Mitral Valve Prolapse: Symptoms, Treatment, and Lifestyle Tips

Mitral valve prolapse

Hello, Director.
I was diagnosed with mitral valve prolapse during an echocardiogram in November.
I have had several ECGs, all of which showed no issues.
The doctor prescribed me three medications: Rhythm Control Tablet 10 mg, Zanaflex 0.5 mg, and a 0.5 mg sleeping pill to take before bed.
The first two are to be taken after meals.
I would like to ask if the Rhythm Control Tablet could cause me discomfort due to different brands.
The doctor mentioned that I have only mild prolapse and that no special treatment is needed, just medication management.
In your professional opinion, can someone experience symptoms due to prolapse? I have started exercising daily, such as brisk walking; will this help? Sometimes I feel a slight stabbing pain in my heart, although it doesn't happen all the time, it is quite uncomfortable.
Occasionally, I also experience mild difficulty breathing, needing to take deep breaths to feel better.
Recently, whether at home or work, my schedule has been irregular, and I often feel anxious.
Whenever I feel that stabbing pain or have difficulty breathing, I start to panic, feeling restless.
I have had an echocardiogram, and the doctor did not mention if it was autonomic nervous system dysfunction or anything else, just that it wasn't serious.
However, I have recently started changing my routine and diet.
Since the incident, I have avoided coffee for fear of palpitations or other issues, and I have significantly reduced my smoking.
I would like to ask if prolapse will affect me for a lifetime.
Is brisk walking suitable for me given my current symptoms of stabbing pain? Does it put a strain on my heart? What is the maximum number of Zanaflex tablets I can take at once? If my symptoms are more severe, can I take two tablets at once? I have seen many doctors in both Western and Chinese medicine, and they all say it’s fine and not to worry too much, but the discomfort is real.
Recently, I have started taking supplements, such as Coenzyme Q10, and I consume a lot of vegetables and fruits, including onions, black fungus, broccoli, and fruit juices.
I also eat walnuts.
Although I am not an expert, I have researched online, mainly to prevent myocardial infarction.
Lastly, I would like to ask if there is a direct correlation between prolapse and myocardial infarction.
I tend to get anxious, and I appreciate your help in clarifying these concerns.
Thank you very much!

Yang Xiaolei, 30~39 year old female. Ask Date: 2017/12/23

Dr. He Dongjin reply Cardiology

Hello,
1.
No one will experience serious issues due to prolapse, so there's no need to worry.

2.
Whether heart rhythm medications cause discomfort can vary by brand; some individuals may be more sensitive, and the efficacy may feel different depending on the manufacturer.

3.
There is no direct correlation between prolapse and myocardial infarction.

4.
Engaging in activities like brisk walking can help improve autonomic nervous system dysregulation, but it may not significantly assist with cardiac prolapse.
Daily walking is suitable for you and will not put a strain on your heart.

5.
The maximum dosage of Zanax is three tablets at a time.
If symptoms are more severe, you may take two tablets at once.
Changhua Hospital cares about your well-being.

Reply Date: 2017/12/23

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 in some cases, anxiety. It is important to understand that MVP is often benign, especially when classified as mild. Most individuals with mild MVP do not require surgical intervention or extensive treatment; instead, management typically focuses on symptom relief and lifestyle modifications.

Symptoms and Management
The symptoms you are experiencing, such as chest pain and difficulty breathing, can be distressing. While these symptoms can be associated with MVP, they may also stem from anxiety or other non-cardiac issues. It is crucial to differentiate between symptoms that are genuinely cardiac in nature and those that may be exacerbated by anxiety or stress.
1. Medication: The medications prescribed, including beta-blockers (like the heart rhythm medication you mentioned), can help manage symptoms such as palpitations and anxiety. However, side effects can vary between different brands of the same medication. If you notice increased discomfort or side effects, it is advisable to discuss this with your healthcare provider. They may suggest trying a different formulation or adjusting the dosage.

2. Lifestyle Changes: Engaging in regular exercise, such as brisk walking, is generally beneficial for heart health and can help alleviate some symptoms associated with MVP. Exercise can improve cardiovascular fitness and reduce anxiety, which may help with the feelings of discomfort you are experiencing. However, if you notice that exercise exacerbates your symptoms, it is essential to listen to your body and consult your doctor.

3. Diet and Supplements: Your efforts to improve your diet by incorporating fruits, vegetables, and supplements like Coenzyme Q10 are commendable. A balanced diet rich in antioxidants and omega-3 fatty acids can support heart health. However, it is crucial to ensure that any supplements you take do not interact with your prescribed medications. Always consult with your healthcare provider before starting new supplements.

Anxiety and MVP
Anxiety can significantly impact how you perceive physical symptoms. The fear of having a serious condition can lead to increased awareness of bodily sensations, which may amplify feelings of discomfort. Techniques such as mindfulness, deep breathing exercises, and cognitive-behavioral strategies can be beneficial in managing anxiety. If anxiety continues to be a significant issue, discussing this with a mental health professional may provide additional support.

Concerns About Heart Attack
Regarding your concern about the relationship between MVP and heart attacks, it is important to note that while MVP itself is not directly linked to an increased risk of heart attacks, the anxiety and stress associated with living with a chronic condition can contribute to overall cardiovascular risk. Maintaining a healthy lifestyle, managing stress, and regular check-ups with your healthcare provider are essential steps in reducing your risk.

Conclusion
In summary, while MVP can cause discomfort, especially when accompanied by anxiety, it is often manageable with lifestyle changes and appropriate medication. Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust treatment as necessary. If your symptoms worsen or you have new concerns, do not hesitate to seek medical advice. Remember, you are not alone in this, and many people successfully manage MVP with the right approach.

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