Mitral Valve Syndrome: Coping Strategies and Recovery Tips

Questions about mitral valve syndrome!!!!

The doctor saw you responding to others' questions and felt that you are very comforting, so they wanted to ask you a question! When I discovered I had this issue, it greatly affected my mood, making me wonder if my life was ruined, and sometimes I would cry alone.
I hope to receive some comfort or advice from you, thank you.
I went to the hospital for an examination due to palpitations, and the cardiologist said I have "mild" mitral valve prolapse, with some slight murmurs detected during auscultation, but otherwise everything is fine.
I also visited a psychiatrist who diagnosed me with autonomic nervous system dysfunction.
Following the doctor's advice, I started medication to alleviate my symptoms and was informed that I have "mitral valve syndrome." After leaving my job and taking medication for a while, I returned for a follow-up, and the doctor said the murmur had become very faint, indicating improvement, and that I could gradually reduce my dependence on medication.
After stopping the medication, it would be kept as a backup.
Recently, I want to return to work, but I have very little confidence.
I want to discuss my symptoms during the initial onset: my heart rate was fast, I experienced palpitations along with a strong heartbeat, trembling in my hands, panic, numbness in my limbs, the need to take deep breaths, feelings of breathlessness, and tinnitus.
After starting medication, these issues have significantly decreased, but there are a few points that make me anxious and fearful: 1.
I cannot handle sudden shocks; being startled causes my heart to race and I feel my heart pounding, but my emotions settle down afterward.
2.
If I climb more than four flights of stairs, I feel breathless and my heart races, but after resting, it calms down.
However, during aerobic activities like jogging, the heartbeat sensation is not as pronounced.
The doctor indicated that these symptoms are manifestations of mitral valve syndrome.
For normal individuals, the sensation of breathlessness after exercise is greater than the sensation of a racing heart, but for those of us with this issue, we tend to amplify the feeling of our heartbeat, even though it is actually normal.
Therefore, I can only coexist with this condition, habituate to it, and accept it.
But I really cannot accept my physical condition because I used to be somewhat of an extreme sports enthusiast.
Although I am no longer young, I still occasionally engage in such activities, but now I struggle even to climb four flights of stairs.
I really don’t know what to do.
I would like to ask the doctor for your thoughts on the two points that make me anxious.
Is it true, as my primary care physician stated, that I can only gradually accept and ignore these feelings? Secondly, is it possible for me to gradually condition my body so that the sensation of my heartbeat becomes less pronounced, allowing me to return to normal activities, including some slightly intense exercises? I really want to work out.
Thank you for your advice and encouragement.

Wuming, 30~39 year old female. Ask Date: 2020/03/30

Dr. He Dongjin reply Cardiology

Hello, if the check-up shows nothing wrong, then there’s nothing to worry about.
Go ahead and unleash your youthful energy! You see, the sound of that supercar engine isn’t deafening, but you wouldn’t think it has a bad engine, right? The sensation of excitement has nothing to do with the condition of your heart, so don’t worry about it.
Just focus on how you want to exercise and stay fit.
Go to the gym and build some muscle! Changhua Hospital cares about you.

Reply Date: 2020/03/30

More Info

Understanding Mitral Valve Syndrome, particularly in the context of mitral valve prolapse (MVP), can be a daunting experience, especially when it leads to symptoms like palpitations, anxiety, and physical discomfort. It's completely normal to feel overwhelmed by this diagnosis, and your feelings of fear and uncertainty are valid. Let's address your concerns and provide some coping strategies and recovery tips.

Understanding Mitral Valve Prolapse
Mitral valve prolapse 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 heart palpitations, anxiety, and even panic attacks. While MVP is often considered benign, it can sometimes be associated with autonomic nervous system dysregulation, which may explain your symptoms of rapid heartbeat and anxiety.

Coping Strategies
1. Education and Awareness: Understanding your condition is crucial. MVP is common and often does not lead to serious complications. Knowing that many people live normal lives with MVP can help alleviate some anxiety.

2. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, and yoga can help manage anxiety and improve your overall sense of well-being. These techniques can also help you cope with sudden feelings of panic or discomfort.

3. Gradual Exposure to Physical Activity: Since you mentioned a history of being an athlete, it’s understandable that you want to return to physical activity. Start with low-impact exercises and gradually increase intensity as your body allows. Listen to your body and don’t push yourself too hard too quickly.

4. Support Systems: Consider joining a support group for individuals with MVP or anxiety. Sharing experiences with others who understand what you're going through can be incredibly comforting.

5. Professional Guidance: Continue working with your healthcare providers. If your symptoms persist or worsen, don’t hesitate to seek further evaluation. A cardiologist can provide reassurance and monitor your condition, while a mental health professional can help you address anxiety and coping strategies.

Recovery Tips
1. Regular Check-ups: Keep up with your follow-up appointments. Regular monitoring can help ensure that any changes in your condition are addressed promptly.

2. Medication Management: If your doctor has prescribed medication for anxiety or palpitations, take it as directed. Discuss any side effects or concerns with your doctor, as they may adjust your treatment plan based on your feedback.

3. Lifestyle Modifications: Focus on a heart-healthy lifestyle. This includes a balanced diet, regular physical activity, and avoiding stimulants like caffeine and nicotine, which can exacerbate palpitations.

4. Gradual Return to Activities: As you feel more comfortable, gradually reintroduce activities you enjoy. Start with light exercises and slowly increase the intensity as your confidence grows.

5. Acceptance and Patience: Understand that adjusting to your condition takes time. It’s okay to have good days and bad days. Be patient with yourself as you navigate this journey.

Conclusion
Your concerns about your heart and physical capabilities are completely understandable, especially given your active background. Remember that many individuals with mitral valve prolapse lead fulfilling lives, and with the right strategies and support, you can manage your symptoms effectively. Focus on gradual improvements, both physically and mentally, and don't hesitate to reach out for help when needed. Your health journey is unique, and taking it one step at a time will lead to better outcomes. Stay positive, and remember that you are not alone in this.

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