Mitral Valve Insufficiency and Caffeine Sensitivity - Cardiology

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Valvular insufficiency


Doctor, I have a pre-existing condition of mitral valve prolapse, and usually I just feel fatigued and have a heavy sensation on the left side of my head, but it's manageable with rest.
I was unaware that I shouldn't consume strong tea, and during work, I was drinking 1000 to 2000 cc of black or green tea daily.
One day, while at work, my heart suddenly started racing, beating several times in a second—probably five or six times—and I almost fainted.
This happened repeatedly for two to three days.
Since then, my head has felt much worse, heavy and painful, with intermittent pain.
I can't sleep for more than five hours, and the chest tightness has become increasingly severe, making it necessary for me to sleep.
Taking Xanax helps a bit.
Later, I had an echocardiogram, and the doctor mentioned that there is moderate mitral regurgitation.
Now, I am extremely afraid of caffeine.
I would like to ask if inhaling strong coffee odors in a coffee shop all day would expose me to caffeine? I might have to move next to a coffee shop, and I'm worried that their exhaust might inadvertently expose me to caffeine, and I wouldn't even know how it could affect me.
I'm sorry, but I don't know if caffeine can be absorbed through the lungs.
Could you please clarify?

Xiao Gao, 40~49 year old female. Ask Date: 2023/01/15

Dr. Wu Xueming reply Cardiology


Caffeine is not absorbed through the lungs.

Reply Date: 2023/01/15

More Info


Mitral valve insufficiency, also known as mitral regurgitation, occurs when the mitral valve does not close properly, allowing blood to flow backward into the left atrium when the left ventricle contracts. This condition can lead to various symptoms, including fatigue, shortness of breath, and palpitations, particularly during physical exertion. Your experience of feeling more fatigued and having a heavy sensation in your head may be related to the heart's inability to effectively pump blood, which can lead to decreased oxygen delivery to the brain and other tissues.

Caffeine sensitivity can exacerbate symptoms associated with mitral valve insufficiency. Caffeine is a stimulant that can increase heart rate and blood pressure, potentially leading to palpitations and other cardiovascular symptoms. In your case, consuming large amounts of caffeinated beverages like strong tea may have contributed to your episodes of rapid heart rate and feelings of dizziness or near-fainting. It is crucial to monitor your caffeine intake, especially since you have experienced significant symptoms after consuming it.

Regarding your concern about being near a coffee shop and the potential inhalation of caffeine through the air, it is important to note that caffeine is primarily ingested through consumption rather than inhalation. While it is theoretically possible to inhale some compounds present in coffee, the amount of caffeine that could be absorbed through the lungs is negligible compared to what you would consume directly. Therefore, living near a coffee shop should not pose a significant risk of caffeine exposure through the air.

However, if you are particularly sensitive to caffeine, it may be wise to avoid direct exposure to strong coffee aromas, especially if you notice that it triggers symptoms. If you find that the smell of coffee causes discomfort or exacerbates your symptoms, consider discussing this with your healthcare provider. They may recommend strategies to manage your sensitivity or suggest alternative living arrangements if necessary.

In summary, it is essential to manage your caffeine intake carefully, especially given your history of mitral valve insufficiency and the symptoms you have experienced. If you continue to have episodes of rapid heart rate or other concerning symptoms, it is advisable to follow up with your healthcare provider for further evaluation and management. Regular monitoring and communication with your healthcare team can help ensure that your condition is managed effectively and that you maintain a good quality of life.

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