Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection

Mitral valve prolapse and related issues?

I am a patient with mitral valve prolapse.
I have undergone both echocardiography and electrocardiogram (ECG) tests.
The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormal events, but they were within acceptable limits, so there is no major concern.
However, I often feel uncomfortable; sometimes I experience palpitations, and at times my heartbeat feels very strong.
When I sleep, I can feel my heart pounding, although my heart rate is not fast.
Occasionally, while at work, I feel uncomfortable when I hear the loud noise from buses outside.
I would like to ask the doctor if they have encountered similar cases.
I have researched online and found that this could be related to autonomic nervous system issues.
Based on your professional experience, do you think this is indeed related to the autonomic nervous system? Thank you, doctor.
I appreciate it, and Happy New Year! 🎆

Xiangxiang, 30~39 year old female. Ask Date: 2023/01/25

Dr. He Dongjin reply Cardiology

Hello, your symptoms are commonly associated with autonomic nervous system issues.
They can be managed with medication.
Changhua Hospital cares about your well-being.

Reply Date: 2023/01/25

More Info

Mitral valve prolapse (MVP) is a condition where the two flaps of the mitral valve do not close properly, which can lead to mitral regurgitation. Many individuals with MVP may experience a variety of symptoms, including palpitations, anxiety, and even episodes of dizziness. Your concerns about feeling unwell, experiencing heart palpitations, and heightened sensitivity to external noises are indeed common among patients with MVP, and they can be closely related to the autonomic nervous system (ANS).

The autonomic nervous system regulates involuntary bodily functions, including heart rate, blood pressure, and respiratory rate. It consists of two main branches: the sympathetic nervous system, which prepares the body for stressful situations (the "fight or flight" response), and the parasympathetic nervous system, which promotes a state of rest and relaxation. Dysregulation of the ANS can lead to symptoms such as anxiety, palpitations, and even gastrointestinal disturbances.

In your case, the feelings of heart palpitations and discomfort could be exacerbated by anxiety or stress, which are known to activate the sympathetic nervous system. This can lead to an increased perception of heartbeats, even if the heart rate itself is not significantly elevated. It's also worth noting that external factors, such as noise from traffic or public transportation, can heighten your awareness of your heart's activity, especially if you are already feeling anxious or uncomfortable.

Regarding your question about whether your symptoms are related to autonomic nervous system dysfunction, the answer is yes. Many patients with MVP report symptoms that can be traced back to ANS dysregulation. This connection is well-documented in medical literature, as the interplay between MVP and the ANS can lead to a cycle of anxiety and physical symptoms.
To manage these symptoms, it is essential to adopt a holistic approach. Here are some strategies that may help:
1. Lifestyle Modifications: Regular exercise can help regulate the autonomic nervous system and improve overall cardiovascular health. Aim for moderate aerobic activities, such as walking, swimming, or cycling.

2. Stress Management: Techniques such as mindfulness meditation, yoga, and deep-breathing exercises can help calm the nervous system and reduce anxiety. These practices can also improve your ability to cope with stressors in your environment.

3. Sleep Hygiene: Ensure you maintain a regular sleep schedule and create a restful sleeping environment. Poor sleep can exacerbate symptoms of anxiety and autonomic dysfunction.

4. Dietary Considerations: Limit caffeine and sugar intake, as these can stimulate the sympathetic nervous system and potentially worsen palpitations and anxiety.

5. Medical Consultation: If your symptoms persist or worsen, it is crucial to follow up with your healthcare provider. They may recommend further evaluation or treatment options, which could include medication to help manage anxiety or palpitations.

In conclusion, your symptoms are not uncommon among individuals with mitral valve prolapse, and they can indeed be linked to autonomic nervous system dysregulation. By implementing lifestyle changes and stress management techniques, you may find relief from your symptoms. However, ongoing communication with your healthcare provider is essential to ensure that your condition is monitored and managed effectively.

Similar Q&A

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Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.

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