Mitral Valve Prolapse: Postpartum Chest Pain and Shortness of Breath

There is mitral valve prolapse, and after childbirth, there is chest pain and tightness?

Hello, Doctor.
I experienced severe dizziness, chest tightness, and shortness of breath suddenly at 31 weeks of pregnancy, and was later diagnosed with symptoms of mitral valve prolapse after being referred to a cardiologist.
Now that I have given birth about four months ago, I have noticeable chest tightness accompanied by heart pain about once or twice every two weeks, without any dizziness.
I would like to know if this frequency is considered normal, or if I need to see a doctor for a more detailed examination?

Qing, 20~29 year old female. Ask Date: 2017/01/15

Dr. He Dongjin reply Cardiology

Hello, this symptom is likely normal.
If you still feel unwell, some medications may help alleviate it, but you should consider whether you are breastfeeding.
Changhua Hospital cares about you.

Reply Date: 2017/01/15

More Info

Mitral Valve Prolapse (MVP) is a condition where the heart's mitral valve does not close properly, which can lead to various symptoms, including chest pain, palpitations, and shortness of breath. Your experience of severe dizziness, chest tightness, and difficulty breathing during pregnancy, followed by postpartum symptoms, raises several important considerations.

Firstly, it is not uncommon for women with MVP to experience exacerbated symptoms during pregnancy due to the increased blood volume and hormonal changes that occur. These physiological changes can place additional stress on the heart and may lead to symptoms like those you described. The fact that you were diagnosed with MVP during your pregnancy suggests that your heart may have been under significant strain, which could explain the acute symptoms you experienced.

Now that you are four months postpartum and experiencing chest tightness and pain approximately once or twice every two weeks, it is essential to evaluate whether these symptoms are within a normal range or if they warrant further investigation. While some individuals with MVP may experience intermittent symptoms, the frequency and nature of your chest pain should not be overlooked.
Chest pain can have various causes, and in the context of MVP, it may be related to the valve's function, anxiety, or even musculoskeletal issues. However, it is crucial to rule out other potential causes of chest pain, especially since you mentioned experiencing heart pain. Given your history and the fact that you are postpartum, it is advisable to consult with your healthcare provider for a thorough evaluation. They may recommend an echocardiogram to assess the mitral valve's function and any potential regurgitation, as well as other tests to rule out any cardiac or pulmonary issues.

In addition to the physical evaluation, consider discussing your symptoms with your doctor in the context of your overall health, including any stress or anxiety you may be experiencing as a new parent. Anxiety can manifest as physical symptoms, including chest pain and shortness of breath, which can complicate the clinical picture.

In summary, while some degree of chest discomfort may be normal for individuals with MVP, the frequency and nature of your symptoms warrant further investigation. It is always better to err on the side of caution, especially with symptoms related to the heart. Schedule an appointment with your healthcare provider to discuss your symptoms in detail and determine if further diagnostic testing is necessary. Your health and well-being are paramount, and ensuring that you receive appropriate care is essential for your recovery and peace of mind.

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