Heart Valve Prolapse: Symptoms and When to Seek Help - Cardiology

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Cardiac issues


Hello, I would like to ask some questions.
I have mitral valve prolapse and had an electrocardiogram a year ago that showed no issues.
Occasionally, I experience a rapid heartbeat or a skipped heartbeat.
Recently, I have been feeling very short of breath, even while sitting, and it feels like something is pressing on my heart, making it feel heavy.
I have some difficulty breathing, and sometimes when I bend down to pick something up or climb a few stairs, I become very breathless, as if I had just run a distance, which is quite uncomfortable.
My height is 160 cm and my weight is 45 kg.
I would like to know if this could be related to my heart condition.
Should I follow up with a cardiologist?

Xiao Mian Xian, 20~29 year old female. Ask Date: 2002/09/15

Dr. Chen Jili reply Cardiology


Based on the symptoms, the diagnosis is consistent with mitral valve prolapse.
A visit to a cardiologist for an echocardiogram is recommended for further evaluation.

Reply Date: 2002/09/15

More Info


Understanding heart valve prolapse, particularly mitral valve prolapse (MVP), is crucial for managing symptoms and knowing when to seek medical help. MVP occurs when the mitral valve, which separates the left atrium from the left ventricle, does not close properly. This can lead to various symptoms, some of which you are experiencing.


Symptoms of Mitral Valve Prolapse
The symptoms of MVP can vary widely among individuals. Many people with MVP do not experience any symptoms at all. However, when symptoms do occur, they can include:
1. Palpitations: This may feel like your heart is racing, fluttering, or skipping beats.

2. Chest Pain: Often described as sharp or stabbing, it can be mistaken for angina.

3. Shortness of Breath: This can occur during physical activity or even at rest, as you mentioned.

4. Fatigue: A general feeling of tiredness or lack of energy.

5. Dizziness or Lightheadedness: This can happen, especially when standing up quickly.

6. Anxiety or Panic Attacks: Some individuals report feeling anxious or having panic attacks.


When to Seek Help
Given your symptoms of increased shortness of breath, a feeling of heaviness in the chest, and palpitations, it is essential to consult with a healthcare provider, particularly a cardiologist. Here are some specific situations where you should seek medical attention:
- Worsening Symptoms: If your shortness of breath becomes more severe or occurs more frequently, it’s crucial to get evaluated.

- New Symptoms: If you experience new symptoms such as swelling in your legs, severe chest pain, or fainting, seek immediate medical attention.

- Persistent Symptoms: If your current symptoms persist or interfere with your daily activities, it’s time to discuss this with your doctor.


Possible Causes of Your Symptoms
Your symptoms could be related to the mitral valve prolapse itself or other underlying conditions. Some potential causes include:
- Mitral Regurgitation: If the valve is leaking, it can lead to increased pressure in the heart and lungs, causing shortness of breath.

- Anxiety: Anxiety can exacerbate feelings of breathlessness and palpitations.

- Deconditioning: If you have been less active, your body may not be as conditioned for physical exertion, leading to increased breathlessness.

- Other Cardiac Issues: Conditions such as arrhythmias or heart failure could also contribute to your symptoms.


Recommendations
1. Follow-Up with a Cardiologist: Given your history of MVP and current symptoms, it’s advisable to schedule a follow-up appointment with a cardiologist. They may recommend further testing, such as an echocardiogram, to assess the function of your mitral valve and the overall health of your heart.


2. Lifestyle Modifications: Consider incorporating regular, moderate exercise into your routine, as tolerated. This can improve your cardiovascular fitness and help manage symptoms. Additionally, managing stress through relaxation techniques such as yoga or meditation may also be beneficial.

3. Monitor Symptoms: Keep a log of your symptoms, noting when they occur and their severity. This information can be valuable for your healthcare provider in assessing your condition.

4. Medication: If your symptoms are severe or significantly impact your quality of life, your doctor may prescribe medications to help manage symptoms or address any underlying issues.

In conclusion, while MVP can be a benign condition for many, your current symptoms warrant further evaluation. It’s essential to maintain open communication with your healthcare provider and seek help when needed.

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