Treatment Overview
Initial treatment
Most people with
mitral valve prolapse (MVP) do not have symptoms and
do not need treatment. Regular checkups every 3 to 5 years are usually all that
is required. A normal lifestyle and regular exercise are recommended for most
people with MVP.6
If you have symptoms,
such as shortness of breath, chest pain, or
palpitations, and your heart exam or echocardiogram
suggests a higher risk of
complications, you may need more frequent
checkups—perhaps yearly.
Your doctor may want to do an
echocardiogram to confirm that you have mitral valve
prolapse, to see whether you have
mitral valve regurgitation or, possibly, to rule out
other heart problems.
Ongoing treatment
If you have severe mitral valve
regurgitation as a complication, you may need surgery to repair the mitral
valve. If your mitral valve cannot be repaired, you may need surgery to replace
the mitral valve. Surgery may also be needed if
other
structures related to the mitral valve are severely damaged.
See an illustration of
mitral
valve replacement
.
If you have irregular heartbeats (atrial fibrillation), your doctor may prescribe
medicines, such as:
Treatment if the condition gets worse
In rare
cases, severe mitral valve regurgitation, which is a complication of MVP, can
lead to
heart failure. Treatment for heart failure includes
taking medicines and making diet and lifestyle changes, such as limiting salt
intake, balancing your rest and activity, and avoiding infection. For more
information, see the topic
Heart Failure.
Surgery to
repair or replace your mitral valve may be
required.