Mitral Valve Prolapse: Symptoms, Medications, and Side Effects

Mitral valve prolapse

Doctor He: Hello~ Recently, I've been feeling chest tightness and difficulty breathing, and sometimes my hands and feet go numb.
I went for a cardiac ultrasound today, and it was said that one side of my mitral valve is longer, which is causing some of my occasional discomfort symptoms.
The doctor also prescribed medication for me, saying that if I feel very uncomfortable, I should take one type of medication called Entresto, which is a light purple, round, convex tablet, and another type called Isosorbide Mononitrate, which is a white, round, convex tablet.
What effects will these two medications have? Are there any side effects?

Chen, 20~29 year old female. Ask Date: 2016/04/18

Dr. He Dongjin reply Cardiology

Hello, this is what is known as mitral valve prolapse without complications.
However, there may be occasional discomfort symptoms.
The two medications are at a low dosage and primarily aim to reduce symptoms of autonomic nervous system dysregulation.
Don't worry; some people may just feel sleepy after taking them.
Changhua Hospital cares about you.

Reply Date: 2016/04/18

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to various symptoms, including chest discomfort, shortness of breath, and even palpitations. In some cases, individuals may experience anxiety or panic attacks due to the sensation of not being able to breathe properly, which can further exacerbate the symptoms.

Symptoms of Mitral Valve Prolapse
Common symptoms associated with MVP include:
1. Chest Pain: Often described as a sharp or stabbing pain, which can be mistaken for heart-related issues.

2. Shortness of Breath: This can occur during physical activity or even at rest.

3. Palpitations: A feeling of the heart racing or fluttering.

4. Fatigue: General tiredness that may not correlate with physical activity levels.

5. Dizziness or Lightheadedness: This can occur, especially if there are episodes of rapid heart rate.

Medications for Mitral Valve Prolapse
In your case, the medications prescribed include Entresto (恩特來錠) and Esgic (易舒錠).
1. Entresto: This medication is primarily used to treat heart failure. It contains a combination of sacubitril and valsartan, which work together to relax blood vessels, reduce strain on the heart, and improve blood flow. While it is not specifically indicated for MVP, it may help manage symptoms related to heart function if there are associated issues like heart failure or significant regurgitation.

Common Side Effects:
- Low blood pressure
- Elevated potassium levels
- Dizziness
- Cough
- Fatigue
2. Esgic: This medication is typically used for the relief of tension headaches and may contain a combination of acetaminophen, butalbital, and caffeine. It is not directly related to MVP but may be prescribed to help manage headaches or tension that can arise from anxiety related to the condition.

Common Side Effects:
- Drowsiness
- Dizziness
- Nausea
- Abdominal pain

Managing Symptoms and Side Effects
If you are experiencing side effects from these medications or if they do not seem to alleviate your symptoms, it is crucial to communicate this with your healthcare provider. They may consider adjusting the dosage or switching to alternative medications.

Lifestyle Modifications
In addition to medication, several lifestyle changes can help manage MVP symptoms:
1. Regular Exercise: Engaging in moderate physical activity can improve cardiovascular health and reduce symptoms.

2. Stress Management: Techniques such as yoga, meditation, or deep-breathing exercises can help manage anxiety and stress, which may exacerbate symptoms.

3. Dietary Adjustments: A heart-healthy diet low in sodium and rich in fruits, vegetables, and whole grains can support overall heart health.

4. Avoiding Stimulants: Reducing or eliminating caffeine and other stimulants can help minimize palpitations and anxiety.

When to Seek Medical Attention
If you experience severe symptoms such as significant chest pain, fainting, or persistent shortness of breath, it is essential to seek immediate medical attention. Regular follow-ups with your healthcare provider are also important to monitor your condition and adjust treatment as necessary.

In conclusion, while MVP can be concerning, many individuals manage their symptoms effectively with the right combination of medications, lifestyle changes, and regular medical care. Always consult with your healthcare provider regarding any concerns or side effects you may experience with your medications.

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