Heart Pain: Is It Related to Mitral Valve Prolapse? - Cardiology

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Chest pain


Hello Doctor, a few years ago I saw a cardiologist who told me that I have mild mitral valve prolapse.
Recently, I have been experiencing intermittent sharp chest pain, which is also accompanied by back pain.
However, after undergoing an electrocardiogram and echocardiogram, the doctor said that my heart's contraction is good.
Although I feel somewhat reassured, I still experience occasional chest pain and tightness, especially during physical exertion.
Should I seek further evaluation, or could this all be related to my mitral valve prolapse? My family physician previously mentioned that I might have gastroesophageal reflux disease (GERD), and I'm wondering if that could be related to my chest pain.
Thank you, Doctor.

sun, 20~29 year old female. Ask Date: 2021/01/01

Dr. Wu Xueming reply Cardiology


Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low, and mitral valve prolapse does not cause these symptoms.
Many factors in life can contribute to this situation, such as emotions, stress, irregular routines, or excessive intake of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if the symptoms persist, it is still recommended to visit a hospital for further evaluation.

Reply Date: 2021/01/01

More Info


Understanding heart pain can be complex, especially when it involves conditions like mitral valve prolapse (MVP) and gastroesophageal reflux disease (GERD). Based on your description, it seems you have been diagnosed with mild mitral valve prolapse, and you are experiencing intermittent chest pain and discomfort, which sometimes radiates to your back. You have also undergone tests such as an electrocardiogram (ECG) and echocardiogram, which showed normal heart function.
Mitral valve prolapse is a condition where the mitral valve does not close properly, which can lead to various symptoms, including chest pain, palpitations, and sometimes anxiety. However, it is important to note that MVP is often benign and does not always cause significant issues. The symptoms you are experiencing could be related to MVP, but they can also stem from other factors, including anxiety, stress, or even lifestyle choices such as caffeine intake or lack of sleep.

Your mention of experiencing chest pain during physical activity raises some concerns. While MVP can cause discomfort, it is essential to differentiate between pain related to MVP and pain that could indicate a more serious cardiac issue. Given that your heart's contraction function is normal, it is less likely that your symptoms are due to a significant heart condition. However, if the pain persists or worsens, further evaluation may be warranted.

Regarding the potential link between your symptoms and gastroesophageal reflux disease (GERD), it is indeed possible. GERD can cause chest pain that mimics cardiac pain, often described as a burning sensation or tightness in the chest. This pain can sometimes be mistaken for heart-related issues, especially if it occurs after eating or when lying down. If you have been diagnosed with GERD, managing this condition through dietary changes, medications, or lifestyle modifications may help alleviate some of your symptoms.

In summary, while your symptoms may be related to mitral valve prolapse, they could also be influenced by other factors, including GERD. If your chest pain continues or if you experience new symptoms such as shortness of breath, dizziness, or severe pain, it is crucial to seek further evaluation from a healthcare professional. They may recommend additional tests, such as a stress test or a Holter monitor, to assess your heart's function during physical activity or over a more extended period.

In the meantime, consider monitoring your symptoms and identifying any triggers that may exacerbate your discomfort. Lifestyle modifications, such as reducing caffeine intake, managing stress, and maintaining a healthy diet, can also be beneficial. If you have concerns about your symptoms or their impact on your daily life, do not hesitate to consult with your healthcare provider for personalized advice and management options.

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