Mitral Valve Prolapse: Symptoms and When to Seek Help

Having mitral valve prolapse?

Several years ago, I was diagnosed with mitral valve prolapse, and at that time, the doctor advised me to manage my emotional fluctuations.
After that, I did not return for regular check-ups.
Yesterday, I was sent to the emergency room due to a rapid heartbeat that reached 164 beats per minute.
At that moment, I experienced full-body numbness, and my fingers were so numb that I couldn't straighten them; my whole body felt almost paralyzed! A few days before this incident, I started experiencing sharp pain in my back, shoulders, and neck, which was severe enough to prevent me from sleeping.
Could this indicate a worsening of my condition?

Shan, 20~29 year old female. Ask Date: 2020/12/05

Dr. Wu Xueming reply Cardiology

Mild mitral valve prolapse is unlikely to cause the symptoms you described.
It is recommended to maintain a regular lifestyle, have a normal routine, and engage in regular exercise.
If symptoms do not improve, you may consider visiting a cardiology clinic for further evaluation.

Reply Date: 2020/12/05

More Info

Mitral Valve Prolapse (MVP) is a condition where the two flaps of the mitral valve do not close properly, which can lead to various symptoms and complications. It is important to understand the symptoms associated with MVP and when to seek medical help, especially in light of your recent experiences.

Symptoms of Mitral Valve Prolapse
Many individuals with MVP may not experience significant symptoms. However, some common symptoms can include:
1. Palpitations: A sensation of rapid or irregular heartbeats, which you experienced with a heart rate of 164 beats per minute.

2. Chest Pain: This can occur due to the heart's irregular contractions or anxiety related to the condition.

3. Fatigue: Feeling unusually tired can be a symptom, especially if the heart is not pumping efficiently.

4. Shortness of Breath: This may occur during exertion or even at rest in more severe cases.

5. Dizziness or Lightheadedness: This can happen due to changes in heart rhythm or blood flow.

6. Anxiety: Many patients report increased anxiety, which can exacerbate other symptoms.

When to Seek Help
Given your recent episode of rapid heart rate, numbness, and severe discomfort, it is crucial to seek medical attention. Here are specific situations when you should seek help:
- Severe Symptoms: If you experience chest pain, shortness of breath, or fainting, these could indicate a more serious condition, such as arrhythmia or heart failure.

- Changes in Symptoms: If your symptoms change in intensity or frequency, such as increased palpitations or new symptoms like numbness, it is essential to consult a healthcare provider.

- Emergency Situations: If you have symptoms like severe chest pain, difficulty breathing, or loss of consciousness, call emergency services immediately.

Possible Complications
While many people with MVP live normal lives, complications can arise, including:
- Mitral Regurgitation: This occurs when the valve does not close tightly, leading to blood leaking backward into the heart. This can cause heart enlargement and heart failure over time.

- Arrhythmias: Irregular heartbeats can occur, which may lead to more severe complications if not monitored.

- Infective Endocarditis: Although rare, MVP can increase the risk of infection of the heart valves.

Recommendations
1. Follow-Up Care: It is essential to have regular check-ups with a cardiologist, especially after experiencing significant symptoms. They may recommend echocardiograms or Holter monitoring to assess your heart's function and rhythm.

2. Lifestyle Modifications: Managing stress, avoiding stimulants (like caffeine), and maintaining a healthy lifestyle can help manage symptoms.

3. Medication: Depending on the severity of your symptoms and any complications, your doctor may prescribe medications to help manage heart rate or blood pressure.

Conclusion
Your recent symptoms, including rapid heart rate and numbness, warrant immediate medical evaluation. It is crucial to communicate these changes to your healthcare provider, as they may indicate a progression of your condition or the development of complications. Regular monitoring and a proactive approach to managing MVP can help you maintain your health and well-being. Please do not hesitate to seek medical attention, as timely intervention can make a significant difference in outcomes.

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