Mitral Valve Prolapse, A Simple Guide to The Condition, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Mitral valve prolapse (MVP) is a condition in which the heart's mitral valve does not work well.
The flaps of the valve are floppy and do not close tightly
Much of the time MVP does not cause any problems.
Rarely blood can leak the wrong way through the floppy valve.
This can lead to palpitations, shortness of breath, chest pain, and other symptoms.
Diseases that are at Risk for Mitral Valve Prolapse are:
Connective tissue disease like Marfan’s Syndrome
Scoliosis and other skeletal problems
Some types of muscular dystrophy
Stretched valve flaps can make a clicking sound as they shut.
If the mitral valve is leaking blood back into the left atrium, the doctor may hear a heart murmur or whooshing sound.
However these abnormal heart sounds may come and go.
a. Echocardiography (echo) is the most useful test for diagnosing MVP.
Echo can show prolapse of the mitral valve flaps and backflow of blood through the leaky valve.
MVP is treated with medicines, surgery, or both.
The goals of treating MVP include:
a. Preventing infective endocarditis (IE), arrhythmias, and other complications
b. Relieving symptoms
c. Correcting the underlying mitral valve problem
Medicines called beta blockers may be used to treat palpitations and chest discomfort in people who have little or no mitral valve backflow.
Other medicines are:
a. Vasodilators to widen your blood vessels and reduce your heart's workload.
b. Digoxin to strengthen your heartbeat.
c. Diuretics (water pills) to remove excess fluid in your lungs.
d. Medicines such as flecainide and procainamide to regulate your heart rhythms.
e. Blood-thinning medicines to reduce the risk of blood clots forming if you have atrial fibrillation.
Surgery is done only if the mitral valve is very abnormal and blood is flowing back into the atrium.
The main goal of surgery is to improve symptoms and reduce the risk of heart failure.
Traditionally heart surgeons repair or replace a mitral valve by making an incision (cut) in the breastbone and exposing the heart.
A small but growing number of surgeons are using another approach that involves one or more small cuts through the side of the chest wall.
This results in less cutting, reduced blood loss, and a shorter hospital stay.
Valve Repair and Valve Replacement
In mitral valve surgery, the valve is repaired or replaced.
Valve repair is preferred when possible.
Repair is less likely than replacement to weaken the heart.
Repair also lowers the risk of infection and decreases the need for lifelong use of blood-thinning medicines.
If repair is not an option, the valve can be replaced.
Mechanical and biological valves are used as replacement valves.
TABLE OF CONTENT
Introduction
Chapter 1 Mitral Valve Prolapse
Chapter 2 Interesting Facts about Mitral Valve Prolapse
Chapter 3 Treatment of Mitral Valve Prolapse
Chapter 4 Mitral Stenosis
Chapter 7 Mitral Regurgitation
Chapter 8 Tricuspid Regurgitation
Chapter 9 Pulmonary Stenosis
Chapter 10 Tricuspid Stenosis
Epilogue
Mitral Valve prolapse is a rare hereditary disease
Where the mitral valves do not close tightly and are too floppy
Blood may leak from the ventricle back into the atrium
This may cause strain on the left atrial myocardium
The mitral valve makes a systolic murmur, a whooshing sound
When the valve leaks back into the left atrium a small amount
The stretched valve flaps can make a click sound as they shut.
The echocardiogram show the valve movement in the heart
Treatment is to reduce the heart's workload by medications
Beta blockers may be used to treat chest discomfort or palpitations
Blood-thinning medicines reduce the risk of blood clots forming
Surgery is needed if the abnormal mitral valve allows the blood back flowing
-An original poem by Kenneth Kee<
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Mitral Valve Prolapse, A Simple Guide to The Condition, Treatment And Related Conditions - Kenneth Kee
Mitral Valve
Prolapse,
A
Simple
Guide
to
The Condition,
Treatment
And
Related Conditions
by
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2013 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
to my wife Dorothy
and my children
Carolyn, Grace
and Kelvin
This book describes the Mitral Valve Prolapse of the Heart and its Management and Related Diseases such as Aortic Stenosis and Regurgitation, Mitral Stenosis and Regurgitation, Tricuspid Stenosis and Regurgitation, Pulmonary Stenosis and Regurgitation, which are seen in some of my patients in my Family Clinic.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode to Mitral Valve Prolapse
Mitral Valve prolapse is a rare hereditary disease
Where the mitral valves do not close tightly and are too floppy
Blood may leak from the ventricle back into the atrium
This may cause strain on the left atrial myocardium
The mitral valve makes a systolic murmur, a whooshing sound
When the valve leaks back into the left atrium a small amount
The stretched valve flaps can make a click sound as they shut.
The echocardiogram show the valve movement in the heart
Treatment is to reduce the heart's workload by medications
Beta blockers may be used to treat chest discomfort or palpitations
Blood-thinning medicines reduce the risk of blood clots forming
Surgery is needed if the abnormal mitral valve allows the blood back flowing
-An original poem by Kenneth Kee
Interesting Tips about the Mitral Valve Prolapse
Live a healthy lifestyle
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Most people who have mitral valve prolapse (MVP) without symptoms do not need treatment.
People who have MVP and troublesome mitral valve backflow usually need treatment.
The goals of treating MVP include:
a. Preventing infective endocarditis (IE), arrhythmias, and other complications
b. Relieving symptoms
c. Correcting the underlying mitral valve problem
If there is no backflow, Beta blockers may be used to treat palpitations and chest discomfort.
If there is significant backflow and symptoms, the doctor may prescribe:
a. Vasodilators to widen the blood vessels and reduce the heart's workload.
b. Digoxin to strengthen the heartbeat.
c. Diuretics (water pills) to remove excess fluid in the lungs.
d. Medicines such as flecainide and procainamide to regulate the heart rhythms.
e. Blood-thinning medicines to reduce the risk of blood clots forming if there is atrial fibrillation.
Surgery is done only if the mitral valve is very abnormal and blood is flowing back into the atrium.
3. Keep bones and body strong
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Rest your eyes and close your eyes every half hourly
Look far in the distance or look at green trees
Sit comfortably in an armchair or on a settee and relax with your eyes closed.
6. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
7. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
People who drink more than this may have a higher chance for developing osteoporosis.
Alcohol use also increases the chance of falling and breaking a bone.
8. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Cigarettes contain more than forty types of hazardous and possibly cancer causing chemicals which can harm the smokers and those around them.
Chapter 1
Mitral Valve Prolapse
What Is Mitral Valve Prolapse?
Mitral valve prolapse (MVP) is a heart condition in which the flaps of the heart's mitral valve