Heart Valve Prolapse: Symptoms and When to Seek Help - Cardiology

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Discomfort in the heart?


Hello Dr.
Zhong: I am a person with mild mitral valve prolapse.
Recently, I have been experiencing chest tightness and shortness of breath, along with discomfort in my heart area.
I am on medication, but the situation remains the same the next day.
Could this be related to the weather? Should I return to the hospital for further examination? The doctor advised me to take half a pill when I feel pain.
Should I take a full pill instead?

Amanda, 20~29 year old female. Ask Date: 2002/11/26

Dr. Zhong Yuxun reply Cardiology


Dear Ms.
Amanda,
Mitral valve prolapse commonly refers to the prolapse of the mitral valve and is frequently seen in young women.
The exact cause is unknown, and it often presents with symptoms of autonomic nervous system dysregulation, including chest tightness, palpitations, shortness of breath, and insomnia.
Symptoms may be exacerbated by changes in climate.
For those with mild symptoms, lifestyle adjustments may lead to improvement.
Medication can also be prescribed, but it should be initiated only after a diagnosis is confirmed by a cardiologist, who can then determine the appropriate medication.
I recommend that you return to the hospital to consult with a specialist to confirm the dosage of your medication (as I am unaware of the name and dosage of your current medication).
Wishing you good health,
Dr.
Chung Yu-Hsuan
Director, Department of Cardiology
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2002/11/26

More Info


Heart valve prolapse, particularly mitral valve prolapse (MVP), is a condition where the valve between the heart's left atrium and left ventricle doesn't close properly. This can lead to a variety of symptoms, including chest discomfort, palpitations, shortness of breath, and anxiety. Your recent experiences of chest tightness and difficulty breathing could indeed be related to your MVP, especially if these symptoms are new or have intensified.


Symptoms of Mitral Valve Prolapse
Many individuals with MVP may not experience significant symptoms, but when they do occur, they can include:
1. Chest Pain or Discomfort: Often described as a sharp or stabbing pain, which can be exacerbated by deep breaths or physical activity.

2. Palpitations: A sensation of the heart racing or fluttering, which can be alarming.

3. Shortness of Breath: This can occur during physical exertion or even at rest, particularly if the prolapse is associated with mitral regurgitation (backflow of blood into the left atrium).

4. Fatigue: A general feeling of tiredness or lack of energy.

5. Anxiety or Panic Attacks: Some patients report feelings of anxiety, which can be linked to the physical sensations caused by MVP.


When to Seek Help
Given your symptoms of chest tightness and difficulty breathing, it is important to monitor these closely. Here are some guidelines on when to seek further medical evaluation:
- Persistent Symptoms: If your symptoms persist despite medication, it is advisable to return to your healthcare provider for a reassessment. This could involve further diagnostic tests such as an echocardiogram to evaluate the severity of the prolapse and any associated regurgitation.

- New or Worsening Symptoms: If you experience new symptoms such as severe chest pain, fainting, or significant shortness of breath, you should seek immediate medical attention.

- Impact on Daily Life: If your symptoms are affecting your ability to perform daily activities or causing significant distress, it is important to discuss this with your doctor.


Medication Management
Regarding your medication, it is crucial to follow your doctor's advice. If your doctor has recommended taking half a pill when you experience pain, it is likely based on your current symptom severity and overall health status. However, if you feel that your symptoms are not adequately controlled with the current dosage, you should discuss this with your physician before making any changes. They may adjust your medication based on your symptoms and any new findings from your follow-up examination.


Environmental Factors
You mentioned the possibility of your symptoms being related to the weather. While weather changes can affect some individuals, particularly those with anxiety or respiratory conditions, it is essential to focus on the underlying condition. If you notice a pattern between weather changes and your symptoms, make sure to discuss this with your healthcare provider.


Conclusion
In summary, while mild mitral valve prolapse is often manageable and may not require aggressive treatment, your recent symptoms warrant further evaluation. It is essential to maintain open communication with your healthcare provider, adhere to prescribed medications, and seek help if your symptoms change or worsen. Regular follow-ups can help ensure that your condition is monitored effectively, and any necessary adjustments to your treatment plan can be made.

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