Mitral Valve Prolapse: When to Seek Medical Attention

Mitral valve prolapse

Hello, doctor.
I was diagnosed with mitral valve prolapse in February and was prescribed medication at that time.
Recently, I've been experiencing sudden shortness of breath while lying down or sitting, which is quite uncomfortable.
Previously, this would occur only once a day, but now it happens several times a day.
Should I go back to the hospital for a follow-up appointment immediately?

Xiao Jie, 10~19 year old female. Ask Date: 2018/05/13

Dr. Hong Yuanbin reply Internal Medicine

Hello, valve issues are concerning as they may be accompanied by arrhythmias, heart failure, or pulmonary edema.
These conditions require a personal examination for accurate assessment.
Therefore, if you are experiencing shortness of breath, it is advisable to seek medical attention.
Thank you for your inquiry.

Reply Date: 2018/05/13

More Info

Mitral Valve Prolapse (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 a variety of symptoms, including palpitations, shortness of breath, and even chest pain. While many individuals with MVP may not experience significant issues, it is crucial to monitor any changes in symptoms, especially if they become more frequent or severe.

In your case, the recent onset of shortness of breath, particularly when lying down or sitting, is concerning. This symptom could indicate a progression of your condition or the development of complications such as mitral regurgitation, where blood leaks backward into the left atrium due to improper valve closure. Additionally, it could also suggest the possibility of heart failure, especially if you are experiencing increased episodes of breathlessness throughout the day.

Given that you mentioned these episodes have increased from once a day to several times a day, it is advisable to seek medical attention promptly. While MVP itself may not always require immediate intervention, the new symptoms you are experiencing warrant further evaluation. Your healthcare provider may perform a physical examination, listen to your heart sounds, and possibly order an echocardiogram to assess the function of your mitral valve and the overall structure of your heart.

Furthermore, if you experience any additional symptoms such as chest pain, dizziness, or fainting, you should seek emergency medical care. These could be signs of more serious complications that require immediate attention.

In summary, while MVP can be a benign condition, the changes in your symptoms suggest that it would be prudent to return to your healthcare provider for a thorough evaluation. Regular follow-ups and monitoring are essential in managing MVP effectively, especially when new symptoms arise. Your healthcare provider can help determine the best course of action, which may include medication adjustments, lifestyle changes, or further diagnostic testing to ensure your heart health is maintained. Always prioritize your health and do not hesitate to seek medical advice when experiencing new or worsening symptoms.

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