CM and Mitral Valve
I am a 35 year old male who has had MVP all my life, and was diagnosed with CM and Mitral Valve regurgitation last summer. I had an ICD implanted in October for VT, then had an ablation done just before New Years. The meds were helping, but after the ablation my heart rhythm is *much* more regular. I had been having lots of skipped beats/PVC’s which were causing my VT’s.
As far as the CM, I have never had any CM or HF symptoms. I was jogging 1-1/2 miles a couple days a week and all normal activities. What made me go to the cardiologist was dizzy spells and a syncope, which led to the VT diagnosis. I feel very good other than the side effects of my medications. I am currently taking Lisinopril and Coreg. I had an echo and a chest CT done in February, before I had a discectomy surgery on my back, which showed nothing unusual other than my MVP and some irregular beats, which was assumed
to be due to the MVP. The same cardiologist who made the later CM determination was the one who cleared me for the back surgery. Since my dilation and VT’s seemed to come on so fast, I am hopeful that the PVCs/VT was the cause of the DCM and that it could recover on it’s own, since I have no symptoms and am young and in otherwise good shape.
My EF varies from 35% by cath (original diagnosis last summer) to 40-45% by an echo and 50-57% by an MRI in October just before getting my ICD. The MRI said my left ventricle was “dilated at 6-cm”, and my mitral regurgitation was “+2″. I saw the cardiologist on Thursday, and he describes me as having ‘moderate’ CM and ‘moderate’ regurgitation. He said my heart was responding very well to medication, and that he could no
longer hear my murmur or regurgitation, which sounds excellent to me. He wants to see me back in 6
months for another echo, and annually thereafter. Is a yearly echo good practice for DCM patients, or should it be more often?
What has my wife and I worried is the uncertainty about the future. Some of the things we have been finding out about DCM are disturbing, but there seem to be some people who have had great recoveries as well. My cardiologist said that I could stay the same for years, the DCM could reverse, or it could degrade. He said there is just ‘not enough data’ for someone my age with DCM to make a prediction. I understand that this is
serious and I have been working on eating healthier, have lost some weight and am exercising. Of course we have to be prepared for the possibility of the worst as well.