Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause? - Neurology

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The body experiences slight tremors when at rest?


Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches.
Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruising from recent blood draws), and I have some hand tremors but no insomnia or weight changes.
I previously consulted a doctor for palpitations, and the diagnosis was mitral valve prolapse.
Both the echocardiogram and electrocardiogram were normal, and thyroid function tests also came back normal.
I am wondering if these symptoms are related to the mitral valve prolapse.
Thank you, doctor!

Niming, 20~29 year old female. Ask Date: 2020/08/21

Dr. Hong Weibin reply Neurology


Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system).
You may want to consult with a neurologist or a psychiatrist nearby.

Reply Date: 2020/08/21

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to a variety of symptoms, including heart palpitations, anxiety, and even tremors. Your recent experiences of body tremors, strong heartbeats, dizziness, and headaches could indeed be related to MVP, although they may also stem from other underlying issues.

MVP is relatively common, affecting about 2-3% of the population, and is often benign. However, it can be associated with symptoms that arise from autonomic nervous system dysregulation. This dysregulation can lead to heightened sensitivity to stress and anxiety, which may manifest as palpitations or tremors. The sensation of your heart beating strongly, particularly when at rest, is a common complaint among individuals with MVP. This is often due to the heart's increased effort to maintain adequate blood flow, especially if there is any degree of mitral regurgitation (backflow of blood into the left atrium).

Your symptoms of dizziness and headaches could also be indicative of several factors. For instance, if you are experiencing anxiety or panic attacks, these can lead to hyperventilation, which may cause dizziness and a sensation of tremors. Additionally, if you have been feeling weak in your hands, it could be related to anxiety or stress, which can cause muscle tension and fatigue.

It’s important to note that while MVP can cause these symptoms, they can also be related to other conditions. For example, thyroid issues, which you mentioned were ruled out, can also cause tremors and palpitations. Other potential causes could include electrolyte imbalances, anemia, or even neurological conditions. Given that you have experienced bruising from blood draws, it may be worth discussing with your physician whether there could be any underlying hematological issues that need to be addressed.

In terms of management, if your echocardiogram and electrocardiogram (ECG) have returned normal results, and your symptoms are not severe, your doctor may recommend a conservative approach. This could include lifestyle modifications such as stress management techniques, regular exercise, and possibly medications to help manage anxiety or palpitations if they become bothersome.
However, if your symptoms worsen or if you develop new symptoms such as significant fatigue, changes in heart rhythm, or any other concerning signs, it would be prudent to follow up with your healthcare provider. They may consider further evaluation, which could include a Holter monitor to assess your heart rhythm over a longer period or additional blood tests to rule out other potential causes.

In summary, while your symptoms could be related to mitral valve prolapse, it is essential to consider a comprehensive approach to your health. Regular follow-ups with your healthcare provider, maintaining a healthy lifestyle, and managing stress can significantly help in alleviating symptoms associated with MVP. If you have any concerns about your symptoms or if they change, do not hesitate to reach out to your doctor for further evaluation and guidance.

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