Mitral Valve Prolapse: Managing Symptoms and Concerns

Rapid heartbeat..?

Thank you, doctor, for taking the time to address my concerns.
I have experienced chest pain since childhood, and as I grew older, I didn't pay much attention to the occasional discomfort.
However, three years ago, I felt a significant pain in my heart, which prompted me to see a cardiologist.
After listening to my heartbeat, the doctor diagnosed me with mitral valve prolapse.
An echocardiogram showed mild mitral regurgitation, and the doctor advised that I could have follow-up checks once a year.
Knowing the cause of my issue relieved me, and as long as I maintain a good routine, I rarely have problems.
When I do experience symptoms, I just drink water and avoid medication.
Recently, I went hiking for the first time, and the latter part of the trail was uphill with steps, which left me quite breathless.
However, what truly troubled me was that it felt like my heart couldn't keep up with my pace; it was beating hard but not fast enough.
The force of the heartbeat was intense, and I felt the need to sit down and not move.
The doctor did not mention this kind of situation, so I am a bit confused.
I wonder what might happen if I ignore it.
Is it something I should be concerned about, or is it okay? Should I be monitoring anything specific? I would prefer not to waste resources at the hospital unless it is a significant issue, so I would appreciate it if you could clarify this small doubt for me.
Thank you!

Zhi, 30~39 year old female. Ask Date: 2003/03/06

Dr. Chen Guifeng reply Cardiology

Hello, thank you very much for your message.
Regarding your question, here is the response: Mitral valve prolapse is primarily a congenital issue related to one's constitution, but it does not affect cardiac function.
During exercise or fatigue, occasional premature ventricular contractions or similar arrhythmias may occur, but the symptoms are usually not significant, and most individuals do not require specific medication treatment.
This condition should be monitored with follow-up examinations once a year.

Reply Date: 2003/03/06

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which is located between the left atrium and left ventricle of the heart, does not close properly. This can lead to a variety of symptoms, including chest pain, palpitations, and shortness of breath, especially during physical exertion. Your experience of chest pain and the diagnosis of MVP is not uncommon, and many individuals with this condition lead normal lives with minimal symptoms.

In your case, it seems that your symptoms have been manageable with lifestyle modifications, and you have been able to cope well with the condition. However, the recent episode of feeling like your heart was "not keeping up" with your activity level, especially during a strenuous hike, raises some important considerations.

Firstly, it is essential to understand that MVP can sometimes be associated with arrhythmias, which are irregular heartbeats. The sensation of your heart "pounding" or "slamming" against your chest could be a manifestation of these arrhythmias. While many people with MVP experience palpitations without any serious underlying issues, it is crucial to monitor these symptoms, especially if they are new or have changed in intensity.

Here are some key points to consider regarding your symptoms and MVP:
1. Symptoms Monitoring: Keep a detailed record of your symptoms, including when they occur, their duration, and any associated activities. This information can be helpful for your healthcare provider in assessing your condition.

2. Physical Activity: While it is great that you are engaging in physical activities like hiking, it is essential to listen to your body. If you experience significant shortness of breath, chest pain, or palpitations during exercise, it may be wise to reduce the intensity of your activities and consult your doctor.

3. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can help manage symptoms. Dehydration can exacerbate feelings of fatigue and palpitations.

4. Regular Follow-ups: Since you have been advised to have regular follow-up echocardiograms, it is crucial to adhere to this schedule. These check-ups can help monitor the function of your mitral valve and detect any changes that may require intervention.

5. When to Seek Help: If you experience severe symptoms such as persistent chest pain, fainting, or significant changes in your heart rhythm, it is essential to seek medical attention promptly. These could be signs of more serious complications that may need to be addressed.

6. Lifestyle Modifications: Continue to focus on a healthy lifestyle, including regular exercise, stress management, and avoiding stimulants like caffeine, which can trigger palpitations in some individuals.

7. Education and Support: Learning more about MVP and connecting with support groups can provide additional resources and reassurance. Understanding your condition can help alleviate anxiety and empower you to manage your health effectively.

In conclusion, while MVP can lead to symptoms that may be concerning, many individuals manage their condition successfully with appropriate lifestyle changes and regular medical care. It is always best to discuss any new or worsening symptoms with your healthcare provider to ensure that you receive the best possible care tailored to your needs. If your symptoms persist or worsen, do not hesitate to seek medical advice, as it is better to be cautious and ensure your heart health is monitored appropriately.

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