Treatment FAQ

what is the best treatment for mitral valve prolapse

by Mrs. Yazmin McLaughlin Published 3 years ago Updated 2 years ago
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Surgery and other procedures
Mitral valve repair is preferred because it saves the existing valve. Valve repair and replacement may be done using open-heart surgery or minimally invasive surgery. Minimally invasive surgery involves smaller incisions and may have less blood loss and a quicker recovery time.
Mar 11, 2022

Medication

How is Mitral Valve Prolapse treated? In most cases mitral valve prolapse is treated with: Reassurance. If you have symptoms with mitral valve prolapse, it can cause anxiety about your heart and the severity of your valve disease. However, most people with MVP need only endocarditis prevention and yearly follow-up appointments.

Procedures

Apr 24, 2013 · They also dilate blood vessels, facilitating blood flow. Benzodiazepines – Benzos, such as Xanax, have a sedative effect on the body. This can help to relieve anxiety related to MVP. These anti-anxiety drugs are commonly prescribed to patients who have symptoms of dysautonomia or mitral valve prolapse syndrome.

Self-care

Jun 29, 2018 · Transcatheter mitral valve replacement (TMVR). In this procedure, a surgeon guides a hollow catheter into your heart through a vein in your groin vein. He or she then inserts the replacement valve ...

Nutrition

46 rows · Drugs used to treat Mitral Valve Prolapse. The following list of medications are in some way related to or used in the treatment of this condition. Select drug class All drug classes cardioselective beta blockers (8) non-cardioselective beta blockers (7) group II …

How dangerous is a mitral valve prolapse?

Nov 11, 2021 · Mitral valve clip. In this procedure, a surgeon guides a catheter with a clip on its end to the mitral valve through an artery in the groin. The clip is used to fix a torn or leaky mitral valve leaflet. This procedure is an option for people who have severe mitral valve regurgitation or who aren't a good candidate for mitral valve surgery.

When and how to treat a leaky mitral valve?

Jul 30, 2017 · What are the top natural remedies for mitral valve prolapse? 1. Magnesium. Magnesium supplementation is reportedly one of the best natural MVP treatments. This is probably because a... 2. Coenzyme Q10. Coenzyme Q10 (ubiquinone) is another one of the top natural remedies for mitral valve prolapse. 3. ...

How to strengthen mitral valve?

To treat mitral valve regurgitation, your surgeon might shape, rebuild, or trim the flaps that open and close the valve or fix the chords that attach them to the heart. The surgeon might also sew a ring of cloth, tissue or metal around the valve to tighten it and stop blood from leaking backwards.

How dangerous is mitral valve replacement surgery?

Aug 01, 2016 · Mitral valve repair is performed through several different approaches: open chest, through a small incision on the right side of the chest, or minimally invasively through small incisions on the right side of the chest, which can be robotically assisted. Another less invasive treatment for mitral regurgitation is a MitraClip. It is a small clip that is attached to your mitral …

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What is the best medication for mitral valve prolapse?

How is mitral valve prolapse treated?
  • aspirin to reduce the risk of blood clots.
  • beta blockers to prevent your heart from beating irregularly and to improve blood flow.
  • blood thinners to prevent blood clots.
  • diuretics to remove excess fluid from the lungs.
  • vasodilators to widen the blood vessels and improve blood flow.

How do you prevent mitral valve prolapse from getting worse?

Lifestyle and home remedies
  1. Manage blood pressure. Control of high blood pressure is important if you have mitral valve regurgitation.
  2. Eat a heart-healthy diet. ...
  3. Get regular exercise. ...
  4. Maintain a healthy weight. ...
  5. Prevent infective endocarditis. ...
  6. Avoid or limit alcohol. ...
  7. Avoid tobacco. ...
  8. Get regular health checkups.
Feb 8, 2022

How do you know if your mitral valve prolapse is getting worse?

However, some people develop symptoms that get worse over time. These symptoms can vary from person to person, but may include the following: palpitations, or the feeling of the heart skipping a beat or beating too hard. a racing heart.

What should I avoid if I have mitral valve prolapse?

Limit your consumption of sodium, saturated and trans fats, added sugars, and alcohol. And load up on veggies, fruits, whole grains, lean meats, fish, legumes, and vegetable oils. These are the foundation of what's often referred to as a “heart-healthy diet.”May 4, 2022

Does mitral valve prolapse shorten life?

MVP usually does not need to be treated because it is rarely a serious condition and it does not damage the heart. People with heart rhythm changes may need to be treated with medicines to control tachycardias (fast heart rhythms). MVP is usually harmless and does not shorten life expectancy.

Is mitral valve prolapse curable?

Usually, mitral valve prolapse isn't life-threatening and doesn't require treatment or lifestyle changes. But some people may need medications or surgery, especially if the prolapse causes severe regurgitation.Mar 11, 2022

When should you have mitral valve surgery?

The most common indication for mitral valve surgery is symptomatic chronic severe primary mitral regurgitation, usually owing to degenerative valve disease, with a left ventricular ejection fraction (LVEF) of >30% (Class I recommendation); mitral valve surgery is indicated in symptomatic patients with severe LV ...Oct 31, 2018

Which is worse mitral valve prolapse or regurgitation?

The mitral valve is most prone to degenerative valve disease, a condition where the valve gradually declines. That means there's a risk that mitral valve prolapse may progress to mitral valve regurgitation, a more serious condition that may require treatment if the leak is severe.Nov 13, 2019

Does mitral valve regurgitation get worse with age?

Mitral regurgitation becomes more common with age. This is because of age-related wear and tear of the valve. In the population as a whole around 2% of people have at least moderate mitral regurgitation.May 25, 2015

Can you live a long life with mitral valve prolapse?

Most people with mitral valve prolapse can lead active, long lives. It is important to receive ongoing medical care to monitor your condition, to follow a heart healthy diet and get regular exercise. If symptoms appear or worsen, they can usually be controlled with medicines.

How can I strengthen my heart valve naturally?

9 Natural Ways to Strengthen Your Heart Valves
  1. Look at Your Plate. ...
  2. Pop Some Fish Oil. ...
  3. Keep Your Weight in Check. ...
  4. Decrease Salt Intake. ...
  5. Get Better Sleep. ...
  6. Move Around. ...
  7. Try Meditation. ...
  8. Up Your Dental Hygiene.
May 28, 2021

How long can you live with mild mitral valve regurgitation?

Widely disparate estimates of long term survival in patients with mitral regurgitation—between 97–27% at five years—have been reported. We analysed the natural history of mitral regurgitation caused by flail leaflets because these patients present with severe mitral regurgitation in more than 85% of cases.

What is the mitral valve prolapse?

Mitral valve prolapse is a type of myxomatous valve disease. The tissue of the mitral valve leaflets and chordae are abnormally stretchy, so that as the heart beats, the mitral valve bows or flops back into the left atrium.

Can a mitral valve prolapse cause a leak?

Those with mitral valve prolapse may not have any regurgitation (leaky valve) or they may have a range of severity from a mild leak to a very floppy, leaky valve. The majority of people have no leak or a mild leak. In this case, MVP is not a cause for concern. A small percentage of people with mitral valve prolapse have severe MVP, ...

Can a mitral valve leak?

Those with mitral valve prolapse may not have any regurgitation (leaky valve) or they may have a range of severity from a mild leak to a very floppy, leaky valve. The majority of people have no leak or a mild leak. In this case, MVP is not a cause for concern.

What are the symptoms of a valve leak?

bursts of rapid heartbeat (palpitations) chest discomfort. easily tired (fatigue) dizziness. shortness of breath. anxiety. Symptoms do not always relate to how serious your MVP is. You may have frequent symptoms, yet diagnostic tests may show your valve leak is not significant.

What is MVP in heart?

MVP is called the click-murmur sound because the doctor will hear a click and a murmur (abnormal blood flow through the valve) as the valve leaflets bow back into left atrium with each heartbeat. Other tests used to diagnose valve disease may include : Echocardiography. Transesophageal echocardiography.

How to prevent endocarditis?

Good oral health is generally more effective in reducing your risk of bacterial endocarditis than is taking preventive antibiotics before certain procedures. Take good care of your teeth and gums.

Is mitral valve prolapse necessary?

Mitral valve prolapse treatment is not necessary in most cases. Most patients do not experience symptoms, or they are so mild that monitoring during routine medical checkups is enough. Even those with regurgitation of the mitral valve and dysautonomia symptoms may still only need an annual evaluation. However, that does not mean that mitral valve ...

Is mitral valve prolapse a good prognosis?

Mechanical valves are more prone to infection. Whichever type of mitral valve prolapse treatment a person receives, when handled in timely fashion, the overall prognosis is good. Some patients experience complications, but most do not.

Can mitral valve prolapse cause heart failure?

Surgical treatment of mitral valve prolapse always accompanies risks and shouldn’t be rushed into. However, even without symptoms, significant regurgitation can lead to heart failure. Procrastination can result in the heart being too weak or damaged to withstand treatment.

Can mitral valves be used to treat MVP?

Yes. There are a number of natural mitral valve treatment options that can make MVP symptoms more tolerable (or even eliminate them altogether) and decrease the risk of complications. Controlling blood pressure and promoting blood flow are two important goals with each solution, and they tend to work best in tandem.

Can exercise cause mitral valve prolapse?

Note: While supplements and herbs can be helpful, they can have adverse reactions with mitral valve prolapse medications. Furthermore, exercise may not be suitable for everyone with the condition.

What are the treatment options for MVP?

When the MVP condition involves significant regurgitation, the two main treatment options are medication and surgery. The least invasive choice is generally preferred, but the course of action depends on the severity of the case and on if the patient has other conditions that may increase the risk of complications.

What is the best medication for MVP?

They also dilate blood vessels, facilitating blood flow. Benzodiazepines – Benzos, such as Xanax, have a sedative effect on the body. This can help to relieve anxiety related to MVP. These anti-anxiety drugs are commonly prescribed to patients who have symptoms of dysautonomia or mitral valve prolapse syndrome.

Can a mitral valve be repaired?

Your mitral valve may need to be repaired or replaced. Doctors may suggest mitral valve repair or replacement even if you aren't experiencing symptoms, as this may prevent complications and improve outcomes. If you need surgery for another heart condition, your doctor may repair or replace the diseased mitral valve at the same time.

What test is done to check for mitral valve repair?

A CT angiogram may be performed of the chest, abdomen and pelvis to determine whether you're a candidate for robotic mitral valve repair. Exercise tests or stress tests. Different exercise tests help measure your activity tolerance and monitor your heart's response to physical exertion.

What kind of doctor treats mitral valve regurgitation?

A doctor trained in heart disease (cardiologist) will provide your care. If you have mitral valve regurgitation, consider being treated at a medical center with a multidisciplinary team of doctors and medical staff trained and experienced in evaluating and treating heart valve disease.

What is the sound of blood leaking backwards through the mitral valve?

Mitral valve regurgitation usually produces a sound of blood leaking backward through the mitral valve (heart murmur). Your doctor will then decide which tests are needed to make a diagnosis. For testing, you may be referred to a cardiologist.

What type of echocardiogram is used for mitral valve?

Doctors also may use a 3-D echocardiogram. Doctors may conduct another type of echocardiogram called a transesophageal e chocardiogram. In this test, a small transducer attached to the end of a tube is inserted down your esophagus, which allows a closer look at the mitral valve than a regular echocardiogram does. Electrocardiogram (ECG).

What is the name of the test that a doctor performs to check the mitral valve?

Doctors may conduct another type of echocardiogram called a transesophageal echocardiogram. In this test, a small transducer attached to the end of a tube is inserted down your esophagus, which allows a closer look at the mitral valve than a regular echocardiogram does. Electrocardiogram (ECG).

How do surgeons repair valves?

Surgeons can repair the valve by reconnecting valve flaps (leaflets), replacing the cords that support the valve, or removing excess valve tissue so that the leaflets can close tightly. Surgeons may often tighten or reinforce the ring around a valve (annulus) by implanting an artificial ring (annuloplasty band).

How to repair mitral valve?

If your surgeon needs to repair your mitral valve through tiny incisions (without opening up your chest), here are minimally invasive surgical options: 1 Right mini-thoracotomy. The surgeon inserts special instruments and repairs the valve through a 2- to 3-inch incision in a skin fold on the right side of the chest. 2 Partial upper sternotomy. This also involves a 2- to 3-inch incision, this time in the upper portion of the sternum. This gives the surgeon easier access to repair the valve. 3 Robotically assisted mitral valve repair. In this case, your surgeon works through a few incisions of about 1 inch or less. With a computer console, the surgeon can control instruments on thin robotic arms. This allows him or her to open the thin sac around your heart to perform the repair.

Can mitral valve disease be solved?

While mitral valve disease can lead to severe heart failure, it can often be solved with open surgery. But, what if you are unable to undergo major surgery because of other health issues?

Can a surgeon repair a mitral valve?

Medication is sometimes a solution, but surgeons also may use minimally invasive options to repair the mitral valve. Researchers are also investigating several promising mitral valve replacement options. “Percutaneous (through the skin) mitral valve repair and replacement techniques are rapidly growing. They help patients who currently do not have ...

What is the mitral valve?

The mitral valve allows oxygen-rich blood flowing from the lungs to return to the heart. “The most common valve problem is leakage, also known as mitral valve regurgitation ,” Dr. Kapadia says. “If the blood leaks back into the lungs, it causes you to have shortness of breath.”.

Is mitral valve surgery life threatening?

If failing health or a weak heart makes open surgery a higher risk for you, there are safer surgical options. “In some situations, mitral valve disease is not life threatening and does not require surgery,” Dr. Kapadia says.

Can you use a ring to repair a leaking mitral valve?

It is FDA- approved for patients with severely leaking valves who are at high risk for conventional surgery. Percutaneous rings. There are ways to repair mitral valves using rings that can be inserted through the groin or neck veins to help the valve close better. They are available under clinical trials at this time.

How does a robotic mitral valve repair work?

In this case, your surgeon works through a few incisions of about 1 inch or less. With a computer console, the surgeon can control instruments on thin robotic arms. This allows him or her to open the thin sac around your heart to perform the repair.

How to treat mitral valve disease?

Mitral valve disease treatment depends on your symptoms, the severity of the condition, and if your condition is getting worse. A doctor trained in heart disease (cardiologist) will provide your care. Treatment may include: Monitoring your condition with regular follow-up appointments. Making healthy lifestyle changes.

What to do if your mitral valve is damaged?

If your mitral valve can't be repaired, surgeons may replace the valve. In mitral valve replacement, your surgeon removes the damaged valve and replaces it with a mechanical valve or a valve made from cow or pig heart tissue (biological tissue valve).

What test is used to check for mitral valve?

Your doctor may order several tests to diagnose your condition. Tests may include: Echocardiography. Sound waves are used to produce video images of your heart in motion. This test helps your doctor get a close look at the mitral valve and how well it's working. Doctors may also use a 3D echocardiogram or another type of echocardiogram called ...

What type of echocardiogram is used to check the mitral valve?

Doctors may also use a 3D echocardiogram or another type of echocardiogram called a transesophageal echocardiogram. In this test, a small transducer attached to the end of a tube is inserted down the tube leading from your mouth to your stomach (esophagus).

Can a doctor replace a mitral valve?

Doctors may suggest mitral valve repair or replacement even if you aren't having symptoms, as this may prevent complications and improve outcomes. If you need surgery for another heart condition, your doctor may repair or replace the diseased mitral valve at the same time.

How to repair a mitral valve?

To repair a mitral valve, surgeons may patch holes in a valve, reconnect valve flaps (leaflets), separate valve leaflets that have fused, replace the cords that support the valve, or remove excess valve tissue so that the leaflets can close tightly.

Can a mitral valve be repaired?

Mitral valve replacement. If your mitral valve can't be repaired, surgeons may replace the valve. In mitral valve replacement, your surgeon removes the damaged valve and replaces it with a mechanical valve or a valve made from cow or pig heart tissue (biological tissue valve).

What is the best treatment for mitral valve prolapse?

Coenzyme Q10 (ubiquinone) is another one of the top natural remedies for mitral valve prolapse. According to health experts, CoQ10 can help tremendously with symptomatic MVP, and deficiencies of this vitamin-like substance appear to be rather common in people with heart diseases.

Does L-carnitine help with mitral prolapse?

The production of energy is one of the main functions of l-carnitine in the body. This makes it beneficial in cases where fatigue and weakness are recurring mitral prolapse symptoms. L-carnitine may also reduce blood pressure, cholesterol, and inflammation. Generally, it improves cardiovascular health.

What is the best treatment for MVP?

B vitamins. Vitamin B is said to be effective in staving off symptoms of MVP syndrome, and it tends to work in concert with other natural remedies for mitral valve prolapse. One can find B vitamins abundantly in green vegetables, whole grains, meats, and dairy. They are also available in supplement form.

Is acetyl-l-carnitine good for MVP?

However, acetyl-l-carnitine is said to be more bioavailable and may be more suitable for patients with certain MVP symptoms.

Can mitral valve disease cause blood flow to go backwards?

However, if you have mitral valve disease, your blood flow is disrupted, and can even flow backward.. You might also be interested in: How Your Heart Valves Are Like Traffic Controllers.

What causes a mitral valve to not open?

Stenosis occurs when the flaps (leaflets) of the valve stiffen, thicken or fuse together. This prevents your mitral valve from fully opening, meaning you do not get enough blood flowing through your valve. This is usually related to rheumatic heart disease but can also be related to age, radiation, and other diseases.

What is the valve that keeps blood flowing forward?

Between the left atrium and ventricle is your mitral valve, which keeps blood flowing forward. However, if you have mitral valve disease, your blood flow is disrupted, and can even flow backward.. You might also be interested in: How Your Heart Valves Are Like Traffic Controllers.

What are the different types of valve problems?

There are three basic types of valve problems: atresia, stenosis and regurgitation. Atresia is a rare congenital defect (present from birth).The mitral valve doesn’t form correctly, which prevents blood from flowing into the left ventricle properly. Infants who are diagnosed with mitral valve atresia are often treated with staged surgeries.

What is mitral regurgitation?

Mitral regurgitation is often associated with prolapse, when one or both of the flaps in your valve billow or are displaced. If mitral valve disease is causing severe symptoms, your physician might recommend surgery to either repair or replace the dysfunctional valve.

Why repair valves before replacing?

And in comparison to replacements, repairs have several benefits: They preserve the function and strength of your heart muscle.

What is balloon valve repair?

Balloon valvuloplasty. A common form of valve repair for stenosis (narrowing) is called balloon valvuloplasty. It is minimally invasive, meaning there is less pain and blood loss, and a lower risk of infection than general surgery would present.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves medication to help manage symptoms or surgical procedure where mitral valve is repaired / replaced based on the severity.
Medication

Beta blockers: To prevent arrhythmias by reducing blood pressure and relaxing smooth muscles of blood vessels.

Atenolol . Bisoprolol


Anticoagulants: To reduce the risks of clot formation.

Warfarin . Heparin


Antiplatelet drugs: Prevent platelets from clumping together to form a clot.

Aspirin


Analgesics: To reduce chest pain.

Ibuprofen

Procedures

Valve repair: The surgical procedure done to preserves the valve.

Valve replacement: Done in the cases where repair is not possible.

Self-care

Always talk to your provider before starting anything.

  • Avoid strenuous exercises and stresses as this would cause the heart to race
  • Visit the doctor regularly

Nutrition

Foods to eat:

  • Fruits and vegetables such as spinach, broccoli, melons, kiwi, grapes
  • Whole grain such as cereals
  • Proteins such as fish, nuts, lean meat

Foods to avoid:

  • Sugary foods-including cakes and chocolate
  • Refined grain such as white bread
  • Avoid high intake of salt

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Coping and Support

Preparing For Your Appointment

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