Managing Breathing Difficulties During Sports with Mitral Valve Prolapse

The issue of experiencing difficulty breathing during exercise?

I would like to ask the doctor about my condition.
I have mitral valve prolapse and I am on the basketball team.
Sometimes during training, especially when I have to run and sprint, I feel like I have difficulty breathing, and I even feel like I am about to suffocate when passing the ball.
At those moments, my vision gets a bit blurry.
Is this a common symptom for patients with mitral valve prolapse during exercise? I have visited a doctor who prescribed me a pink round medication to take when I experience these episodes.
I would like to know if engaging in intense sports like basketball poses any life-threatening risks for me.
I have read online about sudden cardiac deaths in athletes, which is quite frightening, but I really enjoy basketball.
Additionally, when I am training and have difficulty breathing, what can I do to alleviate this? I apologize for writing so much, and thank you, doctor.

Tiyuren, 10~19 year old female. Ask Date: 2020/06/29

Dr. He Dongjin reply Cardiology

Hello, not every discomfort is caused by mitral valve prolapse.
You might try taking the pink round medication before exercising to see if it alleviates your symptoms.
Based on your description, it seems more related to your physical fitness not keeping up.
Your risk of sudden cardiac death is not necessarily higher.
Don't scare yourself; gradually increase your fitness level.
If you find it hard to breathe, take a break and adjust your breathing.
Take care from Changhua Hospital.

Reply Date: 2020/06/29

More Info

Managing breathing difficulties during sports, especially for individuals with mitral valve prolapse (MVP), can be a complex issue that requires careful consideration of both the physiological aspects of the condition and the demands of the sport. MVP is a common heart valve disorder where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, chest pain, and, in some cases, shortness of breath during physical exertion.

From your description, it seems that you experience significant breathing difficulties during basketball training, particularly during high-intensity activities like sprinting and passing. This can be concerning, especially given your awareness of the potential risks associated with exercise and heart conditions. While MVP is often benign and many individuals lead normal, active lives, it can sometimes be associated with symptoms that may be exacerbated by physical activity.

Understanding Your Symptoms
1. Breathing Difficulties: The sensation of breathlessness and the feeling of needing to take deep breaths can be related to several factors:
- Increased Demand: During intense physical activity, your body requires more oxygen, and if your heart is not able to pump effectively due to MVP, this can lead to feelings of breathlessness.

- Anxiety: The fear of not being able to breathe can lead to anxiety, which can further exacerbate the sensation of breathlessness.

- Dehydration or Electrolyte Imbalance: Intense exercise can lead to dehydration or an imbalance in electrolytes, which can affect muscle function, including the diaphragm, leading to difficulty in breathing.

2. Visual Disturbances: The "eye blurriness" you describe could be related to decreased blood flow or oxygenation during intense exertion, which can happen if your heart is struggling to meet the demands of your body during exercise.

Recommendations for Managing Symptoms
1. Consultation with a Cardiologist: Since you have MVP and are experiencing significant symptoms during exercise, it is crucial to have a thorough evaluation by a cardiologist. They may recommend tests such as an echocardiogram or stress test to assess how your heart responds to exercise.

2. Medication: The pink circular medication prescribed to you may be a beta-blocker or another type of medication that can help manage symptoms. Ensure you understand when and how to use it, and discuss any concerns with your healthcare provider.

3. Gradual Increase in Activity: If you are not already doing so, consider gradually increasing your training intensity. This can help your body adapt to the demands of basketball without overwhelming your cardiovascular system.

4. Breathing Techniques: Practicing controlled breathing techniques can help manage anxiety and improve your oxygen intake during exertion. Techniques such as diaphragmatic breathing or pursed-lip breathing can be beneficial.

5. Hydration and Nutrition: Ensure you are well-hydrated and maintain a balanced diet to support your physical activity. Proper nutrition can help maintain energy levels and support overall cardiovascular health.

6. Monitoring Symptoms: Keep a log of your symptoms during training sessions. Note when they occur, their severity, and any associated activities. This information can be valuable for your healthcare provider in assessing your condition.

7. Emergency Plan: Given your concerns about sudden cardiac events, it may be wise to have an emergency plan in place. Inform your coach and teammates about your condition so they can assist you if you experience severe symptoms.

Conclusion
While it is understandable to have concerns about exercising with mitral valve prolapse, many individuals with this condition can participate in sports like basketball with proper management and precautions. It is essential to listen to your body, communicate openly with your healthcare provider, and take proactive steps to manage your symptoms. With the right approach, you can continue to enjoy basketball while minimizing risks to your health.

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