Atrial Premature Contractions and Mitral Valve Prolapse at 25

Atrial premature contraction and mitral valve prolapse?

Hello, Doctor.
I have had this question for a long time: why did I suddenly feel a skipped heartbeat (premature contraction) one night last year, and since then, I have been experiencing atrial premature contractions for almost a year? I have been taking Concor 1.25 mg and Sotalol 150 mg twice daily for nearly a year, and I still cannot accept that I have this heart condition at just 25 years old.
Since I learned about atrial premature contractions in August last year, I have completely avoided caffeine, tea, chocolate, and coffee.
I have also been avoiding foods that I found online that could trigger these contractions.
I have been searching for a cure, from scientific methods to alternative therapies, but everyone says it cannot be cured, only managed.
How am I supposed to accept this? Although I no longer experience over a thousand episodes a day like before, I still have 2-3 episodes every 2-3 weeks, and they occur without any apparent reason, which troubles me greatly.
Sometimes I feel like ending my life, thinking that before August last year, when I didn’t have these premature contractions, I could jump around, eat what I wanted, and play freely.
After learning about the condition, I started restricting my diet and limiting intense exercise.
I keep searching for triggers and only find that weather and emotions can provoke them.
Every time I see that it will rain tomorrow, I worry whether I will have premature contractions.
Sometimes I stand by the window and think about jumping off to end my worries about these contractions, to stop taking Concor and Sotalol, and to be free from arrhythmia.
No doctor has been able to tell me why I have these premature beats; they just prescribe medication and do not recommend catheter ablation because they fear it might not be effective.
When I previously asked you, you mentioned there are risks and a possibility of recurrence.
How am I supposed to live with this? Why do people around me who stay up late, smoke, and drink have no premature contractions, while I do? Why is the world so unfair? What should I do? I feel so sad.

Mr. Wang, 20~29 year old female. Ask Date: 2022/08/18

Dr. He Dongjin reply Cardiology

Hello, life is never perfect.
Early detection is not a problem for us; it's all about coexisting peacefully.
Changhua Hospital cares about you.

Reply Date: 2022/08/18

More Info

Atrial Premature Contractions (APCs) and Mitral Valve Prolapse (MVP) can be concerning, especially for someone as young as 25. It’s understandable to feel overwhelmed and frustrated by these conditions, particularly when they disrupt your daily life and mental well-being. Let’s break down these issues and provide some clarity and guidance.

Understanding Atrial Premature Contractions
APCs are a common type of arrhythmia where the heart experiences an early heartbeat originating in the atria. They can be triggered by various factors, including stress, caffeine, alcohol, and even certain medications. While they can be alarming, especially when you first experience them, it’s important to note that APCs are often benign in healthy individuals. Many people experience them without any underlying heart disease.

In your case, it seems that you have made significant lifestyle changes, such as eliminating caffeine and other stimulants, which is a positive step. However, it’s crucial to understand that while lifestyle modifications can help reduce the frequency of APCs, they may not eliminate them entirely. The heart can be sensitive to various stimuli, and sometimes, the cause of these contractions remains idiopathic (unknown).

Mitral Valve Prolapse
MVP is a condition where the mitral valve does not close properly, which can sometimes lead to mitral regurgitation. Many individuals with MVP live normal, healthy lives without significant complications. However, in some cases, MVP can be associated with palpitations, anxiety, and other symptoms. The connection between MVP and APCs is not fully understood, but it is known that some individuals with MVP may experience arrhythmias.

Coping with Anxiety and Mental Health
Your feelings of distress and hopelessness are valid. The fear of experiencing APCs can lead to anxiety, which in turn may exacerbate the frequency of these contractions. It’s essential to address both the physical and emotional aspects of your health. Here are some suggestions:
1. Consult a Cardiologist: If you haven’t already, consider seeking a second opinion from a cardiologist who specializes in arrhythmias. They can provide a thorough evaluation and may suggest additional tests, such as an echocardiogram or Holter monitor, to assess your heart's function and rhythm over time.

2. Mental Health Support: It may be beneficial to speak with a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective in managing anxiety related to health concerns. They can help you develop coping strategies and reduce the fear associated with your symptoms.

3. Mindfulness and Relaxation Techniques: Practices such as yoga, meditation, and deep-breathing exercises can help reduce anxiety and improve your overall sense of well-being. These techniques can also help you manage stress, which may contribute to the frequency of APCs.

4. Gradual Exposure to Activities: If you’ve been avoiding certain activities due to fear of triggering APCs, consider gradually reintroducing them. Start with low-intensity exercises and slowly increase as you feel more comfortable. This can help rebuild your confidence and reduce the anxiety associated with physical activity.

5. Support Groups: Connecting with others who experience similar issues can provide comfort and understanding. Support groups, whether in-person or online, can be a valuable resource for sharing experiences and coping strategies.

Conclusion
While it’s natural to feel frustrated and anxious about your condition, it’s important to remember that many people live fulfilling lives despite having APCs and MVP. Focus on managing your symptoms through lifestyle changes, seeking professional support, and addressing any underlying anxiety. With time and the right approach, you can regain control over your life and find ways to cope with these challenges. Remember, you are not alone in this journey, and there are resources available to help you navigate through it.

Similar Q&A

Understanding Atrial Premature Contractions and Mitral Valve Prolapse

Hello, Doctor. This is my third consultation. Sometimes the hospital visits are so rushed that I forget to ask some questions. I have been diagnosed with premature atrial contractions and mitral valve prolapse, which has caused arrhythmia. I have been taking Dronedarone once a da...

Dr. Wu Xueming reply Cardiology
It is recommended to maintain a regular daily routine in addition to medication management, adjust your mood, reduce excessive stress, engage in regular exercise, and avoid excessive consumption of caffeinated beverages.

Understanding Ventricular Premature Contractions in Mitral Valve Prolapse Patients

Hello Doctor: I have mitral valve prolapse, and during my recent follow-up visit, I underwent a 24-hour Holter monitor which revealed issues with premature ventricular contractions (PVCs). I am still trying to understand my condition, so I would appreciate your clarification! Tha...

Dr. He Dongjin reply Cardiology
Hello, there are some issues with premature ventricular contractions, which are not considered serious. It is advisable to monitor the situation or discuss with your attending physician whether medication is necessary. Changhua Hospital cares about you.

Understanding Frequent Atrial Premature Contractions: Causes and Concerns

Hello, Doctor! I am 24 years old and would like to ask about my condition. I originally had 5-10 atrial premature contractions (APCs) per day, but suddenly, I have been experiencing them frequently, lasting about half an hour each time, with approximately 60-80 symptomatic APCs d...

Dr. He Dongjin reply Cardiology
Hello, I believe that having 200-300 APCs (Atrial Premature Contractions) per day should not be a problem. Such a quantity is unlikely to cause issues. Being overly concerned about it may lead to autonomic nervous system instability, which could actually increase the frequency. I...

Understanding Premature Ventricular Contractions and Mitral Valve Prolapse Symptoms

Hello Doctor, sometimes I experience a particularly strong heartbeat and a pause, which is accompanied by feelings of anxiety. I have had several episodes of palpitations in the past, and during those times, I went to the emergency room for an electrocardiogram. The doctor mentio...

Dr. He Dongjin reply Cardiology
Hello, yes, mitral valve prolapse can lead to these symptoms. Premature ventricular contractions may also cause palpitations, where the heart feels like it is pounding or skipping a beat. These are generally benign and can be monitored. If you experience episodes of discomfort, y...