Mitral Valve Prolapse: Symptoms and Concerns Explained

Mitral valve prolapse

Hello, doctor.
On January 3rd, I suddenly experienced sharp pain in my heart, followed by numbness in my limbs.
Although my condition has improved somewhat since then (I haven't had palpitations this week), I still occasionally experience chest pain (tightness and occasional sharp pain), limb numbness, muscle twitching, and even some cardiac symptoms: my menstrual cycle started a week early, I feel dizzy when walking, I occasionally have a tight sensation in my neck, I have soreness on the inner side of my left arm, occasional numbness in my left jaw, my eyes have become easily dry, I experience floaters (a small cotton-like sensation), and there are many blood vessels and spots in the whites of my eyes (I have seen an ophthalmologist and had a dilated eye exam, but no significant issues were found).
Occasionally, I also notice twitching at the edges of my vision.
I consulted a cardiologist who performed an ultrasound and said I have mild mitral valve prolapse, but my symptoms make me worry about possible vascular obstruction.
Although doctors say it's unlikely at my age, I would like to hear other doctors' opinions.
Do you think I need to undergo further testing? Thank you.

Xue Li Ge Ge, 20~29 year old female. Ask Date: 2017/02/23

Dr. He Dongjin reply Cardiology

Hello, Sherry.
Is this entire symptom caused by autonomic nervous system dysfunction leading to vascular obstruction? Which blood vessel could be blocked that would cause issues from your head to your eyes and all four limbs? There isn't one; you may be overthinking it.
It would be best to observe the situation first without needing further examinations.
Changhua Hospital cares about you.

Reply Date: 2017/02/23

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to a variety of symptoms, some of which you have described, such as chest pain, palpitations, and tingling in the limbs. Understanding MVP and its implications is crucial, especially when considering your symptoms and concerns about potential vascular issues.

Symptoms of Mitral Valve Prolapse
MVP can present with a range of symptoms, and while many individuals with MVP may remain asymptomatic, others may experience:
1. Chest Pain: This can be sharp or a feeling of tightness. It is often non-cardiac in nature but can be distressing.

2. Palpitations: Many patients report feeling their heart racing or skipping beats, which can be alarming.

3. Fatigue: Some individuals may feel unusually tired or fatigued.

4. Anxiety: There is often a psychological component, with anxiety being common among those with MVP.

5. Neurological Symptoms: Tingling in the limbs, dizziness, and even symptoms like those you described (e.g., left arm pain, jaw numbness) can occur, often related to anxiety or hyperventilation rather than direct cardiac issues.

Concerns Regarding Your Symptoms
Your symptoms, including the chest pain, tingling in the limbs, and the feeling of tightness in the neck, can understandably raise concerns about more serious conditions, such as coronary artery disease (CAD). However, it is essential to consider the following:
- Age and Risk Factors: You mentioned that your doctors have indicated that CAD is unlikely at your age. While it is true that younger individuals are less likely to have significant coronary artery disease, it is not impossible, especially if there are risk factors such as family history, smoking, or other health conditions.

- MVP and Symptoms: The symptoms you are experiencing can often be attributed to MVP itself. The condition can lead to increased sensitivity of the heart and surrounding structures, which may manifest as pain or discomfort.

- Neurological Symptoms: The tingling and numbness could be related to anxiety or hyperventilation, which are common in individuals with MVP. Stress and anxiety can exacerbate these sensations, leading to a cycle of worry and physical symptoms.

Recommendations for Further Evaluation
Given your symptoms and the diagnosis of mild mitral valve prolapse, it may be prudent to consider the following steps:
1. Follow-Up with a Cardiologist: Since you have already seen a cardiologist, it would be beneficial to discuss your ongoing symptoms in detail. They may recommend further testing, such as an echocardiogram to assess the severity of the MVP and any potential regurgitation.

2. Consider a Holter Monitor: If palpitations are a significant concern, a Holter monitor can help capture any arrhythmias over a 24- to 48-hour period.

3. Evaluate for Anxiety: Given the overlap of symptoms between MVP and anxiety, it may be helpful to consult with a mental health professional. Techniques such as cognitive-behavioral therapy (CBT) or relaxation techniques can be beneficial.

4. Lifestyle Modifications: Engaging in regular exercise, maintaining a healthy diet, and practicing stress-reduction techniques can help manage symptoms.

5. Additional Testing: If there is still concern about vascular issues, your doctor may consider additional tests such as a stress test or even a CT angiogram, depending on your risk factors and clinical presentation.

Conclusion
While your symptoms can be concerning, they are not uncommon in individuals with mitral valve prolapse. It is essential to maintain open communication with your healthcare providers, ensure regular follow-ups, and address both the physical and psychological aspects of your health. By doing so, you can better manage your symptoms and reduce anxiety about potential underlying conditions.

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