Exercises that can be performed with mitral valve prolapse?
Hello, Doctor.
I am 180 cm tall and weigh 80 kg.
Three years ago, during a health check-up, I was diagnosed with mitral valve prolapse, and prior to the examination, I had no cardiac discomfort.
I have participated in triathlons, and after the diagnosis, I have been regularly visiting the doctor and taking medication (Diovan, one tablet daily).
Currently, my exercise routine consists only of jogging (about 1 to 2 hours, twice a week).
The doctor advised me to avoid isometric exercises (like push-ups), but I would like to build muscle in my upper body since it is relatively thin.
I am unsure which strength training exercises I can perform to avoid exacerbating my mitral valve prolapse.
Song Yingjie, 40~49 year old female. Ask Date: 2020/06/28
Dr. Cai Guiqin reply Cardiology
It is recommended that you discuss the above situation further with your attending physician to identify which activities can be avoided to prevent worsening your condition.
Thank you, and wishing you good health!
Reply Date: 2020/06/28
More Info
When it comes to strength training for individuals with mitral valve prolapse (MVP), it’s crucial to approach the exercise regimen with caution and awareness of your condition. Mitral valve prolapse is a common heart valve disorder where the valve between the heart's left atrium and left ventricle doesn't close properly, which can lead to various symptoms, including palpitations, fatigue, and in some cases, more serious complications. However, many individuals with MVP can lead active lives, including engaging in strength training, provided they follow certain guidelines.
Safe Strength Training Exercises for Mitral Valve Prolapse Patients
1. Consultation with Healthcare Providers: Before starting any new exercise program, especially strength training, it’s essential to consult with your cardiologist or healthcare provider. They can provide personalized recommendations based on your specific health status and any medications you may be taking, such as Diovan (valsartan), which is often prescribed for blood pressure management.
2. Focus on Low-Intensity Resistance Training: Instead of high-intensity or heavy lifting, consider low to moderate-intensity resistance training. This can include exercises using body weight, resistance bands, or light weights. The goal is to build muscle without putting excessive strain on your heart.
3. Avoid Isometric Exercises: Isometric exercises, which involve holding a position without movement (like push-ups), can increase blood pressure and heart rate significantly. Since your doctor has advised against isotonic exercises, focus on dynamic movements that allow for a full range of motion without holding your breath.
4. Incorporate Functional Movements: Exercises that mimic everyday activities can be beneficial. These include:
- Bodyweight Squats: Great for building lower body strength without heavy loads.
- Seated Dumbbell Press: This can be done with light weights while seated to minimize strain.
- Leg Raises: These can help strengthen your core and lower body without excessive pressure on the heart.
- Resistance Band Exercises: These can provide a good workout without the need for heavy weights.
5. Gradual Progression: Start with lighter weights and gradually increase the resistance as your strength improves. Pay attention to how your body responds during and after workouts. If you experience any unusual symptoms, such as palpitations or shortness of breath, stop the exercise and consult your doctor.
6. Monitor Heart Rate: Keeping track of your heart rate during exercise can help ensure you are not overexerting yourself. Aim to stay within a safe range, typically around 50-70% of your maximum heart rate, which can be roughly estimated as 220 minus your age.
7. Incorporate Cardiovascular Exercise: Since you are already engaging in jogging, continue to include this as part of your routine. Cardiovascular exercise is beneficial for heart health and can complement your strength training efforts.
8. Listen to Your Body: Always be attentive to how your body feels during workouts. If you feel fatigued or experience any discomfort, it’s essential to rest and reassess your exercise choices.
Conclusion
In summary, strength training can be safe and effective for individuals with mitral valve prolapse when approached thoughtfully. Focus on low-intensity exercises, avoid isometric movements, and always consult with your healthcare provider before making significant changes to your exercise routine. By following these guidelines, you can work towards building muscle and improving your overall fitness without compromising your heart health. Remember, the key is to maintain a balance between strength training and cardiovascular health, ensuring that you listen to your body and adjust your activities as needed.
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