Heart Pain and Breathing Issues: A Guide to Mitral Valve Prolapse

Chest pain and shortness of breath?

Hello, doctor.
I am 165 cm tall and weigh 45 kg.
Since high school, I have occasionally experienced shortness of breath, and during severe episodes, I have fainted.
However, when I go to the emergency room, they often say there is nothing wrong.
I also experience chest pain and palpitations, which can occur at any time; sometimes it lasts for just a moment, and other times it can last all day.
Yesterday, I had chest pain all day, and this morning I am experiencing shortness of breath again, to the point where I have to breathe through my mouth.
When I take deep breaths, the pain in my heart worsens.
I have previously gone to the hospital for heart examinations, and the doctors said there were no issues.
Recently, I learned about the term "mitral valve prolapse" and would like to know how I can determine if there is actually a problem with my heart.

Jiang Xiaojie, 20~29 year old female. Ask Date: 2017/03/09

Dr. Zhang Ziyan reply Pulmonology

Hello, for heart issues, it is still recommended to consult a cardiologist for examination.
Other problems causing shortness of breath cannot be ruled out.
You may also consider a consultation with a pulmonologist.
Please follow the guidance of your treating physician.
Changhua Hospital cares about you.

Reply Date: 2017/03/09

More Info

Understanding heart pain and breathing issues can be quite complex, especially when conditions like Mitral Valve Prolapse (MVP) are involved. MVP is a condition where the mitral valve, which separates the left atrium from the left ventricle, does not close properly. This can lead to various symptoms, including chest pain, palpitations, and shortness of breath, which you have described.

Given your height and weight, it’s important to consider that MVP can occur in individuals of any body type, and symptoms can vary widely. The fact that you experience shortness of breath and chest pain intermittently, along with episodes of fainting, suggests that your symptoms may indeed be related to MVP or possibly other underlying issues.

Symptoms of Mitral Valve Prolapse
1. Chest Pain: This is often described as sharp or stabbing and can be mistaken for heart-related pain. It may occur during physical activity or stress.

2. Palpitations: You may feel your heart racing or skipping beats, which can be alarming.

3. Shortness of Breath: This can occur during exertion or even at rest, particularly if the heart is not pumping effectively.

4. Fatigue: Many individuals with MVP report feeling unusually tired or weak.

5. Dizziness or Fainting: This can happen due to decreased blood flow or irregular heart rhythms.

Diagnosis
To determine if your heart has any issues, especially related to MVP, a thorough evaluation is necessary. This typically includes:
- Echocardiogram: This ultrasound of the heart is the most definitive test for diagnosing MVP. It allows doctors to visualize the mitral valve and assess its function.

- Electrocardiogram (ECG): This test records the electrical activity of your heart and can help identify any irregular rhythms.

- Holter Monitor: If palpitations are frequent, a Holter monitor can record your heart's activity over 24-48 hours to catch any irregularities.

Management and Treatment
If MVP is confirmed, treatment may not always be necessary, especially if symptoms are mild. However, if you experience significant symptoms, the following approaches may be considered:
1. Lifestyle Modifications: Regular exercise, a balanced diet, and stress management techniques can help alleviate symptoms. Avoiding caffeine and stimulants may also be beneficial.

2. Medications: Beta-blockers like Inderal can help manage palpitations and anxiety. If anxiety is a significant issue, medications like Xanax may be prescribed, but they should be used cautiously due to potential side effects.

3. Monitoring: Regular follow-ups with a cardiologist are essential to monitor the condition and adjust treatment as necessary.

When to Seek Help
You should seek immediate medical attention if you experience:
- Severe chest pain or pressure
- Shortness of breath that worsens
- Fainting or near-fainting episodes
- New or worsening symptoms

Conclusion
Given your symptoms and the recent identification of MVP, it is crucial to have a comprehensive evaluation by a cardiologist. They can provide a tailored management plan based on your specific symptoms and overall health. Remember, while MVP can be concerning, many individuals live normal, healthy lives with this condition. Understanding your symptoms and working closely with your healthcare provider will help you manage your health effectively.

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