Mitral Valve Prolapse and Its Impact on Heart Rhythm

Skipped heartbeat

Hello, Doctor.
I hope you can help me, thank you.
I sometimes experience skipped heartbeats and can feel the sensation of these missed beats.
After an examination at a medical center, I was diagnosed with mitral valve prolapse.
At its worst, I had 200-300 skipped beats in a day, but the doctor said I am still young and that my condition is mild.
It may be a symptom caused by autonomic nervous system dysfunction, and I was advised to just take medication.
After taking the medication along with some traditional Chinese medicine for a while, I didn't have any issues with skipped beats.
However, recently, I don't know if it's due to my irregular eating habits (like consuming cold or fried foods) and insufficient sleep, but around noon yesterday, I started to experience skipped beats again.
At one point, I had several skipped beats within a minute.
I took one of the heart health medications (Xinkangle) that the doctor prescribed for me, and then I took a Coenzyme Q10 supplement.
After resting for a bit, I felt better.
I would like to ask the doctor two questions: Is this issue caused by irregular lifestyle and diet leading to autonomic nervous system instability, or is it related to the instability of the mitral valve? Is it an episodic occurrence? Yesterday, I asked a pharmacist, and she said that I would need to take medication for my mitral valve condition for life.
Since I am still young and my condition is mild now, not taking medication could accelerate its deterioration, and it may become more severe as I age.
So, do I really need to take medication for the rest of my life at just 20-something years old? Thank you, Doctor.

Wu, 20~29 year old female. Ask Date: 2020/06/15

Dr. He Dongjin reply Cardiology

Hello, you are correct that consuming cold and fried foods, along with insufficient sleep, can lead to autonomic nervous system instability, which may cause missed heartbeats.
Taking medication can help, and not taking it may accelerate the condition's worsening.
As one ages, it can become more severe.
There's no need to scare yourself; maintain a regular lifestyle and avoid indiscriminate eating.
It's also possible to manage without medication.
Changhua Hospital cares about your well-being.

Reply Date: 2020/06/15

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle, does not close properly. This can lead to a variety of symptoms, including palpitations, chest pain, and in some cases, arrhythmias. Your experience of feeling skipped heartbeats, or palpitations, is a common symptom associated with MVP.
In your case, the episodes of palpitations you described, particularly the sensation of your heart "skipping" beats, can indeed be linked to MVP. The irregular heart rhythms can be exacerbated by factors such as stress, anxiety, poor sleep, and dietary choices, including the consumption of stimulants or heavy meals. The autonomic nervous system, which regulates involuntary bodily functions, can also play a significant role in how your heart responds to these factors. When the autonomic nervous system is out of balance, it can lead to increased heart rate and palpitations.

Regarding your concerns about medication and the long-term management of MVP, it is important to understand that not everyone with MVP requires lifelong medication. The decision to continue medication depends on the severity of your symptoms and the presence of any complications, such as significant mitral regurgitation or arrhythmias. Since your doctor has indicated that your condition is mild and you are still young, it is likely that they believe your symptoms can be managed with lifestyle modifications and possibly short-term medication as needed.

Lifestyle factors, such as diet and sleep, can significantly impact your symptoms. A diet high in caffeine, sugar, and processed foods can trigger palpitations in some individuals. Additionally, inadequate sleep can lead to increased stress and exacerbate symptoms. It is advisable to maintain a balanced diet, ensure adequate hydration, and prioritize good sleep hygiene to help stabilize your autonomic nervous system and reduce the frequency of palpitations.

If you are experiencing increased frequency or severity of your symptoms, it is essential to communicate this with your healthcare provider. They may recommend further evaluation, such as an echocardiogram or Holter monitor, to assess your heart's function and rhythm more closely.
In summary, while MVP can lead to palpitations and other symptoms, many individuals manage their condition successfully with lifestyle changes and occasional medication. It is crucial to work closely with your healthcare provider to develop a personalized management plan that addresses your specific needs and concerns. Regular follow-ups will help monitor your condition and adjust your treatment as necessary. If you ever feel that your symptoms are worsening or if you have new concerns, do not hesitate to reach out to your doctor for further guidance.

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