Dizziness: Is It Related to Mitral Valve Prolapse? - Otolaryngology

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Dizziness issues


Dear Dr.
Chen: I have a problem with dizziness.
Every time I feel dizzy, I just want to sleep.
I'm not sure if this is related to my mitral valve prolapse, which might be causing this.
Could you please let me know if that's the case? Thank you!

Xiao Qianqian, 20~29 year old female. Ask Date: 2000/11/16

Dr. Chen Junliang reply Otolaryngology


There are many causes of dizziness, including central nervous system disorders, peripheral nervous system issues, endocrine disorders, or cardiovascular diseases such as hypertension, mitral valve insufficiency, and arrhythmias.
Therefore, further examinations are necessary to determine the specific cause of the dizziness in order to provide appropriate treatment.

Reply Date: 2000/11/16

More Info


Dizziness can be a perplexing symptom, and when associated with mitral valve prolapse (MVP), it raises important questions about the underlying mechanisms and potential connections. Mitral valve prolapse is a condition where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, chest pain, and, in some cases, dizziness. However, the relationship between MVP and dizziness is not straightforward.

Firstly, it is essential to understand that dizziness can arise from multiple causes, and while MVP can be one of them, it is not the only potential source. Dizziness can be related to issues such as dehydration, low blood pressure, inner ear problems, anxiety, or even medication side effects. In patients with MVP, the dizziness may be linked to the autonomic nervous system's response to the condition. Some individuals with MVP experience heightened sensitivity to stress and anxiety, which can manifest as dizziness or lightheadedness.

In your case, the dizziness you experience, particularly if it is accompanied by a strong desire to sleep, may not be directly caused by MVP itself. Instead, it could be a response to anxiety or stress, which are common in individuals who are aware of their heart condition. The feeling of needing to sleep after a dizzy spell could also indicate fatigue or a drop in blood pressure, which can occur in various situations, including standing up too quickly or after prolonged periods of inactivity.

To address your concerns, it is advisable to monitor your symptoms closely. Keeping a diary of when the dizziness occurs, its duration, and any accompanying symptoms can provide valuable information for your healthcare provider. Additionally, consider discussing your symptoms with your doctor, who may recommend further evaluation to rule out other potential causes of dizziness. This could include blood tests, an electrocardiogram (ECG), or even a referral to a specialist if necessary.

In summary, while mitral valve prolapse can be associated with dizziness, it is crucial to consider other potential causes. If your dizziness persists or worsens, or if you experience additional concerning symptoms such as fainting, severe headaches, or visual disturbances, seek medical attention promptly. Your healthcare provider can help determine the underlying cause of your dizziness and recommend appropriate management strategies to improve your quality of life.

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