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slight murmur, EKG, and mild leak in the mitral valve

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I have an identical twin sister, in excellent. keeps her weight down, exercises 30 minutes a day, eats a healthy diet, no red meats, maybe once a month, doesn't smoke, her bloodwork is excellent, especially her cholesterol. LDL 99, HDL 82, Trigyserides 45, and everything esle is great. Se has been going to her doctor for the past 10 years, until he retired. She started to see another doctor, 2 weeks ago. He found a slight murmur, she had an EKG, which was good, doppler, good, and and echocardiogram which the finings were a mild leak in the mitral valve. She is a basket case right now and so am I, because we are very close. Her doctor said not to worry, but of course she is upset. why did her previous doctor never found it, and her new doctor found it. He said not to worry, and she'll take an echo every year, but she is freaking out, because she feels so good. No shortness of breath, never fatigue, no palpitations and she is very active. By the way we both get the white coat syndrome.


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Category: Family Physician-GP
Dr. John Monheit is online now

Expert:  Dr. John Monheit replied 4 Days.

Hello,

Thank you for asking your query.

From your description I understand that your sister has been recently found to have a slight murmer, caused by a leaky mitral valve. This probably is a condition called mitral regurgitation. And there is nothing to be overly worried about it !

 The reason being, a leaky mitral valve is a common occurance. Infact A trivial amount of MR (mitral regurgitation) is detectable with sensitive Doppler techniques in up to 70 percent of healthy adults; this is often termed "physiologic" mitral regurgitation. Another study called Strong Heart Study showed moderate valve leak was found in 2 out of 100 normal people. The fact that she is does not have any kind of symptoms is a very positive sign. She has excellent Lipid profile, stays active and healthy. So I have the same thing to say as her Doctor said not to worry.

The previous Doctor might have over looked it. This happens occasionally because of the above said reasons (common, not very harmful etc). Your Doctor has recommended the right thing for your. An yearly Echo and physical examination is the best way to monitor the progression , to be safe. Other than that there is no need for any other active intervention.

Wishing you the very best and Good health

Dr.Deepak Misra MD, DM

Fellow in Interventional Cardiolgy

www.doctorspring.com


Dr. John Monheit
Category: Family Physician-GP
Experience: 
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
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