Mild Mitral Valve Regurgitation and Chest Pain Symptoms

Mild acquired mitral regurgitation symptoms?

Doctor, I have a mild valve insufficiency issue.
Could this condition cause chest pain? I often feel a slight pressure in the center of my chest, about 1 to 2 centimeters above the line connecting my nipples.
I have also read some articles online suggesting that this could be related to autonomic nervous system dysregulation.
I wanted to consult with you about this.
Thank you.

Bǐdé, 10~19 year old female. Ask Date: 2017/08/27

Dr. He Dongjin reply Cardiology

Hello, yes, mitral valve insufficiency can cause symptoms such as chest pain, which is often associated with autonomic nervous system dysregulation.
It is advisable to monitor the situation for now.
Changhua Hospital cares about your well-being.

Reply Date: 2017/08/27

More Info

Mild mitral valve regurgitation (MR) is a condition where the mitral valve does not close tightly, allowing some blood to flow backward into the left atrium when the left ventricle contracts. This condition can be asymptomatic in many individuals, especially when it is mild. However, some patients may experience symptoms, including chest pain or discomfort.

The chest pain you are experiencing, described as a pressure sensation located between the nipples and slightly above, can be concerning. While mild MR itself may not directly cause significant chest pain, it can lead to symptoms due to the heart's response to the regurgitation. When the heart has to work harder to pump blood effectively, it can lead to increased pressure in the heart and lungs, potentially causing discomfort or pain.

Additionally, the sensation of chest pressure can also be influenced by other factors, including anxiety or stress, which may be related to autonomic nervous system dysregulation. This is often referred to as "psychosomatic" symptoms, where emotional or psychological factors manifest as physical symptoms. It is not uncommon for individuals with anxiety or stress to report chest discomfort, which can sometimes mimic cardiac-related pain.

It's essential to consider other potential causes of chest pain as well. Conditions such as gastroesophageal reflux disease (GERD), musculoskeletal issues, or even pulmonary conditions can also lead to similar sensations. Therefore, it is crucial to have a thorough evaluation by a healthcare professional to rule out any serious underlying conditions.

If you have not already done so, I recommend scheduling an appointment with your cardiologist or primary care physician. They may perform a physical examination, review your medical history, and possibly conduct tests such as an echocardiogram, electrocardiogram (ECG), or stress testing to assess your heart's function and rule out any other causes of your symptoms.

In summary, while mild mitral valve regurgitation can be associated with chest discomfort, it is essential to evaluate all potential causes of your symptoms. Addressing any underlying anxiety or stress through counseling or lifestyle changes may also be beneficial. Always consult with your healthcare provider for personalized advice and treatment options.

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