Mitral and Tricuspid Valve Prolapse in Children

Mitral and tricuspid valve prolapse

I have mitral valve prolapse and an irregular heart rate, and my daughter has inherited my condition, but she is only 7 years old.
What are the potential risks? Here are the symptoms diagnosed by Chung Shan Hospital: significant tricuspid valve prolapse with regurgitation, mild mitral valve prolapse, and occasional increased heart rate around 120 beats per minute.
However, her heart rate is slightly faster than that of other children, but it is mild and does not require medication.
She can exercise normally! I am concerned that as she grows, the symptoms may become more pronounced, potentially leading to chest tightness, palpitations, and shortness of breath.
Currently, she has regular check-ups every six months to monitor her condition.
Are there any heart health supplements she can take for prevention?

Lin Xiansheng, 30~39 year old female. Ask Date: 2020/04/18

Dr. He Dongjin reply Cardiology

Hello, there's no need to overthink or feel anxious.
Many people experience this issue, especially a higher proportion among women.
It rarely worsens with age, and if it's mild, there's no need for medication.
Being able to exercise normally indicates that you are similar to others.
Just relax and continue living your life.
There's no need for special heart health supplements or other preventive measures.
Experiencing symptoms like chest tightness or palpitations during puberty is also normal, so don't worry.
Changhua Hospital cares about you.

Reply Date: 2020/04/18

More Info

Mitral and tricuspid valve prolapse (MVP and TVP) are conditions that can occur in children, and understanding their implications is crucial, especially when there is a family history of these conditions. In your case, it is understandable to be concerned about your daughter's health given your own history of mitral valve prolapse and the symptoms she is experiencing.

Understanding Mitral and Tricuspid Valve Prolapse
Mitral Valve Prolapse (MVP) occurs when the mitral valve, which separates the left atrium from the left ventricle, does not close properly. This can lead to a condition known as mitral regurgitation, where blood leaks backward into the atrium. Tricuspid Valve Prolapse (TVP) is similar but involves the tricuspid valve, which separates the right atrium from the right ventricle. Both conditions can be benign, especially in children, and many individuals live normal, healthy lives without significant issues.

Symptoms and Risks
In children, MVP and TVP can often be asymptomatic. However, in some cases, they may present with symptoms such as palpitations (an awareness of the heartbeat), chest discomfort, or fatigue. The heart rate you mentioned (around 120 beats per minute) can be considered elevated, but it is important to note that children often have higher resting heart rates than adults.
The concern about your daughter developing more severe symptoms as she grows is valid, but it is important to remember that many children with MVP or TVP do not experience significant complications. Regular monitoring, as you are doing with semi-annual check-ups, is essential. These check-ups typically include echocardiograms to assess the function of the valves and the heart's overall structure.

Management and Lifestyle
Currently, if your daughter is asymptomatic and her doctors have advised that she does not require medication, it is likely that her condition is mild. Encouraging her to engage in normal physical activities is generally recommended unless otherwise advised by her healthcare provider. Exercise can be beneficial for heart health, and many children with MVP or TVP can participate in sports and other activities without restrictions.

Regarding dietary supplements or heart health products, it is crucial to consult with your daughter's pediatric cardiologist before introducing any new supplements. While some products claim to support heart health, their efficacy and safety can vary, and they may not be necessary if your daughter is otherwise healthy.

Genetic Considerations
Since you have MVP, there is a possibility that your daughter may have inherited a predisposition to this condition. However, the presence of MVP or TVP does not guarantee that she will experience significant health issues. Genetic factors can play a role, but environmental factors, lifestyle, and regular medical care also significantly influence health outcomes.

Conclusion
In summary, while it is understandable to be concerned about your daughter's heart condition, it is essential to maintain a positive outlook. Regular check-ups, a healthy lifestyle, and open communication with her healthcare providers are key to managing her condition effectively. If you notice any new symptoms or changes in her health, do not hesitate to reach out to her doctor for further evaluation. With proper monitoring and care, many children with mitral and tricuspid valve prolapse lead healthy, active lives.

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