Cardiac issues?
Dear Dr.
Chung,
I have a problem with mitral valve prolapse, and I started experiencing some symptoms since 1997.
However, between 1997 and 2000, I only needed to take medication for one or two months to alleviate the symptoms, and I didn't have to continue taking it.
After 2000, due to work-related stress, I have been feeling uncomfortable and have had to keep taking medication until now, in 2002.
Sometimes, my heart suddenly experiences palpitations, which makes me feel uneasy.
For instance, this morning (February 20), my heart had palpitations again for several minutes, leaving me unsure of what to do.
Could you please give me some advice? I really dislike this feeling, and I now visit the hospital for check-ups every month.
Best wishes: May all your wishes come true, Dr.
Chung!
Xiao Xiao, 30~39 year old female. Ask Date: 2003/02/20
Dr. Zhong Yuxun reply Cardiology
Hello, Miss Hsiao: Mitral valve prolapse is often associated with symptoms of autonomic nervous system dysfunction, such as palpitations, anxiety, sweating, and dizziness.
The heart fluttering you mentioned is also a manifestation of autonomic nervous system dysregulation.
You should consult your cardiologist again and consider medication adjustments to improve your symptoms.
Wishing you good health, Dr.
Chung Yu-Hsuan, Taoyuan Hospital, Department of Health.
Reply Date: 2003/02/20
More Info
Mitral Valve Prolapse (MVP) is a condition where the two leaflets of the mitral valve do not close smoothly or evenly, but instead bulge (prolapse) upward into the left atrium during the heart's contraction. This can lead to various symptoms and complications, and understanding these can help in managing the condition effectively.
Symptoms of Mitral Valve Prolapse
Many individuals with MVP may not experience any symptoms. However, when symptoms do occur, they can include:
1. Palpitations: This is often described as a feeling of the heart racing, fluttering, or skipping beats. These sensations can be alarming and may occur sporadically.
2. Chest Pain: Some patients report chest discomfort that is not related to exertion and may not be associated with coronary artery disease.
3. Fatigue: Individuals may feel unusually tired, especially after physical activity.
4. Shortness of Breath: This can occur during exertion or even at rest in some cases.
5. Anxiety: Many patients with MVP report feelings of anxiety or panic, which can exacerbate other symptoms.
6. Dizziness or Lightheadedness: This can occur, particularly if there are significant arrhythmias associated with MVP.
Management Tips
Managing MVP often involves a combination of lifestyle changes, medication, and regular monitoring. Here are some strategies that may help:
1. Regular Check-ups: Since you are already seeing your doctor monthly, continue to do so. Regular echocardiograms can help monitor the condition of your mitral valve and any changes over time.
2. Medication: If you experience significant symptoms such as palpitations or anxiety, your doctor may prescribe medications. Beta-blockers are commonly used to help manage palpitations and anxiety symptoms.
3. Lifestyle Modifications:
- Stress Management: Since you mentioned that stress exacerbates your symptoms, consider incorporating stress-reduction techniques such as yoga, meditation, or deep-breathing exercises into your routine.
- Regular Exercise: Engage in regular, moderate exercise as tolerated. This can improve overall cardiovascular health and help manage anxiety.
- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support heart health.
4. Avoid Stimulants: Caffeine and nicotine can exacerbate palpitations and anxiety. Limiting or avoiding these substances may help reduce symptoms.
5. Hydration: Staying well-hydrated is important, as dehydration can sometimes lead to palpitations.
6. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider in managing your condition.
When to Seek Help
While MVP is often benign, certain symptoms warrant immediate medical attention. If you experience:
- Severe chest pain
- Shortness of breath that is new or worsening
- Fainting or severe dizziness
- Symptoms of a stroke (such as sudden weakness, difficulty speaking, or facial drooping)
These could indicate complications such as mitral regurgitation or arrhythmias that may require more urgent intervention.
Conclusion
Mitral Valve Prolapse can be a manageable condition with the right approach. Regular follow-ups with your healthcare provider, adherence to prescribed medications, and lifestyle modifications can significantly improve your quality of life. If your symptoms persist or worsen, do not hesitate to discuss further treatment options with your doctor. Remember, you are not alone in this, and many people live full, active lives with MVP.
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