Mitral valve prolapse
Hello Doctor, I started experiencing discomfort in my heart in January of this year.
I went to the hospital and underwent an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram.
The results showed that I have mild mitral valve prolapse, which the doctor said is not serious.
However, I often feel short of breath, and sometimes I wake up in the middle of the night with my heart racing above 140 beats per minute, which has led me to visit the emergency room.
The doctor prescribed me Ambien and a medication for heart rhythm, advising me to take them only if necessary.
I've been feeling better recently, so I stopped taking them, but I still wake up suddenly anxious at night, and my heart starts to race again.
What should I do to coexist peacefully with this condition?
Mo Li, 20~29 year old female. Ask Date: 2016/05/08
Dr. He Dongjin reply Cardiology
Hello, it seems that you have been quite anxious lately.
It is recommended to consistently take your medication before bedtime for a while, and we can reassess the situation later.
Changhua Hospital cares about you.
Reply Date: 2016/05/08
More Info
Managing mitral valve prolapse (MVP) and the associated symptoms, such as heart palpitations and anxiety, can be challenging but is certainly manageable with the right strategies. MVP is a common condition where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, shortness of breath, and anxiety. Here are some tips to help you live with MVP and manage your symptoms effectively.
Understanding Your Condition
First and foremost, it’s essential to understand that MVP is often benign, especially when it is classified as mild. Many people with MVP live normal, healthy lives without significant complications. The symptoms you are experiencing, such as palpitations and anxiety, are not uncommon and can be triggered by various factors, including stress, caffeine, and fatigue.
Lifestyle Modifications
1. Dietary Changes:
- Limit Caffeine and Stimulants: Caffeine can exacerbate palpitations and anxiety. Consider reducing your intake of coffee, tea, and energy drinks.
- Stay Hydrated: Dehydration can lead to increased heart rate and palpitations. Ensure you drink enough water throughout the day.
2. Regular Exercise:
- Engaging in regular physical activity can help reduce anxiety and improve overall cardiovascular health. Aim for at least 150 minutes of moderate aerobic exercise each week, such as walking, swimming, or cycling. However, consult your healthcare provider before starting any new exercise regimen.
3. Stress Management:
- Mindfulness and Relaxation Techniques: Practices such as yoga, meditation, and deep-breathing exercises can help manage anxiety and reduce the frequency of palpitations. Consider incorporating these practices into your daily routine.
- Adequate Sleep: Ensure you are getting enough restful sleep. Poor sleep can increase anxiety and exacerbate heart palpitations.
Medical Management
1. Medication:
- It seems you have been prescribed medications such as beta-blockers (like the one you mentioned, "心律") to help manage your heart rate and anxiety. If you experience episodes of rapid heart rate or anxiety, it’s important to follow your doctor’s advice on when to take these medications. If you find that your symptoms persist or worsen, discuss this with your healthcare provider, as they may need to adjust your treatment plan.
2. Regular Follow-ups:
- Keep regular appointments with your cardiologist to monitor your condition. If you notice any changes in your symptoms, such as increased frequency or severity of palpitations, inform your doctor promptly.
Coping Strategies
1. Recognizing Triggers:
- Keep a diary of your symptoms, noting when they occur and any potential triggers. This can help you identify patterns and avoid situations that may provoke your symptoms.
2. Support System:
- Share your experiences with friends or family members who can provide emotional support. Consider joining a support group for individuals with MVP or anxiety, where you can share experiences and coping strategies.
3. Emergency Plan:
- Since you mentioned experiencing episodes of rapid heart rate that led to emergency visits, it may be beneficial to have a plan in place. Know when to seek immediate medical attention and what steps to take if you experience severe symptoms.
Conclusion
Living with mitral valve prolapse and managing heart palpitations can be challenging, but with the right lifestyle modifications, stress management techniques, and medical support, you can lead a fulfilling life. Always communicate openly with your healthcare provider about your symptoms and concerns, and don’t hesitate to seek help when needed. Remember, you are not alone in this, and many resources are available to support you in managing your condition effectively.
Similar Q&A
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Hello, last year I went for an examination due to chest discomfort and was diagnosed with mitral valve prolapse. I have heard that I should do some exercises to raise my heart rate to 120 beats per minute and maintain it for 30 minutes. I would like to know if this exercise appro...
Dr. He Dongjin reply Cardiology
Hello, any exercise that does not make you uncomfortable is acceptable, as long as it maintains a heart rate of 120 beats per minute for 30 minutes. If you feel any discomfort, you can also engage in milder activities, such as brisk walking, which is also a good option. Changhua ...[Read More] Exercise Recommendations for Mitral Valve Prolapse Management
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