Our expert says:
Hi anon. Being a young pre-menopausal non-smoking woman of 34 your risk of coronary disease in the the next 10 -15 years is very low, even with a high cholesterol and a family history of heart problems. Also, your pain doesn not sound cardiac. I agree with your doctor that it is not heart-related.
A click with a murmur usually means a condition called mitral valve prolapse (or Barlow's syndrome). It is a very common condition especially in slim young women, and usually very benign. You have probably had it for years without knowing about it! The diagnosis can be confirmed by doing an echocardiogram which any cardiologist can do for you. Occasionally patients with mitral prolapse develop a severe valve leak and require valve surgery, but far more commonly the valve gives no trouble for many years, if ever. A cardiologist can assess your mitral valve carefully for you and give you advice.
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