What Are the Treatments for Mitral Valve Prolapse?

1 Answer

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For most people with mitral valve prolapse, particularly people without symptoms, treatment is not needed. Your doctor will keep a watchful eye on you with regular checkups.However, if you have symptoms and if a significant amount of blood is leaking through the mitral valve, depending on the severity of your condition, your doctor may recommend medicines, surgery, or both. Medicines Some medications you might be prescribed include:
  • Vasodilators Your doctor may prescribe vasodilators to widen your blood vessels and reduce your heart’s workload.
  • Diuretics Your doctor may prescribe water pills (diuretics) to drain fluid from your lungs.
  • Digoxin Your doctor may use it to strengthen your heartbeat.
  • Heart rhythm medications Your doctor may prescribe an antiarrhythmic medication such as flecainide and procainamide to regulate your heart rhythms.
  • Aspirin Your doctor might prescribe aspirin to reduce the risk of blood clots.
  • Prescription anticoagulants (blood thinners) These medications can reduce the risk of blood clots forming if you have atrial fibrillation
Take all medicines regularly, as your doctor prescribes. Don’t change the amount of your medicine or skip a dose unless your doctor tells you to. Surgery In tougher cases, you might need an operation if your symptoms get worse or your heart function gets worse. In mitral valve surgery, the valve is repaired or replaced. The main goal of surgery is to improve symptoms.
  • Repair If your doctor suggests a repair surgery, he or she may repair the original valve which will help stop blood flowing the wrong way through the valve. Sometimes, your doctor may also reconnect valve leaflets or remove excess valve tissue, to make the flaps of the mitral valve stay closer together. Repair can also reduce the risk of infection and reduce the need for lifetime use of blood-thinning medicines. If repair isn't an option, the valve can be replaced. Mitral valve repair is considered preferable to replacement.
  • Replacement Mitral valve replacement is an operation to replace your mitral valve. Your doctor may suggest mechanical valves which are man-made as replacement valves, because mechanical valves can last a lifetime. However, those patients who have mechanical valves must take blood-thinning medicines for the rest of their lives. Therefore, some patients prefer to replace mitral valve by biological valves, because they don't need to take blood-thinning medicines for the rest of their lives. Biological valves are taken from cows, pigs, or made from human tissue. The main disadvantage of biological valves is that they weaken over time and need replacement after about 10 years.
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