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Mitral Valve Prolapse

WHAT YOU SHOULD KNOW

The heart has 4 chambers in it. The upper chambers are called atria (A-tree-uh) and the lower chambers are called ventricles (VEN-trick-uls). When the heart ""beats,'' the atria push blood into the ventricles and the ventricles push blood out of the heart. Valves control the flow of blood between the atria and ventricles. The mitral (MY-tral) valve lies between the left atrium and the left ventricle. It is made up of two small doors or leaflets that come from each side of the valve and meet in the middle. Its job is to keep blood from moving back into the left atrium. The valve opens to let blood flow into the ventricle, It closes to keep blood in the ventricle until it is pushed out into the circulatory system. Mitral valve prolapse occurs when one or both of the leaflets of the valve bulge backward into the atrium as the ventricle is pushing blood out of the heart. This is not normal. This movement may cause a clicking noise that your doctor can hear while listening to the heart with a stethoscope. Also, some of the blood from the ventricle may be allowed back into the atrium, which causes a ""whooshing'' sound called a ""murmur.''

Signs/Symptoms

Most people with mitral valve prolapse do not have any symptoms. If your valve gets worse you may feel tired, dizzy, or faint; get headaches; have trouble breathing; or experience chest pain or an irregular heartbeat. If these symptoms occur, you should see your doctor.

Care

If you do not have signs/symptoms, you don't have to change the way you live. If you have a murmur, you may need to take antibiotics before dental check-ups and avoid sports in which you could be hurt. You should visit your doctor yearly or as directed. If you do have signs/symptoms, you may not be able to exercise as much as before. You may also need medicine to control any symptoms and tests to find out how serious the prolapse is. One test is an echocardiogram (ek-oh-CARD-e-o-gram). This painless test allows the valves to be seen while the heart is beating. You may need surgery if the problems with the valve pose a real danger.

WHAT YOU SHOULD DO

  • If you are prescribed medicine for this condition, be sure to take it as directed. If you feel it is not helping, call your doctor. Do not quit taking it on your own.
  • If you take aspirin regularly, continue to take it. Aspirin helps thin the blood so blood clots don't form. Do not take acetaminophen or ibuprofen instead.
  • Remind your doctor or dentist you have mitral valve prolapse. You may need to take an antibiotic before dental cleanings and before some kinds of surgery. These help kill any germs that may get into your blood and cause an infection in the valve.
  • A diet low in fat, salt, and cholesterol is very important. It keeps your heart healthy and strong. Ask your doctor for guidelines on what to eat. It may take time getting used to a new diet. Special cookbooks may help you and the cook in your family find new recipes.
  • Quit smoking. It harms the heart and lungs. If you are having trouble stopping, ask your doctor for help.
  • If you have symptoms or a murmur, you may need to avoid heavy exercise or competitive sports. Ask your doctor about this. However, do exercise daily. It helps make the heart stronger, lowers blood pressure, and keeps you healthy. If your exercise plan seems too hard or too easy, talk to your doctor.
  • Weighing too much can make the heart work harder. If you need to lose weight, ask your doctor for a weight-loss program.
  • Wear your medic-alert bracelet every day especially if you have symptoms from your illness. Ask your doctor how to get one.
  • For more information about the heart, call the American Heart Association at 1-800-AHA-USA1 (1-800-242-8721) or call your local Red Cross.

Call Your Doctor If...

  • You have chest pain during exercise that doesn't go away with rest.
  • You have new symptoms that you did not have when you last saw the doctor.
  • You have worse headaches, are getting dizzier, or are more tired.

Seek Care Immediately If...

  • You faint or have chest pain, trouble breathing, or an irregular heartbeat. Call 911 or 0 (operator) to get to the nearest hospital or clinic. Do not drive yourself!

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