Mitral Valve Prolapse: When to Seek Medical Attention - Internal Medicine

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Mitral valve prolapse


Hello Doctor,
I am a person with mild mitral valve prolapse.
However, in the past few days, I have been experiencing frequent chest tightness, shortness of breath, and pain on the left side of my chest.
My previous doctor advised me to return for a check-up every two years and to take medication when I experience pain.
I am unsure if my current situation warrants a visit to the outpatient clinic, or if this is just a common occurrence.

Amanda

Amanda, 0~9 year old female. Ask Date: 2002/11/26

Dr. Yang Hongzhi reply Internal Medicine


If there is mild mitral valve prolapse accompanied by symptoms of chest tightness or chest pain, it may not necessarily be caused by the heart; anxiety, fatigue, or emotional stress can also contribute to these symptoms.
Typically, mild valve prolapse does not affect heart function.
If there are any concerns, it is advisable to follow up at a cardiology clinic.
Thank you for your question.

Reply Date: 2002/11/26

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 shortness of breath. While many individuals with MVP experience mild symptoms or none at all, it is crucial to recognize when to seek medical attention, especially if there are changes in your symptoms.

In your case, you mentioned experiencing chest tightness, shortness of breath, and pain on the left side of your chest. These symptoms warrant a closer look, particularly because they represent a change from your previous condition. Although MVP can be benign, the presence of new or worsening symptoms could indicate complications, such as mitral regurgitation, arrhythmias, or even more serious cardiac issues.

Here are some key points to consider regarding when to seek medical attention for MVP:
1. New or Worsening Symptoms: If you experience new symptoms or if your existing symptoms worsen, it is essential to consult your healthcare provider. Symptoms such as persistent chest pain, significant shortness of breath, or palpitations that are more frequent or severe than usual should not be ignored.

2. Chest Pain: While chest pain can sometimes be benign, it can also indicate more serious conditions, including heart problems. Given that you have a history of MVP, it is advisable to have any new chest pain evaluated by a healthcare professional.

3. Shortness of Breath: If you find that you are becoming more easily fatigued or experiencing shortness of breath during activities that previously did not cause any issues, this could be a sign that your heart is not functioning as well as it should. This is particularly important if it occurs at rest or with minimal exertion.

4. Palpitations: If you experience palpitations that are new, more frequent, or associated with dizziness or fainting, you should seek medical attention. Palpitations can sometimes indicate arrhythmias that may require treatment.

5. Regular Follow-ups: Since you have a history of MVP, regular follow-ups with your cardiologist are essential. If your doctor recommended returning for check-ups every two years, it is important to adhere to that schedule, especially if you notice any changes in your symptoms.

6. Medication Management: If you have been prescribed medication for your symptoms, ensure you are taking it as directed. If your symptoms persist despite medication, it may be necessary to reassess your treatment plan.

In conclusion, while MVP can often be managed with regular monitoring and lifestyle adjustments, the emergence of new symptoms such as chest pain, increased shortness of breath, or significant changes in your usual symptoms should prompt you to seek medical attention. It is always better to err on the side of caution when it comes to heart health. Schedule an appointment with your healthcare provider to discuss your symptoms and determine the best course of action. Your health and well-being are paramount, and timely intervention can make a significant difference.

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