Anything wrong with these valves in the report?

[Nupur]

My 23 year old male cousin in India has had a few fainting spells, and was sent to do an ECHO. Apparently the doctor told him not to swim or bike because of his mitral valve prolapse. I don't see
anything alarming in the valve that could cause fainting. Certainly a mild prolapse of the anterior leaflet couldn't be causing fainting? Any thoughts?

M-Mode Echocardiograph
VALVES

1.AORTIC
Normal
structure : 15-26/mm
Cusp Opening : 13mm
Closaure Line : Central
Flutter :Absent


2. MITRAL
ANTERIOR LEAFLET : NORMAL VALUES
STRUCTURE : PROLAPSE
EXCURTION : 24MM
118MM/sec 80-150mm/sec
EF Slope : 2-7mm
E-point Septal
Seperation :7mm
Flutter: Absent
Systolic Anterior Motion : Absent
Impression

** LV is normal in cavity dimensions.
** No wall motion abnormability .
** Good LVSF with EF of 72%
** LA , RA & RV are normal in size .
** Mild prolapse of anterior leafelet of MV
**No thickening or redundancy of the valve .
** No MR .
** AOV , TV & PV are normal in structure .
** Normal Pericardium

 

[Adrienne]

Although there are some things in the echo report I don't know anything about, the things I do understand lead me to believe that his doctor does not know what he is talking about!!

 

[ALCapshaw2]

His Ejection Fraction of 72% caught my attention.

That number is on the High Side of Normal (Normal definions vary but are typically between 50 and 65 or 70%).

High EF's are typically found in 2 types of people:

Highly Trained Athletes (such as Bicycle Champion Lance Armstrong)
Heart Valve Patients whose hearts are compensating for a Stenotic Valve.

'AL Capshaw'

 

[LisaD]

I had severe mitral valve prolapse with regurgitation (bileaflet) and a low normal EF and was on no exercise restrictions prior to my surgery. The execise restrictions are likely to prevent injury from fainting. I do not think the fainting has to do with the valve. Maybe he needs to check orthostatic vitals, blood pressure, and heart rate in lying, sitting and standing positions.

 

[Bina]

strangely, even though I had some bad pre-op echoes and horrible symptoms, my EF was decent.
Hopefully your cousin is getting complete blood work done too.

 

[Adrienne]

His Ejection Fraction of 72% caught my attention.

That number is on the High Side of Normal (Normal definions vary but are typically between 50 and 65 or 70%).

High EF's are typically found in 2 types of people:

Highly Trained Athletes (such as Bicycle Champion Lance Armstrong)
Heart Valve Patients whose hearts are compensating for a Stenotic Valve.

'AL Capshaw'

I will admit that the EF of 72% did catch my eye. However, I didn't see anything about valve opening, so I figured that if the valve had been stenotic, the valve opening would have been mentioned. Maybe I shouldn't have been so hasty at critisizing the doctor until having that information.

 

[Nancy]

He could be having an arrhythmia which is causing his fainting or very slow heart beats or low blood pressure. He probably needs to be wearing a heart monitor for a month and see exactly what is going on with him. Fainting is not normal and his doctor should be concerned about that.

 

[manipreet04]

hi i m mani kant from u.p. lucknow dr. suggest me for volve replacement in auj 2011 pls suggest me the best surgen in india pls ..ph 9721332106

 

[Michellemar]

Hi Mani, keep us informed as to how it's going/you're getting on. We love stories and details here, to know when to cheer you on, and to know when a little prayer backing seems important.
Let us know, and don't leave us in the dark!!! Michellemar

 

[ALCapshaw2]

Mani -

Your post will get more attention if you start a New Thread with an appropriate Subject Line.

You may want to do a Search on VR for keyword "India" to find links to posts about surgeries in India.

'AL Capshaw'