Mitral Valve Prolapse Syndrome
Dear Doctor,
I apologize for bothering you.
I would like to continue my inquiry regarding the last visit to the hospital where the doctor diagnosed me with mitral valve prolapse syndrome along with autonomic nervous system dysfunction.
The doctor advised me to take one Cardolo in the morning and one in the evening, prescribed a three-month supply of chronic medication, and encouraged me to live normally while learning to coexist with this condition.
Since starting the medication, I have been monitoring my symptoms, and they have indeed improved significantly.
However, I still have some questions:
1.
After taking the medication, the sensation of premature contractions (missed beats) has decreased, and there are even days when I do not experience them at all.
2.
Regarding my heart rate, it feels normal when lying down or sitting, but when I get up or stand after sitting, my heart rate can vary by 25-30 beats per minute.
After changing positions, it takes several seconds for my heart rate to return to normal.
Particularly, after eating and sitting for a long time, standing up suddenly can lead to palpitations.
I wonder if this could indicate postural tachycardia syndrome?
3.
Since my episode last November, I have not been exercising (I used to play on a soccer team).
Recently, I have tried light exercise (such as jogging or dribbling for a few minutes).
During exercise, my heart rate easily rises to 130-150 beats per minute, but I do not feel any discomfort or shortness of breath at that moment.
However, after stopping the exercise, I experience a noticeable heartbeat for a few seconds, which gradually decreases after resting.
Having experienced an episode before has made me very sensitive to changes in my heart rate, and I have even developed some anxiety issues.
The doctor has also prescribed relaxation medication for me.
Thank you very much for your thoughtful responses to my questions.
I appreciate your efforts.
Wishing you peace and joy.
conley, 20~29 year old female. Ask Date: 2019/03/11
Dr. He Dongjin reply Cardiology
Hello, the changes in your heart rate you mentioned are likely a normal response, so there is no need for concern.
Just maintain a peaceful mindset.
Changhua Hospital cares about you.
Reply Date: 2019/03/11
More Info
Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to a variety of symptoms, including palpitations, chest pain, and in some cases, anxiety. MVP is often benign and many individuals live normal lives without significant complications. However, it can be associated with other conditions, such as autonomic nervous system dysregulation, which can exacerbate symptoms.
Symptoms of Mitral Valve Prolapse
1. Palpitations: Many patients report feeling their heart racing or skipping beats, often described as "missed beats" or "extra beats." This is particularly common in MVP patients and can be distressing.
2. Chest Pain: Some individuals experience chest discomfort, which can be sharp or aching. This pain is typically not related to exertion and can occur at rest.
3. Shortness of Breath: Patients may feel breathless during physical activity or even at rest, especially if there is associated mitral regurgitation (leakage of blood backward through the valve).
4. Fatigue: Chronic fatigue can occur, particularly if the heart is not functioning optimally.
5. Anxiety and Panic Attacks: Many individuals with MVP report increased anxiety levels, which can be related to the physical sensations of palpitations and chest pain.
Impact on Daily Life
Living with MVP can require some adjustments, but many people manage their symptoms effectively. Here are some considerations:
1. Medication Management: As you mentioned, your doctor prescribed Cardolo (a beta-blocker) to help manage symptoms. This medication can help reduce palpitations and improve overall heart rate control. It’s essential to take medications as prescribed and report any side effects to your healthcare provider.
2. Lifestyle Modifications: Regular exercise is beneficial, but it’s important to listen to your body. Gradually reintroducing physical activity, as you’ve started to do with light jogging or playing basketball, is a good approach. However, if you experience significant increases in heart rate or discomfort, it may be wise to consult your doctor.
3. Postural Changes: The symptoms you describe, such as increased heart rate upon standing (orthostatic tachycardia), can be related to autonomic dysregulation. This is not uncommon in MVP patients. To mitigate these symptoms, try to rise slowly from sitting or lying positions and consider hydration and salt intake, as these can help with blood volume and pressure.
4. Monitoring Symptoms: Keeping a symptom diary can be helpful. Note when you experience palpitations, chest pain, or any other symptoms, along with your activities and emotional state. This information can be valuable for your healthcare provider to tailor your treatment plan.
5. Mental Health Support: Given the anxiety and panic issues you've mentioned, consider discussing these with your doctor. They may recommend therapy or adjustments to your medication regimen to help manage these feelings.
6. Regular Follow-ups: It’s crucial to maintain regular follow-ups with your healthcare provider to monitor your condition. If symptoms worsen or new symptoms arise, such as significant changes in heart rhythm or increased chest pain, seek medical attention promptly.
Conclusion
Mitral Valve Prolapse can be a manageable condition with the right approach. By adhering to your treatment plan, making lifestyle adjustments, and maintaining open communication with your healthcare provider, you can lead a fulfilling life. Remember, it’s essential to listen to your body and seek help whenever you feel uncertain about your symptoms.
Similar Q&A
Understanding Mitral Valve Prolapse: Symptoms, Stages, and Treatment Options
Hello Dr. Chen, I recently had a check-up on my heart and discovered that I have mitral valve prolapse. My mother also has a heart condition, which seems to be similar to mine. I would like to ask if there are any ways to improve my condition. I visited St. Paul’s Hospital in Ta...
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Hello, relax. The symptoms caused by stress, anger, and other factors leading to autonomic nervous system imbalance will not persist indefinitely. Mitral valve prolapse (MVP) is the most common condition we are concerned about at Changhua Hospital. It is a syndrome that can resul...[Read More] Understanding Heart Valve Prolapse: Causes, Risks, and Prevention
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Dr. Li Huixiong reply Internal Medicine
Anxiety refers to a state of worry or unease. Mitral valve disease pertains to conditions affecting the heart's mitral valve. As for VBI, its abbreviation is unclear. From your words, one can infer the busyness and stress you are experiencing, which is a common phenomenon in...[Read More] Managing Mitral Valve Prolapse: Tips for Symptoms and Weight Gain
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Mitral valve prolapse is related to one's constitution and is considered a congenital issue. It does not affect cardiac function or blood circulation. Sometimes, it is associated with psychological stress or tension. Adjustments through exercise and lifestyle habits can help...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Family Impact
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