Regarding Women | winter 2008

Good News About Mitral Valve Prolapse

Though still a common and troublesome heart condition, mitral valve prolapse (MVP) is turning out to be less prevalent than doctors once believed.

Technology that uses sound waves now shows how well the heart valve is working. As a result, doctors can more accurately diagnose malfunctioning valves. So, while it seemed for a time that there was a high rate of MVP, the condition actually occurs in only about 2 to 3 percent of women and men.

The mitral valve separates two parts of the heart’s left side. MVP occurs when the valve’s flaps don’t close properly. Doctors don’t know the exact cause of MVP, but it seems to run in families.

Leaky Valve Can Cause Symptoms

The people most likely to have problems from MVP are those whose valve allows regurgitation, or the flow of blood back into the part of the heart from which it was just pushed out. Fortunately, in most people with MVP, the valve still is able to form a tight enough seal to prevent this.

Most people with MVP lead healthy, active lives and may not even know they have it. Only a small number of those with the condition experience regurgitation, which can cause:

  • Shortness of breath
  • Heart palpitations
  • Chest pain
  • Dizziness
  • Fatigue
  • Migraine headaches

Symptoms tend to worsen over time, but they can be treated with medication. Doctors may recommend surgery to repair or replace the valve in severe cases.

Bacterial Infections Cause for Concern

Leaky valves also increase the risk for bacterial infection in the heart valves and lining. People with MVP who are at a high risk for an infection often take antibiotics prior to dental work, surgery, or other procedures that can introduce bacteria into their bloodstream. However, most people with MVP can forgo routine antibiotics.