Mitral Valve Prolapse: Symptoms, Risks, and Family Impact

Will mitral valve prolapse worsen over time?

1.
Two or three years ago, I went for an examination due to breathing discomfort and discovered that I have mitral valve prolapse, with the right leaflet being more thickened, resulting in regurgitation.
The doctor mentioned that there is a slight backflow of blood and some oxygen deficiency.
Is this issue concerning?
2.
Last year, I had a one-year follow-up at Taipei Veterans General Hospital, and the doctor also said that this is not a problem! Even if I take medication, it won't improve, and he mentioned that I only have mild symptoms.
However, it seems like I might be developing tricuspid valve issues, but I can't remember the specifics! Yet, I often feel like I can't take a full breath, and I experience chest tightness, somewhat similar to cramping! Why is this happening? I'm really troubled...
3.
My father has a history of arrhythmia.
Will this have any impact on my current condition?
P.S.
I apologize for asking so many questions at once.
Thank you for taking the time to answer me! Thank you...

Annie, 20~29 year old female. Ask Date: 2004/07/06

Dr. Chen Guifeng reply Cardiology

Mitral valve prolapse is related to one's constitution and is considered a congenital issue.
It does not affect cardiac function or blood circulation.
Sometimes, it is associated with psychological stress or tension.
Adjustments through exercise and lifestyle habits can help improve symptoms.
The spectrum of arrhythmias is quite broad; some arrhythmias are physiological and within normal limits, while others can be life-threatening.
It is essential to differentiate between them to address the specific issues effectively.

Reply Date: 2004/07/06

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to a backflow of blood into the atrium, known as mitral regurgitation. While many individuals with MVP experience no symptoms and lead normal lives, some may experience symptoms such as palpitations, chest pain, or shortness of breath, especially during physical exertion or stress.

In your case, it appears that you have been diagnosed with MVP, specifically with thickening of the right leaflet and mild regurgitation. Your doctor has indicated that this is a mild condition and that the backflow of blood is not significant enough to warrant aggressive treatment. It is common for doctors to reassure patients with mild MVP that it is generally not a cause for concern, especially if there are no significant symptoms or complications.

However, your experience of feeling short of breath and having chest tightness is concerning. These symptoms can sometimes be associated with MVP, particularly if there is a degree of mitral regurgitation. The sensation of not being able to take a deep breath can also be related to anxiety or panic attacks, which are not uncommon in individuals with MVP. It is important to communicate these symptoms to your healthcare provider, as they may warrant further investigation to rule out other potential causes, such as arrhythmias or other cardiac conditions.

Regarding your family history, having a father with arrhythmias may raise some concerns, as certain heart conditions can have a genetic component. While MVP itself is often benign, it is essential to monitor your heart health, especially if there is a family history of heart disease. Regular follow-ups with your cardiologist are crucial to ensure that any changes in your condition are promptly addressed.

In summary, while your MVP appears to be mild and your doctors have reassured you, it is essential to continue monitoring your symptoms. If you experience worsening symptoms or new concerns, do not hesitate to seek further evaluation. Lifestyle modifications, such as stress management techniques, regular exercise, and a heart-healthy diet, can also be beneficial in managing symptoms associated with MVP. Always keep an open line of communication with your healthcare provider to ensure that your concerns are addressed and that you receive appropriate care tailored to your specific situation.

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