Is Chest Tightness and Elbow Pain Linked to Mitral Valve Prolapse?

Is chest tightness causing chest pain and elbow pain?

Hello, doctor.
Two years ago, I worked in security for over a year, and due to long hours and night shifts, I experienced chest tightness.
Later, in February 2015, I was diagnosed with mitral valve prolapse.
Last year, the frequency of my chest tightness was low, but after switching to a regular work schedule this year, the frequency has increased compared to last year.
Additionally, when I press on my chest, it hurts, although it doesn't hurt when I’m not pressing.
Occasionally, I also feel soreness and numbness in my left elbow.
Could the soreness in my elbow be related to the prolapse or the chest tightness? Thank you.

Hong Ge, 30~39 year old female. Ask Date: 2016/12/27

Dr. Hong Yuanbin reply Internal Medicine

Hello, typical angina usually does not become more painful when pressure is applied.
Based on your description, it seems less like typical angina and more likely related to stress or irregular lifestyle causing discomfort in the chest.
However, I recommend that if you want to confirm the diagnosis, you should go to the hospital for further examination.
Some heart conditions can indeed cause pain in the arms, but pain primarily in the upper arm, along with elbow soreness or prolapse, is more likely due to muscle injury.
Thank you for your question.

Reply Date: 2016/12/27

More Info

Mitral valve prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to various symptoms, including chest tightness and discomfort. Your experience of chest tightness and elbow pain raises important questions about the potential connections between these symptoms and MVP.

Firstly, it is essential to understand that MVP can be associated with a range of symptoms, including palpitations, anxiety, and chest pain. The chest tightness you are experiencing could be related to MVP, especially if it is accompanied by other symptoms such as palpitations or anxiety. In some cases, individuals with MVP may experience chest pain that can mimic angina, which is often described as a pressure or tightness in the chest. This discomfort can sometimes radiate to other areas, including the arms, shoulders, and even the elbows.

The relationship between MVP and elbow pain is less direct. While it is not common for MVP to cause elbow pain specifically, the discomfort in your elbow could be related to other factors. For instance, if you are experiencing anxiety or stress related to your MVP, this could lead to muscle tension, which might manifest as pain or discomfort in various parts of your body, including the elbow. Additionally, if you have been more sedentary or have changed your physical activity levels due to your symptoms, this could also contribute to discomfort in your elbow.

It is also worth considering other potential causes of elbow pain. Conditions such as tendinitis, bursitis, or even referred pain from the neck or shoulder can lead to symptoms in the elbow. If your elbow pain is persistent or worsening, it would be prudent to consult with a healthcare provider to evaluate the specific cause of your discomfort.

Regarding the increase in chest tightness this year compared to last year, it is important to consider various factors that could contribute to this change. Stress, changes in physical activity, or even dietary factors can influence symptoms related to MVP. Since you mentioned a change in your work schedule, it may be beneficial to assess how this change has impacted your overall stress levels and lifestyle.

In conclusion, while there may be a connection between your symptoms of chest tightness and mitral valve prolapse, the elbow pain may not be directly linked to MVP. It is advisable to discuss your symptoms with a healthcare provider who can perform a thorough evaluation, including a physical examination and possibly further testing, to determine the underlying causes of your symptoms. They can help you develop a management plan that addresses both your MVP and any other contributing factors to your discomfort. If you experience severe chest pain, shortness of breath, or other concerning symptoms, seek immediate medical attention.

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