the Link Between COVID-19 and Mitral Valve Prolapse Symptoms

Q: the Link Between COVID-19 and Mitral Valve Prolapse Symptoms

Dear Miss Xiaoyue：<br>1. <br>Due to the lack of exposure history and not being included in contact tracing, the likelihood of being eligible for government-funded COVID-19 testing is very low. <br>If you wish to undergo testing at your own expense, the cost is approximately NT$5,

Symptoms related to COVID-19 and mitral valve prolapse?

Hello, Dr.
Hsiao.
I have symptoms of mitral valve prolapse, which sometimes cause palpitations, chest tightness, and shortness of breath, leading to panic attacks that result in laryngeal constriction, nasal congestion, wheezing, generalized weakness, tingling, and nausea.
Typically, these episodes occur 2-3 times a month, lasting between 1-3 hours each time.
However, since early May this year, I have been experiencing mild chest tightness, difficulty breathing, frequent sighing, dry mouth, and a feeling of heat throughout my body, with an ear temperature ranging from 37 to 37.5 degrees Celsius.
By mid-month, the chest tightness worsened, accompanied by loss of appetite, diarrhea, belching, and symptoms of rhinitis (having diarrhea once every 1-2 days).
From mid-month until now, all symptoms have persisted without improvement (nasal discharge has turned yellow), and the shortness of breath has become more frequent (lasting about 2-6 hours).
I feel weak all over and often take deep breaths.
I would like to ask the doctor: 1.
Is it necessary to get tested for COVID-19? 2.
How can I differentiate between shortness of breath caused by COVID-19 and that caused by mitral valve prolapse or panic attacks? 3.
What methods can alleviate the symptoms of mitral valve prolapse (palpitations, chest tightness, shortness of breath)? I can currently tolerate the symptoms, but I am unable to determine whether the shortness of breath is due to past episodes or caused by COVID-19, which makes me somewhat anxious.
Thank you for your response, doctor!

Xiao Yue, 30~39 year old female. Ask Date: 2021/06/03

Dr. Xiao Yongxun reply Family Medicine

Dear Miss Xiaoyue:
1.
Due to the lack of exposure history and not being included in contact tracing, the likelihood of being eligible for government-funded COVID-19 testing is very low.
If you wish to undergo testing at your own expense, the cost is approximately NT$5,000 to NT$7,000.
2.
It can sometimes be difficult to determine whether symptoms are indicative of COVID-19 based solely on clinical presentation; therefore, testing is often necessary for confirmation.
Based on your description and timeline, I personally believe that the possibility of panic disorder combined with mitral valve prolapse is more likely.
3.
Managing panic disorder in conjunction with mitral valve prolapse can sometimes be challenging with just psychological therapy or self-adjustment.
I recommend considering the moderate use of medication, and on the other hand, avoiding beverages containing caffeine or alcohol.
4.
I suggest that you first discuss this with your primary care physician before making any decisions.

Reply Date: 2021/06/03

More Info

Understanding the link between COVID-19 and symptoms associated with mitral valve prolapse (MVP) is crucial, especially for individuals experiencing overlapping symptoms. Mitral valve prolapse is a condition where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, chest discomfort, and shortness of breath. These symptoms can be exacerbated by anxiety or panic attacks, which may also present with similar respiratory distress.

1. COVID-19 Testing: Given the current climate of the COVID-19 pandemic, it is advisable to undergo testing if you are experiencing symptoms that could be associated with the virus. Symptoms such as persistent cough, fever, or significant changes in your respiratory status warrant a COVID-19 test. Since you have reported increased respiratory difficulties and other systemic symptoms, it would be prudent to consult with a healthcare provider about getting tested. This is especially important as COVID-19 can lead to complications that may mimic or exacerbate existing heart conditions.

2. Differentiating Symptoms: Distinguishing between symptoms caused by COVID-19 and those stemming from mitral valve prolapse or panic attacks can be challenging. COVID-19 often presents with respiratory symptoms such as cough, fever, and fatigue, while MVP-related symptoms may include palpitations and chest tightness. Panic attacks can lead to hyperventilation, which may cause shortness of breath and feelings of suffocation. Monitoring the onset of symptoms, their duration, and any accompanying signs (like fever or cough) can help in identifying their source. If symptoms are persistent and worsening, especially with fever or significant respiratory distress, it is critical to seek medical attention.

3. Managing Mitral Valve Prolapse Symptoms: For individuals with MVP, managing symptoms can often involve lifestyle modifications and relaxation techniques. Here are some strategies that may help alleviate symptoms:
- Regular Exercise: Engaging in moderate physical activity can improve cardiovascular health and reduce anxiety.

- Stress Management: Techniques such as deep breathing exercises, meditation, and yoga can help manage anxiety and panic symptoms.

- Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall health and potentially reduce gastrointestinal symptoms like diarrhea.

- Avoiding Stimulants: Reducing caffeine and other stimulants can help minimize palpitations and anxiety.

- Medication: In some cases, medications may be prescribed to manage anxiety or heart-related symptoms. Discussing this option with your healthcare provider can provide additional relief.

Given the complexity of your symptoms, it is essential to maintain open communication with your healthcare provider. They can help you navigate the potential overlap of symptoms from MVP, anxiety, and COVID-19, ensuring that you receive appropriate care and interventions. If your symptoms persist or worsen, especially with new developments like fever or significant respiratory distress, do not hesitate to seek immediate medical attention.
In summary, while MVP can cause distressing symptoms, the emergence of new symptoms, particularly in the context of a pandemic, necessitates careful evaluation. Testing for COVID-19 and managing your existing condition with lifestyle changes and medical guidance will be key to your health and well-being.

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