Discussions By Condition: I cannot get a diagnosis.

I Really Need Some Advice On What's Going On.

Posted In: I cannot get a diagnosis. 8 Replies
  • Posted By: 7DayTheory
  • July 10, 2007
  • 05:41 PM

What's going on?

About 3 saturdays ago I went to the park to play basketball. Everything was going great. I played about 3 games non stop. I only ate 1 breakfast sandwich from mcdonalds that morning. Anyway, after I played.......I got in my car and proceeded to drive home. After about 5 mins.....my heart starting racing. I quickly pulled over and had to kneel down. It was still racing, so my friend calls 911. They came and took me to the hospital. I had suffered from dehydration. On top of that, I came down with a stomach virus. So for the first week in a half, all I wanted to do is sleep and lay down. It wasn't until last week I was able to walk around normally. Ever since my heart started racing, it hasn't felt the same. So I went to my doctor and they gave me an echo (ultra sound on my heart) turns out I have a mild Mitral Valve Prolapse. I knew I had it. 4 years ago, the doc told me the same thing, but I was only 18 or 19 so I didn't really paid much attention. Ok...lets fast foward to now. The last couple of days I'm experiencing shortness of breath. Never got this before. It seems everytime I really think or concentrate on it, it gets worse. When ever I try not to think about it, it doesn't bother me much. Its hard to explain. I never get a satisfying breath. Eventually when I inhale stronger, I get it. But its really bugging me out. I haven't played basketball since that day. I'm a very active dude. I haven't done anything for the past 3 weeks. I'm kind of nervous to do anything. I got blood work done, everything came back normal. Plus I don't feel 100% like I once was. I feel tired and weak a lot. I do have some energy bursts, but doesn't last long. Any help is much appreciated. Thanks

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8 Replies:

  • Go and see a good cardiologist. He'll be able to answer your questions.
    Monsterlove 2921 Replies Flag this Response
  • http://www.mayoclinic.com/health/mitral-valve-prolapse/DS00504/DSECTION=7 TreatmentMost people with mitral valve prolapse, particularly people without symptoms, don't require treatment.If you develop symptoms, your doctor might prescribe certain medications to treat MVP-related chest pain, heart rhythm abnormalities or other complications. Some medications you might be prescribed include:Beta blockers. These drugs help prevent irregular heartbeats. They work by blocking the effects of the hormone epinephrine, also known as adrenaline. As a result, the heart beats more slowly and with less force, thereby reducing blood pressure. Beta blockers also help blood vessels relax and open up to improve blood flow. Aspirin. If you have mitral valve prolapse and have a history of strokes, your doctor might prescribe aspirin to reduce the risk of blood clots. Prescription anticoagulants (blood thinners). These medications — warfarin (Coumadin) is commonly used — prevent your blood from clotting. If you have atrial fibrillation, a history of heart failure or a history of strokes, your doctor may suggest these drugs. They must be taken exactly as prescribed.Surgical treatment for mitral valve prolapseThough most people with mitral valve prolapse don't need surgery, your doctor may suggest surgery if you have severe mitral valve regurgitation with or without symptoms. The risk of severe mitral regurgitation is enlargement of your heart's main pumping chamber (the left ventricle). This can eventually weaken your heart, preventing it from effectively pumping blood. If regurgitation goes on too long your heart may be too weak for surgery.If your doctor suggests surgery, there are two main options, repair or replacement of the mitral valve.Valve repair. Mitral valve repair is a surgery to preserve your own valve. Your mitral valve consists of two triangular-shaped flaps of tissue called leaflets. The leaflets of the mitral valve connect to the heart muscle through a ring called the annulus. The surgeon can modify the original valve (valvuloplasty) to eliminate backward blood flow. Surgeons can repair the valve by reconnecting valve leaflets or by removing excess valve tissue so that the leaflets can close tightly. Sometimes repairing the valve includes tightening or replacing the ring around the valve (annulus). This is called an annuloplasty. Valve replacement. Valve replacement is done when valve repair isn't possible. In valve replacement surgery, the damaged mitral valve is replaced by an artificial (prosthetic) valve. The two types of artificial valves are mechanical and tissue. Mechanical valves, which are made of metal, may last a long time. However, if you have a mechanical valve, you must use an anticoagulant medication, such as warfarin (Coumadin), for the rest of your life to prevent blood clots from forming on the valve. If a blood clot forms on the valve and breaks free, it could travel to your brain and cause a stroke. Tissue valves are made from biologic tissue such as a pig's heart valve. These kinds of valves are called bioprostheses. They may wear out over time and need replacement. However, an advantage of the tissue valve is that you don't have to use long-term anticoagulant medication.Current guidelines from the American Heart Association indicate repairing, rather than replacing, your mitral valve is usually the best option for most people with MVP who need surgery. The success of mitral valve repair depends on the expertise of the surgeon. Valve repair or replacement operations are best done by surgeons experienced in doing them.Mitral valve repair or replacement requires open heart surgery, done under general anesthesia. Through an incision, usually through your breastbone (sternum), your heart is exposed and connected to a heart-lung machine that assumes your breathing and blood circulation functions during the procedure. Your surgeon then replaces or repairs the valve. After the operation, you'll spend one or more days in an intensive care unit, where your heart function and general recovery are closely monitored. Less invasive ways of repairing or replacing the mitral valve are also being studied, but these procedures aren't widely available yet.Depending on your age and risk factors for coronary artery disease, your doctor may recommend cardiac catheterization and coronary angiograms before surgery. During a cardiac catheterization, a long, thin, flexible plastic tube (catheter) is inserted into your body. Dye is injected into the blood vessels of your heart. The dye is visible by X-ray machine. The machine rapidly takes a series of X-ray images (angiograms), offering a detailed look at your heart arteries to determine if you need coronary artery bypass at the same time as your valve surgery. Pressures in the heart's chambers may be measured, particularly if there is any concern about high blood pressure in the lung arteries (pulmonary hypertension) that might influence the decision to proceed with surgery.Keeping others informedMake sure your dentist or dental hygienist knows that you have mitral valve prolapse if you need dental work that's likely to cause gum bleeding, including routine cleaning. Also, tell your surgeon about your mitral valve prolapse before an operation such as a tonsillectomy, gallbladder surgery or prostate surgery. You may need to take antibiotics before the treatment or surgery in order to reduce the risks of a heart infection (endocarditis). Antibiotics can destroy most of the bacteria that enter and travel through your bloodstream, thus preventing an infection of the heart valve.
    Monsterlove 2921 Replies Flag this Response
  • Thanks for that info. My doctor told me I have a mild MVP. Nothing I should be worried about....just monitured every year or so. So I told her about the shortness of breathing I'm having and she stated that it has nothing to do with my MVP. I should make an appointment to check it out. Like I said, it really gets worse when I think about it. When my mind is off of it, its almost normal, but some small part of my mind is always focusing on it....so I know its there. What really gets me is that it just started a few days ago.
    7DayTheory 7 Replies Flag this Response
  • You might want to do some research about the commonality of MVP and hypothyroidism. It's very common to have heart conditions and thyroid disease.Your doctor says all your tests are normal. Has he tested you for hypothyroidism?Those tests would be a TSH, Free T4, and Free T3. You need to know the ranges and the results. Don't let a doctor tell you a test is normal without seeing the parameters for yourself. Get copies of your results. Then go to this website and compare your test results.http://thyroid.about.com/library/howto/hthypothyroidism.htm"How to Tell If You Are HypothyroidHere's how you can determine if you have an underactive thyroid condition called hypothyroidism.Difficulty Level: Easy Time Required: 5 minutesHere's How:List your risk factors, including: family history, previous treated/untreated problems (nodules, hyperthyroidism, goiter, hypothyroidism, thyroid cancer), previous thyroid surgery, another autoimmune disease, childbirth.Note symptoms including: weight gain, depression, forgetfulness, fatigue, hoarseness, high cholesterol, constipation, feeling cold, hair loss, dry skin, low sex drive, tingling hands/feet, irregular periods, infertility.Note related conditions, including: recurrent pregnancy loss, resistant high cholesterol, difficult menopause, fibromyalgia, chronic fatigue syndrome, carpal tunnel syndrome, mitral valve prolapse."Thyroid disease is more common in women than men.You can also have shortness of breath due to the fatigue.Also when your thyroid is failing you can vascillate between normal, high and low TSH's.
    Anonymous 42789 Replies Flag this Response
  • Hmmmmm ok. I don't know if I'm more worried that I have mvp....or I'm having shortness of breath.
    7DayTheory 7 Replies Flag this Response
  • I have set up an appointment for today to see my doctor. Its like every 30 seconds, I need to take a deep breath. I'm getting very frustrated. What can it be? It just came out of no where about a week ago. The people that posted info, I will look into that and ask my doctor. I guess I'm just worried. I never smoked, nor drink. However, I know my mother has asthma. So I don't know. I never had allergies that I know of. Now I'm back to feeling tired and sleepy. Before I developed this shortness of breath, I was getting back to normal. I was walking around......playing a little bit of basketball....not feeling as tired or sleepy. Could this be a mental thing? I'm a very nervous person and always think of the worse.
    7DayTheory 7 Replies Flag this Response
  • Breathe into a paper bag. You could be hyper-ventilating at this time.
    Monsterlove 2921 Replies Flag this Response
  • Its been like this for a wek now....having to take a deep breath every 30 or so seconds......can you hyperventilate for a week straight everyday?
    7DayTheory 7 Replies Flag this Response
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