Mitral Valve Prolapse After Experiencing Rapid Heartbeat - Cardiology

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After experiencing a rapid heartbeat, I went to the hospital for an examination and was diagnosed with mitral valve prolapse?


Hello doctor, on the 9th, while I was having lunch at a restaurant, I suddenly felt my heart racing, and my limbs felt weak.
I was immediately taken to the nearby hospital's emergency department.
The nurse said my heart rate was over 130 at that time.
They performed blood tests, a urine test, and an electrocardiogram, and the results showed no significant issues.
The doctor mentioned that I have anemia, but it doesn't seem to be caused by the anemia itself.
Therefore, they suggested I check for hyperthyroidism.
The next day, I went to the hospital for blood tests and a 24-hour Holter monitor, and the results showed no issues with my thyroid or the electrocardiogram.
I was then referred to a cardiologist, who performed an echocardiogram and diagnosed me with mitral valve prolapse.
I also underwent another 24-hour Holter monitor and tests for iron deficiency anemia or thalassemia...
I'm currently waiting for the results.
They prescribed me Entresto and Xanax...
but I stopped taking them after two days because I couldn't sleep, and I felt very uncomfortable at work the next day.
For the past week, I've felt weak, dizzy, and very heavy almost every day, and I feel uncomfortable at work.
There were even a few days when I felt a bit short of breath.
However, my heart rate has been stable and not excessively fast.

Doctor, I have a few questions:
1.
I've never experienced these symptoms before, and I usually don't have much stress in my life.
This sudden occurrence has made me very scared and anxious every day, fearing it will happen again.

2.
If it happens again, do I need to go to the emergency room every time? It seems like they only give me IV fluids.

3.
Are my symptoms considered serious? Thank you.

HUANG, 20~29 year old female. Ask Date: 2017/03/20

Dr. He Dongjin reply Cardiology


Hello, a heart rate of around 130 could be caused by arrhythmia or simply an increase in normal heart rate due to autonomic nervous system dysregulation.
Based on your description, it seems more like an increase in normal heart rate due to autonomic nervous system dysregulation rather than anemia.
There is no need to worry; it is not life-threatening, and you do not need to go to the emergency room.
If you have taken Entresto and Xanax and feel very weak, dizzy, or extremely heavy, you can choose to skip them and take them only when symptoms occur.
These symptoms are not considered severe, so there is no need to be anxious.
Changhua Hospital cares about you.

Reply Date: 2017/03/20

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, chest pain, and even anxiety. Your recent experience of a rapid heartbeat and accompanying symptoms such as weakness and dizziness can understandably be concerning, especially since these symptoms appeared suddenly and without a clear trigger.
1. Understanding Your Symptoms: The rapid heartbeat you experienced, reaching over 130 beats per minute, can be alarming. While it is good that your tests, including blood tests and electrocardiograms (ECGs), returned normal results, the sensation of your heart racing can be associated with MVP. This condition can sometimes lead to episodes of tachycardia (rapid heart rate) due to the heart's electrical system being affected. Additionally, anxiety can exacerbate these symptoms, leading to a cycle of fear and increased heart rate. It is not uncommon for individuals to feel anxious after experiencing such episodes, which can further contribute to feelings of weakness and dizziness.

2. Emergency Room Visits: If you experience similar symptoms again, it is advisable to seek medical attention, especially if the symptoms are severe or accompanied by other concerning signs such as chest pain, shortness of breath, or fainting. While it may seem that emergency visits result in minimal intervention, they are essential for ruling out serious conditions. If the episodes become frequent, discussing a long-term management plan with your healthcare provider is crucial. This could include lifestyle modifications, medication adjustments, or further monitoring.

3. Severity of Symptoms: Your symptoms, while distressing, do not necessarily indicate a severe underlying condition, especially since your tests have shown no acute issues. However, the sensation of weakness and dizziness can be related to several factors, including anxiety, dehydration, or even the effects of anemia, which you mentioned. Iron deficiency anemia can lead to fatigue and weakness, and it is essential to address this condition as well. If you are experiencing significant fatigue or other symptoms that interfere with your daily life, it is crucial to communicate this with your healthcare provider.

4. Management Strategies: It is understandable that you stopped taking the prescribed medications due to side effects. It is essential to discuss any adverse effects with your doctor, as they may be able to adjust your medication or suggest alternatives that may be better tolerated. Additionally, managing stress and anxiety through relaxation techniques, such as deep breathing exercises, yoga, or mindfulness, can be beneficial. Regular physical activity, a balanced diet, and adequate hydration can also help improve your overall well-being.

5. Follow-Up: Since you are awaiting results regarding your anemia, it is vital to follow up with your healthcare provider to discuss these findings and any necessary treatment. If you are diagnosed with iron deficiency anemia or another type, appropriate treatment can significantly improve your symptoms and overall health.

In summary, while MVP can lead to episodes of rapid heartbeat and associated symptoms, your recent tests indicate that there is no immediate cause for alarm. However, it is essential to monitor your symptoms, maintain open communication with your healthcare provider, and explore management strategies that work for you. If your symptoms persist or worsen, do not hesitate to seek medical advice.

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