What Should I Do I Have Moderate MVP Diagnosed By An Echo?

Posted on Sat, 23 May 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 23 May 2020 Answered on

Fri, 17 Oct 2025 Last reviewed on

Question : I have moderate MVP diagnosed by an echo. Holter showed 18,000 Pvc's. Have started on Bisiprolol 2.5 mg. for 4 days now, but my vitals are going down - 90/54, pulse54. My heart was skipping beats but now I have a double beat. Surgery is planned for future after another echo in 6 months but with the back up of bookings, I am worried.It is Saturday with 0 chance of speaking with a Dr.

Answered by Dr. Ilir Sharka (2 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that your low heart rate and blood pressure are caused by bisoprolol.

Although this is a low dose, it seems that you are sensitive to it.

For this reason, I would recommend reducing the dose ( half of the dose, 1.25mg ) or switch to Metoprolol Hemisuccinate 25mg (which does not affect your blood pressure so much).

There is no reason to panic!

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr.Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Raju A.T