Hi, I have been suffering from severe chest pain since puberty, headaches and dizziness, fatigue and shortness of breath with the slightest exertion and more recently palpitations (I am currently in my mid twenties). I have been diagnosed with mild mitral valve prolapse with trivial mitral regurgitation and mild tricuspid regurgitation. My EF=70% Is this likely to progress? What should be done about these symptoms?
MVP may lead to excessive stress on the papillary muscles, which, in turn, leads to dysfunction and ischemia of the papillary muscles and the subject ventricular myocardium. Rupture of chordal tendineaeand progressive mitral annular dilation and calcification contribute to valvular regurgitation, which then places more stress on the diseased mitral valve apparatus, thereby creating a vicious circle.However, the clinical course is most often benign and most patients are asymptomatic and remain so for their entire lives. Initial MR severity is the primary predictors of progression. In your case LVEF (70%) is excellent and long-term course is likely to be benign. Beta blockers sometimes relieve chest pain and control palpitations.