WPW and heart murmur due to MVP
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Dear Ask The Doctor: Hi, I am a 39 year old female, previous history of WPW but I had an ablation in 2003. I have been experiencing chest pain, PVCs and palpitations. Went to the the cardiologist and the EKG said consider left ail enlargement. My resting heart rate is 105 and I also have a heart murmur which gets louder when I stand. What does this all mean, should I be worried? the Dr ordered an echo which hasn't been approved yet by insurance and a holter monitor which I have not got yet either. Thanks
Dear Kristen: The heart murmur may be due to mitral valve prolapse (MVP), in which the valve that separates the upper and lower chambers of the left side of the heart does not close properly. The symptoms you experience including chest pain, palpitation, PVCs may be associated with MVP, WPW or both. Echocardiography may help your doctor assess the severity of back flow through the prolapsed valve and efficiency of the heart. Usually, MVP is harmless and do not cause symptoms. Even if symptoms occur, they can be treated with medications and in cases with severe symptoms option for surgical repair or replacement may be available.
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Last Updated ( Saturday, 25 June 2011 )
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