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Should I see a cardiologist for mild mitral valve prolapse and diastolic dysfunction? 

A recent echocardiogram showed that I have mild mitral valve prolapse and mild diastolic dysfunction. My internist who is usually overly concerned about small test results doesn't seem to think this is of concern. Should I ask to see a cardiologist? I am 71 and every one of my older relatives died of heart disease.

submitted Betty Jo from Camarillio, California on 1/25/2013


Patrick J. Cook, MDby Texas Heart Institute cardiologist, Patrick J. Cook, MD    

Neither of those conditions, as described, is apt to be threatening in the short run. Mitral prolapse is unlikely ever to be a significant problem for you in your demographic, and diastolic dysfunction without symptoms is not generally treated per se. If it's due to hypertension, then anti-hypertensives are given. All that said, you still, if you wish, have the right to ask for a second opinion from a cardiologist. [In our Center for Women's Heart Health referenced below, you may find many articles of interest, in particular, a recent issue of "Straight Talk" addressing MVP.] 

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Updated January 2013
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