Heart Valve Insufficiency: Symptoms and Risks Explained

Skipped beats / Premature contractions / Mitral and tricuspid regurgitation

Hello, I would like to ask about my condition.
I have mild mitral regurgitation and occasionally experience irregular heartbeats with varying intensity.
Yesterday, while cooking, I suddenly felt my heartbeat constrict and not pump out, almost as if I needed to urge my heart to beat.
It felt very tense, and I felt a chill for about three seconds.
I checked my carotid artery and it seemed to have no pulse, which made me very anxious, worrying that I might suddenly die from this.
I also often feel tightness in my back.
Could this be caused by my heart valve insufficiency? Is there a risk to my life?

Xu, 30~39 year old female. Ask Date: 2020/01/06

Dr. He Dongjin reply Cardiology

Hello, you won't suddenly die from this; there is no immediate danger to your life, so don't worry.
If you still feel unwell, it is advisable to schedule a 24-hour Holter monitor at a cardiology clinic.
Changhua Hospital cares about you.

Reply Date: 2020/01/06

More Info

Heart valve insufficiency, particularly involving the mitral and tricuspid valves, can lead to a variety of symptoms and potential complications. Understanding these aspects is crucial for managing your health and alleviating concerns about your condition.

Symptoms of Heart Valve Insufficiency
1. Palpitations: Many patients with valve insufficiency report irregular heartbeats or palpitations. This can manifest as a feeling of the heart racing, fluttering, or occasionally skipping beats. The sensation you described, where your heart feels like it "shrinks" or doesn't pump effectively, can be related to these palpitations.

2. Shortness of Breath: As the heart struggles to pump blood effectively due to valve insufficiency, fluid can back up into the lungs, causing shortness of breath, especially during exertion or when lying flat.

3. Fatigue: Insufficient blood flow can lead to decreased oxygen delivery to the body's tissues, resulting in fatigue and decreased exercise tolerance.

4. Chest Pain or Discomfort: Some individuals may experience chest pain, which can be related to the heart's increased workload or ischemia (reduced blood flow to the heart muscle).

5. Swelling: Fluid retention can occur, leading to swelling in the legs, ankles, or abdomen.

6. Dizziness or Fainting: In severe cases, reduced cardiac output can lead to dizziness or fainting spells, particularly during physical activity.

Risks Associated with Heart Valve Insufficiency
1. Heart Failure: Over time, the heart may become enlarged and weakened due to the increased workload, leading to heart failure. This condition can be life-threatening if not managed appropriately.

2. Arrhythmias: The structural changes in the heart can predispose individuals to arrhythmias, which can be serious and require medical intervention.

3. Infective Endocarditis: Individuals with valve insufficiency are at a higher risk for infections of the heart valves, which can be life-threatening if not treated promptly.

4. Stroke: In some cases, blood clots can form in the heart due to turbulent blood flow, increasing the risk of stroke.

Addressing Your Concerns
Given your symptoms of palpitations, feelings of tightness in the chest, and anxiety about potential life-threatening events, it is essential to consult with a healthcare provider, preferably a cardiologist. They can perform a thorough evaluation, including:
- Echocardiogram: This ultrasound of the heart can assess the structure and function of the heart valves and chambers, providing insight into the severity of any insufficiency.

- Electrocardiogram (EKG): This test can help identify any arrhythmias or other electrical abnormalities in the heart.

- Holter Monitor: If palpitations are frequent, a Holter monitor can record your heart's activity over 24-48 hours to capture any irregularities.

Conclusion
While heart valve insufficiency can lead to significant health issues, many patients manage their conditions effectively with regular monitoring and appropriate treatment. It's understandable to feel anxious about your symptoms, but proactive communication with your healthcare provider can help clarify your condition and guide you toward effective management strategies. Remember, early intervention is key to preventing complications and maintaining a good quality of life.

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