Mitral Valve Prolapse by Ray Sahelian, M.D.

March 10 2014

Mitral valve prolapse is the most commonly diagnosed valvular heart disease and affects 2 to 5% of the population. Mitral valve prolapse is commonly a benign disease and the prognosis is good. But, in rare cases, mitral valve prolapse can lead to sudden death. As etiologies of their sudden deaths ventricular arrhythmia, mitral valve regurgitation are known. Mitral valve prolapse can rarely be the reason of sudden deaths in athletes. Therefore, it is important to follow up and do testing by exercise tolerance test, Holter ECG, ultrasoniccardiography, and chest auscultation et al. and the prescription of beta-blockers and the insertion of implantable cardioverter defibrillator are considered.

Mitral valve prolapse refers to the systolic displacement of one or both mitral leaflets into the left atrium, with or without mitral regurgitation. It is one of the most common forms of cardiac abnormalities among young people, especially in women. MVP usually appears to be a benign condition and even capable of recovery. In a minority of cases Mitral valve prolapse may predispose to complications.

Mitral valve prolapse and dietary supplements
Magnesium therapy is essential and specific for mitral valve prolapse treatment. In some cases magnesium deficiency is due to depletion and oral supplementation could be combined with magnesium-sparing diuretics or physiological doses of vitamin D.

Mitral valve prolapse symptom
In most people, mitral valve prolapse, which affects women more than men, is a benign condition with few or no symptoms. But in some patients it poses a significant problem. Potential sequelae include endocarditis, serious arrhythmia, and sudden death. Although a midsystolic click followed by a late systolic murmur is characteristic, definitive diagnosis requires echocardiography. Treatment ranges from education and reassurance in those who have mild disease to valve replacement in severe cases. Most athletes who have mitral valve prolapse can safely participate in all activities. Those with evidence of significant valvular disease, serious arrhythmia, or a family history of sudden death due to mitral valve prolapse, however, should participate only in low-intensity competitive sports.

Mitral valve replacement or repair is an open heart procedure to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve. Occasionally, the mitral valve is abnormal from birth (congenital). More often the mitral valve becomes abnormal with age (degenerative) or as a result of rheumatic fever. In rare instances the mitral valve can be destroyed by infection or a bacterial endocarditis. Mitral regurgitation may also occur as a result of ischemic heart disease (coronary artery disease). Mitral valve replacement can be very effective for many people.

Emails
Q. I have been on oral magnesium for a few months now for prolapsed mitral valve, and noticed how my mitral valve prolapse seems "quieter", and my blood pressure readings lower. I sleep much better as well, and my mood seems more stable.

Q. I was wondering does kava increase your heart rate, or make it beat with more force, because I was told I have mitral valve prolapse, im a 22 year old male, my doc said its nothing to worry about but I have a lot of symptoms, like a forceful heart beat, panic attacks, anxiety some depression, if you could be so kind to answer my question.
     A. In high doses kava could influence heart rate.

Q. I have mitral valve prolapse would Passion Rx be bad for me to take?
   A. If your mitral valve prolapse makes you prone to heart rhythm irregularities, it is not a good idea to take sexual herbs since many of them can increase heart rate when used in high doses.

I am 42 and interested in starting on some hormones for symptoms I have. My question is I don't want to take anything that will produce skipped beats, palpitations, etc. With my mitral valve prolapse I assume I should avoid pregnenolone but are there others that also will cause irregular beats?  
   The two over the counter adrenal hormones pregnenolone and DHEA can both cause heart rhythm problems.

I thought you might like to know about something remarkable I have discovered. First, let me explain that I have MVP and Dysautonomia without POTS. I was practically disabled by my overreactive autonomic nervous system for twenty years if I dared to do any kind of physical activity…and that was while on Synthroid. The hot sun also made it worse. After any physical activity, my heart rate would go high….pounding in my chest like a sledge hammer…and wouldn’t go back down for hours and hours. I’d become so tired I could barely make it to 8 pm. I’d have horrific insomnia. I’d sweat like a pig for hours after going to bed. I’d wake up the next morning feeling like I’d been completely run over. Twenty years of that. It got so bad that just sanding on a small piece of wood sent me into overdrive hell. When I switched to Natural Desiccated Thyroid, it was a miracle. All the above completely went away. No more EXTREME and debilitating reactions to exercise.Yes, I still had my MVP i.e I would still get breathless if I climbed while we were out hiking. But none of the above.But…though I could now do things without paying huge prices…one thing I continued to notice here and there: I did not recover fast from the physical activity I could now do. It took me longer to recover than others--even those older than I. It puzzled me. But I lived with it since I no more had the horrific overdrive hell. Fast forward: We recently acquired a house at 7000 ft. That coupled with stress was causing a lot of heart palps—something I hadn’t seen for years. And I was wiping out really easily after doing heavy work while fixing up the house. i.e. I had plenty of energy to do what I did for several hours, but I’d suddenly get deeply tired. And I wouldn’t recover for DAYS. And this is where I found out about D-Ribose. I started taking 15,000 mg a day — 5000 mg three times a day. By the 4th day, the change was huge. I had renewed energy. And to test this, I went back outside to do some heavy work. No problem whatsoever. And the next morning, I woke up as if I had never done the work. I RECOVERED in a way I hadn’t seen. I’ve since noticed a lot of comment on the net about D-Ribose for Mitral Valve Prolapse. I look forward to seeing more information.