Managing Heart Valve Issues: Can I Still Exercise with Mitral Valve Prolapse? - Cardiology

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Cardiac issues?


Recently, I have been experiencing chest tightness and numbness in my hands.
After undergoing an ultrasound examination, I was diagnosed with mitral valve prolapse with regurgitation and tricuspid regurgitation.
My left ventricular end-diastolic dimension (LVEDD) is 40.0 mm, left ventricular ejection fraction (LVEF) is 70.6%, and I have preserved left ventricular diastolic function.
The mitral valve prolapse (MVP) is graded as I, the mitral regurgitation (IMR) is graded as II, and the tricuspid regurgitation (ITR) is graded as I.
The right ventricular systolic pressure (RVSP) is 15-18 mmHg.

Can I still exercise under these conditions? Currently, my doctor has prescribed aspirin and some antiarrhythmic medications.
I would also like to ask if the numbness in my hands is related to my heart condition.
I am quite worried after reading information online.
Do I need to go to a larger hospital for further examination? Will my condition worsen, or is it manageable? Thank you very much for taking the time to answer my questions.

Jas, 20~29 year old female. Ask Date: 2018/04/03

Dr. He Dongjin reply Cardiology


Hello, your heart condition is okay, so there's no need to worry.
You have mild mitral valve prolapse with regurgitation and tricuspid regurgitation, but these are not related to your hand numbness or heart issues.
It seems that your symptoms are likely due to autonomic nervous system dysfunction.
Don't worry, and take care.
Changhua Hospital is concerned about you.

Reply Date: 2018/04/03

More Info


Managing heart valve issues, particularly mitral valve prolapse (MVP) and associated regurgitation, can be a complex process that requires careful consideration of your symptoms and overall heart health. Based on your description, it appears that you have been diagnosed with mild mitral valve prolapse and regurgitation, as well as tricuspid regurgitation, with preserved left ventricular function. This is a common condition and often does not require surgical intervention unless symptoms become severe or there is significant heart dysfunction.


Exercise with Mitral Valve Prolapse
1. General Guidelines: Many individuals with mild MVP can engage in regular physical activity, including aerobic exercises like walking, cycling, and swimming. However, it is crucial to listen to your body and avoid activities that trigger symptoms such as chest pain, shortness of breath, or palpitations. Since you mentioned experiencing chest tightness and numbness in your hands, it is essential to approach exercise cautiously.

2. Consultation with a Cardiologist: Before starting or continuing an exercise program, it is advisable to consult with your cardiologist. They can provide personalized recommendations based on your echocardiogram results and overall health status. They may suggest a stress test to evaluate how your heart responds to exercise, which can help determine safe levels of activity.

3. Monitoring Symptoms: Pay attention to how your body responds during and after exercise. If you experience increased chest discomfort, significant shortness of breath, or persistent numbness in your hands, you should stop exercising and consult your doctor. These symptoms could indicate that your heart is under stress or that there may be other underlying issues that need to be addressed.


Understanding Your Symptoms
1. Hand Numbness: The numbness in your hands could be related to several factors, including anxiety, poor circulation, or nerve compression. While it is essential to rule out cardiac causes, such as reduced blood flow due to valve issues, it is also possible that these symptoms are not directly related to your heart condition. A thorough evaluation by a healthcare professional can help clarify the cause.

2. Chest Discomfort: Mild chest discomfort can sometimes be attributed to MVP, especially if it is accompanied by anxiety or stress. However, it is crucial to differentiate between benign symptoms and those that may indicate a more serious condition. If your symptoms persist or worsen, further evaluation may be warranted.


Need for Further Evaluation
Given your concerns and the symptoms you are experiencing, it may be beneficial to seek a second opinion or further evaluation at a larger medical facility, especially if you feel that your current management plan is not adequately addressing your symptoms. A comprehensive assessment, including additional imaging studies or consultations with specialists, can provide more insight into your condition and help you feel more secure in your management plan.


Conclusion
In summary, while many individuals with mild mitral valve prolapse can continue to exercise, it is essential to do so under the guidance of a healthcare professional. Monitoring your symptoms and maintaining open communication with your cardiologist will be key in managing your condition effectively. If you have concerns about the severity of your symptoms or their potential progression, do not hesitate to seek further evaluation. Your health and peace of mind are paramount, and taking proactive steps can help you manage your heart health effectively.

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