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Mitral Valve Prolapse (MVP)

Discussion in 'JF Doctor' started by MziziMkavu, Jun 6, 2012.

  1. MziziMkavu

    MziziMkavu JF-Expert Member

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    What is mitral valve prolapse?


    Mitral valve prolapse (also known as "click murmur syndrome" and "Barlow's syndrome") is the most common heart valve abnormality, affecting five to ten percent of the world population. A normal mitral valve consists of two thin leaflets, located between the left atrium and the left ventricle of the heart. Mitral valve leaflets, shaped like parachutes, are attached to the inner wall of the left ventricle by a series of strings called "chordae." When the ventricles contract, the mitral valve leaflets close snugly and prevent the backflow of blood from the left ventricle into the left atrium. When the ventricles relax, the valves open to allow oxygenated blood from the lungs to fill the left ventricle.


    In patients with mitral valve prolapse, the mitral apparatus (valve leaflets and chordae) becomes affected by a process called myxomatous degeneration. In myxomatous degeneration, the structural protein collagen forms abnormally and causes thickening, enlargement, and redundancy of the leaflets and chordae. When the ventricles contract, the redundant leaflets prolapse (flop backwards) into the left atrium, sometimes allowing leakage of blood through the valve opening (mitral regurgitation). When severe, mitral regurgitation can lead to heart failure and abnormal heart rhythms. Most patients are totally unaware of the prolapsing of the mitral valve. Others may experience a number of symptoms discussed below.


    The mitral valve prolapse (MVP) syndrome has a strong hereditary tendency, although the exact cause is unknown. Affected family members are often tall, thin, with long arms and fingers, and straight backs. It is seen most commonly in women from 20 to 40 years old, but also occurs in men.


    [​IMG]

    @gfsowin unaujuwa huu ugonjwa?
     
  2. MziziMkavu

    MziziMkavu JF-Expert Member

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    What are the signs and symptoms of mitral valve prolapse?


    Most people with mitral valve prolapse have no symptoms, however, those who do commonly complain of symptoms such as fatigue, palpitations, chest pain, anxiety, and migraine headaches. Stroke is a very rare complication of mitral valve prolapse.


    Fatigue is the most common complaint, although the reason for fatigue is not understood. Patients with mitral valve prolapse may have imbalances in their autonomic nervous system, which regulates heart rate and breathing. Such imbalances may cause inadequate blood oxygen delivery to the working muscles during exercise, thereby causing fatigue.


    Palpitations are sensations of fast or irregular heart beats. In most patients with mitral valve prolapse, palpitations are harmless. In very rare cases, potentially serious heart rhythm abnormalities may underlie palpitations which require further evaluation and treatment.


    Sharp chest pains are reported in some patients with mitral valve prolapse, which can be prolonged. Unlike angina, chest pain with mitral valve prolapse rarely occurs during or after exercise, and may not respond to nitroglycerin.


    Anxiety, panic attacks, and depression may be associated with mitral valve prolapse. Like fatigue, these symptoms are believed to be related to imbalances of the autonomic nervous system.


    Migraine headaches have been occasionally linked to mitral valve prolapse. They are probably related to abnormal nervous system control of the tension in the blood vessels in the brain.


    Mitral valve prolapse may be rarely associated with strokes occurring in young patients. These patients appear to have increased blood clotting tendencies due to abnormally sticky blood clotting elements, called platelets

    How is mitral valve prolapse diagnosed and evaluated?


    Examination of the patient reveals characteristic findings unique to mitral valve prolapse. Using a stethoscope, a clicking sound is heard soon after the ventricle begins to contract. This clicking is felt to reflect tightening of the abnormal valve leaflets against the pressure load of the left ventricle. If there is associated leakage (regurgitation) of blood through the abnormal valve opening, a "whooshing" sound (murmur) can be heard immediately following the clicking sound.


    Echocardiography (ultrasound imaging of the heart) is the most useful test for mitral valve prolapse. Echocardiography can measure the severity of prolapse and the degree of mitral regurgitation. It can also detect areas of infection on the abnormal valves. Valve infection is called endocarditis and is a very rare, but potentially serious complication of mitral valve prolapse. Echocardiography can also evaluate the effect of prolapse and regurgitation on the functioning of the muscles of the ventricles.


    Abnormally rapid or irregular heart rhythms can occur in patients with mitral valve prolapse, causing palpitations. A 24-hour Holter monitor is a continuous cassette recording of the patient's heart rhythm as the patient carries on his/her daily activities. Abnormal rhythms occurring during the test period are captured on tape and analyzed at a later date. If abnormal rhythms do not occur every day, the Holter recording may fail to capture the abnormal rhythms. These patients then can be fitted with a small "event-recorder" to be worn for up to several weeks. When the patient senses a palpitation, an event button can be pressed to record the heart rhythm prior to, during, and after the palpitations.
     
  3. MziziMkavu

    MziziMkavu JF-Expert Member

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    What is the treatment for mitral valve prolapse?


    The vast majority of patients with mitral valve prolapse have an excellent prognosis and need no treatment. For these individuals, routine examinations including echocardiograms every few years may suffice. Mitral regurgitation in patients with mitral valve prolapse can lead to heart failure, heart enlargement, and abnormal rhythms. Therefore, mitral valve prolapse patients with mitral regurgitation are often evaluated annually. Since valve infection, endocarditis, is a rare, but potentially serious complication of mitral valve prolapse, patients with mitral valve prolapse are usually given antibiotics prior to any procedure which can introduce bacteria into the bloodstream. These procedures include routine dental work, minor surgery, and procedures that can traumatize body tissues such as colonoscopy, gynecologic, or urologic examinations. Examples of antibiotics used include oral amoxicillin and erythromycin as well as intramuscular or intravenous ampicillin, gentamycin, and vancomycin.


    Patients with severe prolapse, abnormal heart rhythms, fainting spells, significant palpitations, chest pain, and anxiety attacks may need treatment. Beta-blockers, such as atenolol (Tenormin), metoprolol (Lopressor), and propranolol (Inderal), are the drugs of choice. These act by increasing the size of the left ventricle, thereby reducing the degree of prolapse. The calcium blockers verapamil (Calan) and diltiazem (Cardizem) are useful in patients who cannot tolerate beta-blockers.


    Although most patients with mitral valve prolapse require no treatment or treatment with oral medications, in very rare cases, surgery (mitral valve replacement or repair) may be required. Patients who require surgery usually have severe mitral regurgitation causing worsening heart failure and progressive heart enlargement. Rarely, rupture of one or more chordae can cause sudden, severe mitral regurgitation and heart failure requiring surgical repair. Mitral valve repair is preferable if possible, to mitral valve replacement as the surgical treatment for mitral valve regurgitation. After mitral valve replacement, lifelong blood thinning medications are necessary to prevent blood from clotting on the artificial valves. After mitral valve repair, these blood thinning medications are unnecessary. Because of the success of valve repair, it is being performed earlier in patients with mitral regurgitation, thus reducing the risk of abnormal heart rhythms and heart failure.


    Rare patients with mitral valve prolapse may suffer strokes because of increased blood clotting. These patients can be treated with a combination of a blood thinner (anticoagulant) and a beta-blocker.


    Again, although patients with mitral valve prolapse may experience a variety of complications, most have no symptoms and can lead healthy, active, and normal lives.


    Mitral Valve Prolapse At A Glance



    Mitral valve prolapse (mitral valve prolapse) is the most common heart valve abnormality.
    Most patients with mitral valve prolapse have no symptoms and require no treatment.
    Mitral valve prolapse can be associated with fatigue and/or palpitations.
    Mitral valve prolapse can often be detected by a doctor during examination of the heart. mitral valve prolapse can be confirmed with an echocardiogram.
    Patients with mitral valve prolapse are usually given antibiotics prior to any procedure which might introduce bacteria into the bloodstream, including dental work and minor surgery.
     
  4. Ozzie

    Ozzie JF-Expert Member

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    Kazi nzuri ika hujaifanya iwe inasomeka na kila mtu kwa kutoa maneno ya kitabibu halafu ungeshukuru mwandishi wa awali uliko copy na ku paste.
     
  5. MziziMkavu

    MziziMkavu JF-Expert Member

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    @Ozzie Itakusaidia kitu gani wewe huko nilipo copy

    and paste? Katafute na wewe kwenye Google Search Engine na wewe U Copy huko na Ku Paste nakupa Source bonyeza hapa Google Kuna mtu kanitumia email anaulizia hayo maradhi mimi ndio nimemjibu kwa faida pia na watu wengine sasa na wewe hebu tusaidie matibabu

    yake sio kuleta ujeuri wako hapa tupo kusaidia kama unataka mambo ya Joke nenda kule kwenye jukwaa la Jokes/Utani + Udaku/Gossips Samahani kama nitakukwaza. Mkuu Ozzie na wewe bado upo JF. Senior Expert Member tangu ujiunge na hii Jamii Forums mwaka 9th October 2007 ? Toa mchango wako kwenye hii jukwaa sio kuleta hoja za Pumba hapa.
     
  6. King'asti

    King'asti JF-Expert Member

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    MziziMkavu, asante kwa somo zuri. Ila na ww kwa kutoa povu, sikuwezi!

    Leo umenifungua macho. Sikujua anxiety attacks ni kwa sababu ya huu ugonjwa. Nina ndugu anafanyiwa valve replacement for 20+ years now, yuko overtly sensitive na panic attacks kila mara. Nilihusisha na tabia yake tu, but tunam-manage. Sikujua pia kama ni genetical pia...
     
    Last edited by a moderator: Jan 4, 2016
  7. MziziMkavu

    MziziMkavu JF-Expert Member

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    Mkuu@King'asti huyu Mkuu Ozzie ananishambulia Asubuhi yote mimi ninaacha shughuli zangu kuweka Thread kama hii ili iwasaidie na watu wengine yey anataka nimuwekee Eti Source? Katafute na wewe kwenye google Search engine upate ya kwako na uweke source yake. Mwambie huyo Ndugu yako ale hii dawa ya Tiba Mbadala inayoitwa Lozi kwa lugha ya kiingereza (Almond) itamsaidia sana kuondosha huo ugonjwa wa wasiwasi anxiety attacks. Angalia hii picha yake hiyo Lozi.





    [​IMG]



    Almond Lozi inapatikana sokoni kariakoo na pia ni Dawa ya kuondosha wasiwasi na pia inasaidia kuongeza nguvu za kiume.

    http://www.jamiiforums.com/jf-doctor/183022-faida-ya-lozi-almond.html
     
  8. King'asti

    King'asti JF-Expert Member

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    Achana nae banaa.
    Sasa ni mdada, asije akam'baka mumewe atii!
    Almond nimeziona supermarket pia, zinatafunwa ama zawekwa kwa juice? (Uvivu wa ku-google almond recipes hehehe)
     
  9. MziziMkavu

    MziziMkavu JF-Expert Member

    #9
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    @King'asti unazitafuna tu mimi pia ninazipenda sana nakula kila siku zinasaidia sana kwa wanawake na wanaume na wewe pia kula hizo almond.

    Lozi (Almond):


    Lozi inajulikana kama ni King katika jamii ya njugu, ina elements karibia ya zote zinazohitajika katika mwili wa mwanadam. Ni chakula chenye kutia nishati mwili na akili.
    Kuna aina mbili za Lozi, kuna lozi zile tamu na kuna lozi chungu kuna zenye ngozi nyembamba (thin-skinned) na kuna zenye ngozi nene(thick-skinned) hii ni katika aina ya lozi tamu ambazo ndio tunazozitumia na tunahitajika kutumia ama zile lozi chungu zina prussic acid ambayo ni sumu hata hivo hizo lozi chungu zinatumika katika mambo ya kutengenezea cosmetics, mafuta ya lozi (almond oil) pia na perfumes.


    Nchi mashuhuri yenye Lozi ni Morocco, pia lozi zilionekana katika miaka mingi nyuma katika nchi ya Syria na Palastine inasemekana katika zama za Nabii Issa A.S. Hata hivo sasa hivi lozi zinazalishwa sehemu nyingi duniani kama Italy,California,Australia,Sou th Africa,Kashmir na sehemu nyingi za Asia.


    Food Value: Minerals and Vitamins
    Moisture 5.2% Calcium 230 mg
    Protein 20.8% Phosphorus 490 mg
    Fat 58.9% Iron 4.5 mg
    Minerals 2.9% Niacin 4.4 mg
    Fibre 1.7%
    Carbohydrates 10.5%



    Ndani ya lozi pia kuna upatikanaji wa copper, iron phosphorus na Vitamin B, vitu hivi vinasaidia katika upatikanaji wa new blood cells, haemoglobin pia inasaidia ubongo, mishipa, mifupa, moyo na ini kufanya kazi kwa wepesi kabisa. Lozi insaidia kupanua na kutia nguvu muscles za ubongo katika kuongeza fahamu.


    Old ages:Utu uzima wa kiumri.
    Chukua lozi kiasi na uziroweka katika maji na baadae utoe ngozi yake ikisha uzisage na kufanya paste kwa kutumia kama siagi, hii huongeza proteins ndani ya mwili na hasa kwa watu wazima, pia unaweza kutia katika maziwa na ukanywa hii nzuri kwa watoto.


    Anaemia: upungufu wa damu
    Kuna upatikanaji wa copper katika lozi katika rate 1.15mg per 100 grams, copper pamoja na iron na vitamins hizi zinatumika kama ni catalyst katika mfumo wa blood haemoglobin. Kwa hiyo wenye maradhi ya upungufu wa damu ni vizuri mtu kutumia lozi kwa sana.


    Constipation:kupata choo
    Kwa wale wenye matatizo ya kupata choo, ni uzuri kula lozi wakati wa usiku kabla ya kwenda kulala.


    Impotency:upunguvu wa nguvu za kiume
    Kwa wale wenye upunguvu wa nguvu za kiume na za kike, wale lozi kwa wingi.


    Skin Disorder:maradhi ya ukoma
    Kwa wale wenye maradhi ya ukoma, wasage lozi iwe laini ikisha wajipake pale palipoathirika, na pia kwa wale wenye pimples.

    [​IMG]
    Loz (Almond) Sourcehttp://www.jamiiforums.com/jf-doctor/183022-faida-ya-lozi-almond.html
     
  10. b

    baraka1 Member

    #10
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    I like your information.

    Just to witness, I myself was feeling fatigue accompanied by chest pains (on the right of my chest) and could not do my job well at 28 yrs. After consultations with doctors and doing all the prescribed tests, I was diagnosed with MVP in 1988 and subjected to antibiotic treatments but the last one I remeber was penadur injection (taken once monthly). I was discontinued from this medication after taking eight consecutive doses and of course was feeling a bit releived.

    My doctor said I will not do well especially after my 40ties.

    But after a period of 8 years I went for re-examination with another doctor (at mikocheni hosp) who said that he doesnt see any sign of MVP in my heart.

    I just want to say that no-matter where the presenter gets this information from, it is worthy sharing the same with us because we might be sick yes but we might not have the knowledge of what to do or where to go for help.

    IN THIS REGARD, I SAY BIGUP TO YOU FOR THIS INFO.
     
  11. BADILI TABIA

    BADILI TABIA JF-Expert Member

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    Mzizi mkavu,
    tuoe tiba mbadala basi, binti yangu, she's 17 anasumbuliwa na huu ugonjwa. Though kwasasa hivi una nafuu kuliko mwanzo, ila nikipata tiba mbadalz itasaidia
     
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  12. gfsonwin

    gfsonwin JF-Expert Member

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    MziziMkavu mimi ninaujua kama cardiac disorders nyingine i didn't go into details as magonjwa ya moyo ni mengi sana but huu ni ule wa valve kushindwa kufunguka na kufunga so panabaki wazi hivyo one way control of blood haipo na hii hutokea kwenye mitral valve but but pia hata pulmonary valves huweza pata shida kama hii.
     
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  13. MziziMkavu

    MziziMkavu JF-Expert Member

    #13
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    Mkuu mwambie huyo mgonjwa awe anatumia Kitunguu saumu awe anakula kila siku Kipunje kimoja Asubuhi kabla ya kula kitu na mchan awe anakula kitunguu samu kibichi achanganye na chakula awe anakula usiku pia hicho kitunguu saumu afanye hivyo kwa muda wa miezi kama 6 basi kwa uwezo wake mwenyeezi maradhi aliyokuwa nayo yatamuondokea inshallah....... BADILI TABIA

    Mkuu nimegunduwa Dawa ya kufunguwa mishipa ya moyo iliyofungika ni kitunguu Saumu hebu angalia faida za kitunguu saumu bonyeza Google
    .................. gfsonwin
     
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  14. BADILI TABIA

    BADILI TABIA JF-Expert Member

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    asante, nitamwambia
     
  15. MziziMkavu

    MziziMkavu JF-Expert Member

    #15
    Jun 12, 2012
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    Mitral Valve Prolapse



    Principal Proposed Natural Treatments | Other Proposed Natural Treatments | Herbs and Supplements to Use Only with Caution | References


    Principal Proposed Natural Treatments | Other Proposed Natural Treatments | Herbs and Supplements to Use Only with Caution


    Mitral valve prolapse (MVP) affects about 2% of people in the United States. 1 (Past estimates were higher due to errors in diagnosis.) As the name suggests, MVP involves prolapse of one of the valves of the heart, the mitral valve.

    The mitral valve sits at the opening between the left atrium and left ventricle, and opens and closes so that blood flows only in one direction (atrium to ventricle). In MVP, the mitral valve fails to make a proper snug fit, and instead

    billows (prolapses) back into the atrium, making a sound that can be heard through a stethoscope.
    MVP is generally benign. Sometimes, however, the mitral valve fits so poorly that a large amount of blood leaks back

    from the ventricle to the atrium. This is called “mitral regurgitation,” and it can be dangerous, eventually requiring surgery.

    In the past, a set of symptoms called dysautonomia was thought to frequently occur in association with MVP. Dysautonomia involves malfunction of the autonomic nervous system (the part of the nervous system that is not under conscious control). MVP plus dysautonomia used to be called the “Mitral Valve Prolapse Syndrome.” Symptoms were said to include:

    Chest pain with no apparent medical cause
    Panic attacks/anxiety
    Heart palpitations
    Sweating
    Dizziness
    Lightheadedness
    Weakness
    Balance problems
    Hypersensitive startle reflex
    Shortness of breath
    Numbness or tingling in the fingers or toes
    Hyperventilation
    Sensitivity to caffeine and other stimulants


    However, recent evidence indicates that symptoms of dysautonomia occur with no greater frequency in people with MVP than in people without MVP. In other words, there is probably no connection between the two conditions. People

    who were previously diagnosed with MVP Syndrome are now said to have two separate conditions: MVP plus symptoms of dysautonomia. The cause of these dysautonomic symptoms is not clear, but probably involves a response to stress.

    Conventional treatment for MVP involves regular monitoring for mitral regurgitation, along with maintenance of normal weight and blood pressure to avoid excess strain on the valve. In addition, people with MVP are given antibiotics prior

    to surgical or dental procedures. Those procedures may release bacteria into the bloodstream and, in people with MVP, bacteria may stick to the valves and cause infection (a condition called endocarditis). Antibiotic treatment can prevent this.

    People with MVP who also have symptoms of dysautonomia may be separately treated for those symptoms as well.
    Principal Proposed Natural Treatments

    Low levels of magnesium can cause some symptoms similar to dysautonomia. One study evaluated 141 people with MVP and dysautonomia and found that 60% of them had low levels of magnesium in the blood. 2 This subgroup of

    people with low magnesium were then enrolled in a 10-week, double-blind, placebo-controlled crossover trial . (They received placebo or magnesium supplements for 5 weeks, and then were “crossed over” to the other group.) People

    receiving magnesium experienced a significant reduction in dysautonomic symptoms, such as chest pain, palpitations, anxiety, and shortness of breath.

    Note that it is unlikely that these people suffered from magnesium deficiency. Magnesium deficiency is thought to be a rare condition. More likely, low magnesium levels are a consequence of some other factor that also causes dysautonomia symptoms. Regardless, magnesium supplementation could help treat such symptoms. However, more

    studies are necessary to validate this promising possibility.
    For more information, including dosage and safety issues, see the full magnesium article.
    Other Proposed Natural Treatments

    Various herbs and supplements that are hypothesized to help the heart in miscellaneous ways (such as treating congestive heart failure or preventing coronary artery disease) are often recommended for MVP as well, on general principles. These include arginine , CoQ 10 , creatine , hawthorn , L-carnitine , OPCs , taurine , vitamin B 1 , and vitamin E . However, there is no scientific reason to believe that any of these natural treatments would help MVP.

    A variety of other natural treatments are used to treat anxiety -related dysautonomia symptoms. These include the following:

    5-HTP (5-hydroxytryptophan)
    Acupuncture
    Hops
    Kava
    Lemon balm
    Melatonin
    Multivitamin/multimineral supplements
    Passionflower
    Valerian


    Natural treatments used for stress may be helpful as well.

    A serious form of autonomic nervous system dysfunction can occur in people with diabetes. The supplements lipoic acid , acetyl-L-carnitine , and GLA (gamma-linolenic acid) have shown some promise for this condition, and for this

    reason have been recommended for the treatment of the dysautonomic symptoms noted above.
    Herbs and Supplements to Use Only with Caution

    Numerous herbs and supplements may interact adversely with drugs used to treat mitral valve prolapse. For more information on this potential risk, see the individual drug article in the drug interactions section of this database.

    Mitral Valve Prolapse - Beth Israel Deaconess Medical Center
    BADILI TABIA
     
    Last edited by a moderator: Jan 4, 2016
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