Abnormal Heart Rate in Hot Weather with Mitral Valve Prolapse - Cardiology

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Abnormal heart rate due to hot weather?


Hello, doctor.
I have a problem with mitral valve prolapse.
Recently, I've noticed that my heart rate exceeds 150 beats per minute when the temperature goes above 30 degrees Celsius or during light exercise.
However, I don't feel particularly short of breath or have other symptoms; I just feel quite uncomfortable in my chest, and the discomfort increases with higher temperatures.
This issue has been ongoing for more than two months.
I would like to know if this is a common symptom of mitral valve prolapse or if there could be other possible causes.
Thank you.

Lin, 10~19 year old female. Ask Date: 2022/09/15

Dr. Chen Jili reply Cardiology


We recommend that you consult with a cardiology outpatient clinic.
Thank you, and wish you good health!

Reply Date: 2022/09/15

More Info


Understanding abnormal heart rate responses, especially in the context of mitral valve prolapse (MVP), is crucial for managing your health effectively. Mitral valve prolapse is a condition where the mitral valve doesn't close properly, which can lead to various symptoms, including palpitations, chest discomfort, and sometimes even episodes of rapid heart rate (tachycardia).
In your case, experiencing a heart rate exceeding 150 beats per minute during hot weather or light exercise, accompanied by discomfort in the chest, raises several considerations. First, it's important to recognize that environmental factors, such as high temperatures, can significantly impact heart rate and overall cardiovascular function. Heat can cause blood vessels to dilate, leading to a drop in blood pressure, which may trigger compensatory mechanisms in the heart, resulting in an increased heart rate. This is particularly relevant for individuals with MVP, as the heart may already be under some strain due to the valve's improper closure.

Moreover, the autonomic nervous system plays a significant role in regulating heart rate. In situations of heat stress or physical exertion, the sympathetic nervous system can become more active, leading to an increased heart rate. This response can be more pronounced in individuals with MVP, as they may have an underlying autonomic imbalance. Symptoms like chest discomfort, even in the absence of significant breathlessness, can be attributed to this heightened heart rate and the heart's increased workload.

It's also worth noting that MVP can sometimes be associated with anxiety and panic symptoms, which can further exacerbate feelings of discomfort and lead to increased heart rates. If you are experiencing anxiety, it could be contributing to your symptoms, especially in stressful situations or during physical activity.

Given that your symptoms have persisted for over two months, it is essential to consult with a healthcare provider who can perform a thorough evaluation. This may include an electrocardiogram (ECG) to assess your heart's electrical activity, an echocardiogram to evaluate the function of your mitral valve, and possibly a Holter monitor to record your heart rate over 24 hours. These tests can help determine if your symptoms are indeed related to MVP or if there are other underlying issues, such as arrhythmias or other cardiovascular conditions.

In the meantime, managing your symptoms may involve lifestyle modifications. Staying hydrated, avoiding excessive caffeine or stimulants, and practicing stress-reduction techniques can help mitigate some of the discomfort associated with increased heart rates. Additionally, if you find that certain activities or environmental conditions consistently trigger your symptoms, it may be wise to modify your exercise routine or avoid extreme heat when possible.

In summary, while your symptoms could be related to mitral valve prolapse, they may also be influenced by environmental factors and autonomic responses. A comprehensive evaluation by a healthcare professional is crucial to determine the underlying cause and to develop an appropriate management plan tailored to your needs.

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