breath, fatigue and weakness.

You should have mitral valve prolapse checked as often as every 2 years to 3 years.

If you have mitral valve prolapse and moderate or severe mitral regurgitation should see a doctor and undergo echocardiography every 6 to 12 months.

The age that mitral valve prolapse occurs is around age 50 although mitral valve prolapse can occur at any age and be inherited as well and be linked to several other conditions which include Ebstein anomaly.

If you have mitral valve prolapse you should avoid too much exertion, avoid unhealthy foods, avoid smoking and avoid excess alcohol consumption.

However you can continue to exercise as normal with mitral valve prolapse.

Mitral valve prolapse can cause vision problems especially in young patients which can include permanent or temporary vision loss.

The deficiency that causes mitral valve prolapse is a magnesium deficiency.

The 3 disorders that are associated with the mitral valve are.

Mitral valve prolapse – the valve becomes too floppy.
Mitral regurgitation – the valve leaks and blood flows the wrong way.
Mitral stenosis – the valve does not open as wide as it should.

You should go to the ER for mitral valve regurgitation when you have any symptoms of shock like pale skin, rapid breathing, loss of consciousness or severe shortness of breath.

Acute, severe mitral valve regurgitation is a medical emergency.

Walking as well as regular activity is good for mitral valve regurgitation as walking and light physical activity keeps your blood flowing and your heart healthy.

Mitral regurgitation can cause coughing which is often a dry cough as well as fatigue or feeling tired.

The red flags for mitral regurgitation are shortness of breath, heart palpitations and swelling of the hands and feet.

The cardinal signs of mitral regurgitation are.

Shortness of breath: You may have trouble breathing, especially during exercise.
Heart palpitations: You may notice a fluttering sensation in your heart, especially when lying on your left side.
Swelling of hands and feet: Extremities may swell when blood flow is disturbed.

When you have mitral regurgitation your blood leaks backwards across the valve and if the leakage of the blood is severe then not enough blood moves through your heart or o the rest of your body.

The kind of murmur that is heard with mitral valve prolapse is a late systolic murmur.

The whooshing sound of the mitral valve is a heart murmur which is a blowing, whooshing or even a rasping sound that can be heard during a heartbeat.

The whooshing sound of the mitral valve is caused by turbulent blood flow through your heart valves or near your heart.

The symptoms of a failing mitral valve are.

Shortness of breath: You may have trouble breathing, especially during exercise.
Heart palpitations: You may notice a fluttering sensation in your heart, especially when lying on your left side.
Swelling of hands and feet: Extremities may swell when blood flow is disturbed.
Shortness of breath with exertion.
Shortness of breath when lying flat.
Tiredness (fatigue)
Reduced ability to exercise.
Unpleasant awareness of your heartbeat.
Palpitations.
Swelling in your legs, abdomen, and the veins in your neck.
Chest pain (less common)

The first symptom of mitral stenosis is shortness of breath and tiredness or fatigue.

Other symptoms of mitral stenosis include chest pain, coughing up blood, dizziness and irregular heartbeats.

The best test for mitral stenosis is an echocardiogram which is useful for assessing mitral stenosis etiology, morphology, severity and treatment intervention.

The conditions that mimic mitral stenosis are left atrial myxoma, ball-valve thrombus, infective endocarditis, and cor triatriatum.

The two signs of mitral stenosis on ECG are signs of left atrial enlargement (P wave duration in lead II >0.12 seconds, P wave axis of +45 to -30 marked terminal negative component to the P wave in V1 [1 mm wide and 1 mm deep]) and, commonly, atrial fibrillation.

Mitral valve stenosis can make you tired and short of breath. Other symptoms may include irregular heartbeats, dizziness, chest pain or coughing up blood. Some people don't notice symptoms.

Mitral valve stenosis can be caused by a complication of strep throat called rheumatic fever.

The first symptom of mitral stenosis often is shortness of breath and you have have a hard time breathing, especially after you've been active or when you lay down.

You may also tire easily during increased physical activity and have swollen ankles and feet as well as heart palpitations and you may notice rapid fluttering heartbeat.

The blood pressure for mitral valve stenosis is 10 mm, higher and the diastolic level is 5 mm.

The most common cause of death in patients with mitral stenosis is congestive cardiopulmonary failure.

The medication that is used for mitral valve stenosis includes Antiarrhythmics, Calcium channel blockers, Anticoagulants, Beta-adrenergic blockers, Antibiotics, Diuretics.

Mitral valve stenosis is a disability when it prevents you from working.

However mitral valve stenosis does not automatically qualify you for disability but it can if you can demonstrate functional limitation in addition to an objective diagnosis of severity.

Mitral valve stenosis is hereditary as it can run in families.

Mitral stenosis causes shortness of breath because the valve cannot open enough and results in less blood flow through the body.

With mitral stenosis your upper heart chamber swells as pressure builds up and then the blood and fluid can collect in your lung tissue and make it hard to breathe.

Anything that can put stress on your body such as mental stress, physical stress, pregnancy, infections etc can all worsen mitral stenosis.

Mitral stenosis can also appear or become worse when your heart rate increases like during exercise or other physical activity.

Stress can cause and trigger mitral stenosis although the main risk factor of mitral stenosis is a history of rheumatic fever but even pregnancy and other conditions such as cardiac disorders, endocarditis and respiratory infection can cause mitral stenosis.

102,190 questions

97,555 answers

1,294 comments

7,007,047 users

...