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Doctors Lounge - Cardiology Answers
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| betty123
- Sat Sep 15, 2007 11:04 pm |
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I am a 27-year-old woman and I've been told for years that I have a heart murmur, but I was just recently told it's actually a split heart sound. I get heart palpitations from time to time and really strange abnormal rhythms rarely. I also get dizzy and weak and sometimes short of breath when I exercise. I exercise a lot so I'm in pretty good shape, and these symptoms get better when I'm in better shape and exercise more. I also have mild asthma, so it could just be that. But another thing is, my friends tell me sometimes I look greyish, especially around my lips, even blue. What else could this be? I had an echocardiogram abroad where it was much cheaper, and the doctor said he didn't see anything wrong, but I don't trust him because he also said he didn't hear a murmur, and every other doctor does. I looked at the echo printout and it says everything is normal--chamber size, contraction, etc--except, "trivial tricuspid regurgitation, trivial mitral regurgitation." I know I'll eventually have to pony up the money and get an echo in the states, but in the meantime, what do you think is going on? Thanks so much!
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| Dr. Chan Lowe
- Mon Sep 17, 2007 12:23 am |
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 Hi Betty123,
Split heart sounds are a normal finding. They occur because the blood pressure in the body is higher than the blood pressure in the lungs. This causes the valves of the heart to close at a slightly different time leading to the split sounds heard.
Murmurs are very common. They can be innocent and harmless or can be related to a more severe problem. Based on these echo results, they may be hearing an innocent murmur or possibly a murmur related to the regurgitation.
Follow up with your doctor is important.
Best wishes.
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