expert type icon EXPERT

Dr. Arthur E. Constantine, M.D.

Cardiologist

Dr. Arthur Constantine is a cardiologist practicing in Nashville, TN. Dr. Constantine specializes in diagnosing, monitoring, and treating diseases or conditions of the heart and blood vessels and the cardiovascular system. These conditions include heart attacks, heart murmurs, coronary heart disease, and hypertension. Dr. Constantine also practices preventative medicine, helping patients maintain a heart-healthy life.
Dr. Arthur E. Constantine, M.D.
  • Nashville, TN
  • MD at The University of Alabama
  • Accepting new patients

Is chest heaviness related to my past heart issues?

Usually the symptoms of chest pain, pressure, or heaviness that recur years after a heart attack will be very similar to the symptoms that were present at the time of the heart READ MORE
Usually the symptoms of chest pain, pressure, or heaviness that recur years after a heart attack will be very similar to the symptoms that were present at the time of the heart attack although likely not as severe. Chest pain that are related to the heart - angina - that occur years later usually start out with exertion, described as a pressure, heaviness, or tightness on the left side of the chest and are relieved by rest or sublingual nitroglycerin, however this is not always the case. If the symptoms are worsening, even if not quite similar to the prior chest discomfort, they should not be ignored. The non cardiac reasons of chest discomfort are multiple and not the scope of the cardiologist and in most cases should be evaluated by your primary care doctor. To lessen the chances of further heart problems including another heart attack or procedure related to worsening heart blockages, one must strictly adhere to modification of lifestyle by exercising 30-60 minutes daily and following a nutritious low fat, low cholesterol diet on a daily basis.

Can I have mitral valve prolapse when doctor can not hear heart murmur?

Yes it is possible to have MVP without a heart murmur as MVP is a disease of the tissue of the valve that results in a thickening and redundancy of the valve leaflets which "bow" READ MORE
Yes it is possible to have MVP without a heart murmur as MVP is a disease of the tissue of the valve that results in a thickening and redundancy of the valve leaflets which "bow" like a parachute upon closing. This may result in a sound called a "click", which is very hard to hear on exam and most of the time is not present. The valve may or may not leak and therefore a murmur may or may not be heard. Even in the presence of a valve that leaks, a murmur may not be heard or could be very soft making it difficult to hear.

If you had an echo 6 yrs ago that was normal, the likelihood that mitral valve prolapse (MVP) is present is extremely low provided the echo was of good quality at that time. If so, I would not repeat the echo at present just to reevaluate for MVP.