Mitral Valve Prolapse: Fast Heart Rate Concerns and Management - Cardiology

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Mitral valve prolapse with tachycardia?


Hello, Doctor.
Since November, I have experienced several days of palpitations (I fainted once in April and once in August).
I went to Kaohsiung Veterans General Hospital's cardiology department, where the doctor diagnosed me with mitral valve prolapse and prescribed Entresto to take when I feel uncomfortable.
My question is, I usually have a slightly elevated heart rate without discomfort, with a rhythm of about 80-100 bpm (as measured by my Xiaomi Mi Band 5).
Is this a normal symptom of mitral valve prolapse? Do I need medication to manage it? Is a consistently elevated heart rate harmful to my health in the long term? Are there other methods to help normalize my heart rhythm? Thank you, Doctor!

J, 20~29 year old female. Ask Date: 2020/12/11

Dr. He Dongjin reply Cardiology


Hello, a heart rate of about 80-100 beats per minute is still within the normal range.
Long-term fluctuations on the higher side are not harmful to your health.
If you experience a consistently elevated heart rate without discomfort, medication may not be necessary; you can take it only when you feel uncomfortable.
Don't worry too much about monitoring your heart rate constantly with a device like the Xiaomi band; it may not be beneficial.
Instead, enjoy life! We pray for your peace and well-being.
Changhua Hospital cares about you.

Reply Date: 2020/12/11

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, anxiety, and in some cases, episodes of syncope (fainting). Your report indicates that you have been experiencing episodes of palpitations and have a history of fainting, which can indeed be concerning.
The heart rate you mentioned, ranging from 80 to 100 beats per minute, can be considered slightly elevated, especially if you are at rest. However, it is important to note that a heart rate in this range is not uncommon for individuals with MVP. The condition can lead to increased sympathetic nervous system activity, which may contribute to a faster heart rate.
In your case, the fast heart rate may not necessarily be a direct symptom of MVP, but rather a response to anxiety, stress, or even physical exertion. Factors such as caffeine intake, dehydration, or lack of sleep can also contribute to an increased heart rate. It is essential to monitor these factors and make lifestyle adjustments where possible.
Regarding your concerns about medication, the use of beta-blockers or other anti-anxiety medications can be beneficial in managing symptoms associated with MVP, especially if you experience significant discomfort or anxiety. These medications can help to stabilize your heart rate and reduce palpitations. However, it is crucial to discuss any medication regimen with your healthcare provider to ensure it is appropriate for your specific situation.

Long-term, a consistently elevated heart rate can lead to complications such as increased workload on the heart and potential development of arrhythmias. Therefore, it is advisable to address the underlying causes of your elevated heart rate. Regular cardiovascular exercise, stress management techniques (such as yoga or meditation), and maintaining a healthy diet can all contribute to better heart health and potentially normalize your heart rate.

If your symptoms persist or worsen, or if you experience additional concerning symptoms such as chest pain, shortness of breath, or dizziness, it is crucial to seek further evaluation from your cardiologist. They may recommend additional tests, such as an echocardiogram or Holter monitor, to assess your heart's function and rhythm more closely.

In summary, while a fast heart rate can be associated with MVP, it is essential to consider other factors that may contribute to this condition. Lifestyle modifications, medication management, and regular follow-up with your healthcare provider can help you manage your symptoms effectively and maintain your overall heart health. Always consult with your physician before making any changes to your treatment plan or lifestyle.

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