the Connection Between Autonomic Dysregulation and Mitral Valve Prolapse - Cardiology

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Autonomic Nervous System Dysfunction and Mitral Valve Prolapse


Hello, doctor.
A few days ago, I experienced discomfort due to an overdose of over-the-counter medication.
When I visited the clinic the next day, the doctor mentioned that my symptoms were caused by the overdose, which led to palpitations.
Although drinking more water helped alleviate the symptoms, I am unsure if the improvement is psychological or if I still feel some symptoms after taking cold medicine.
I have a slightly elevated heart rate (between 80-90 bpm) and was diagnosed with autonomic nervous system dysfunction a few years ago, for which I am currently undergoing treatment with traditional Chinese medicine.
Recently, I learned that someone I know has mitral valve prolapse, and I noticed some similarities in symptoms, which prompted me to research the condition.
I found that there seems to be a slight connection between the two, but it appears that the autonomic nervous system dysfunction should be addressed first.
I am about to undergo dental implants and consider having my wisdom teeth extracted, and I am concerned about potential complications.
I would appreciate your help in clarifying whether I might have mitral valve prolapse without being aware of it.
Thank you.

Xue En, 20~29 year old female. Ask Date: 2016/12/30

Dr. He Dongjin reply Cardiology


Hello, the probability of autonomic nervous system dysfunction and mitral valve prolapse occurring together is quite high, and their symptoms are very similar.
The medications for both conditions are also similar.
If you want to confirm the diagnosis, it is advisable to visit a cardiology clinic for further examination.
Changhua Hospital cares about you.

Reply Date: 2016/12/30

More Info


Understanding the connection between autonomic dysregulation and mitral valve prolapse (MVP) is a nuanced topic that involves both physiological and psychological aspects. Mitral valve prolapse is a condition where the mitral valve does not close properly, which can lead to mitral regurgitation. It is often benign, but in some cases, it can be associated with symptoms such as palpitations, anxiety, and chest discomfort.

Autonomic dysregulation refers to an imbalance in the autonomic nervous system (ANS), which controls involuntary bodily functions, including heart rate, blood pressure, and digestion. This dysregulation can manifest as symptoms like increased heart rate, anxiety, and other stress-related responses. In individuals with MVP, there is evidence to suggest that autonomic dysfunction may play a role in the symptoms experienced, such as palpitations and anxiety.

Research indicates that patients with MVP often exhibit signs of increased sympathetic nervous system activity and decreased parasympathetic activity. This imbalance can lead to heightened awareness of heartbeats (palpitations) and increased anxiety levels. The connection between MVP and autonomic dysregulation may be particularly pronounced in younger individuals, especially women, who are more likely to experience these symptoms.

In your case, the experience of palpitations following an overdose of medication could be attributed to several factors. The initial heart palpitations you experienced may have been a direct result of the medication, which can stimulate the heart or alter its rhythm. Additionally, the anxiety stemming from the overdose and the subsequent concern about your heart health could further exacerbate the symptoms. It is not uncommon for individuals with a history of autonomic dysregulation to experience heightened anxiety and physical symptoms in response to stressors.

Regarding your concern about mitral valve prolapse, it is essential to consult with a healthcare provider who can perform a thorough evaluation, including an echocardiogram, to determine if you have MVP. Many individuals with MVP are asymptomatic and do not require treatment, but if you are experiencing significant symptoms, management options are available. These may include lifestyle modifications, medication for anxiety or palpitations, and regular monitoring.

As for your current treatment with traditional Chinese medicine (TCM) for autonomic dysregulation, it is crucial to continue following your healthcare provider's recommendations. TCM can be beneficial for managing symptoms related to stress and anxiety, and it may help restore balance to your autonomic nervous system.

In summary, while there is a connection between autonomic dysregulation and mitral valve prolapse, it is essential to approach this relationship holistically. Addressing your autonomic dysregulation through appropriate medical care, lifestyle changes, and stress management techniques can help alleviate symptoms. If you have concerns about MVP or your heart health, please consult with a cardiologist for a comprehensive evaluation and tailored advice.

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