Tricuspid Valve Prolapse: Should I See a Cardiologist?

Q: Tricuspid Valve Prolapse: Should I See a Cardiologist?

Hello Ginny： Tricuspid or mitral valve prolapse is often associated with autonomic nervous system dysregulation, which can lead to symptoms such as palpitations, chest discomfort, and panic. <br>It is advisable to consult a cardiologist for further evaluation. <br>Dr. <br>Chung Y

I have a problem with tricuspid valve prolapse?

For the past two years, I have been troubled by issues such as palpitations and chest tightness.
About two years ago, I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram, but no abnormalities were found.
Later, I learned that autonomic nervous system dysregulation could also lead to palpitations and chest tightness, so I sought treatment from a psychiatrist and was diagnosed with panic disorder.
I have been continuously taking antidepressants for over a year.
However, my palpitations have not improved, and I have recently been feeling increasingly uncomfortable.
After undergoing an echocardiogram last week, I was informed that I have tricuspid valve prolapse.
Since the physician who evaluated me was a psychiatrist, he did not provide any recommendations.
Therefore, I would like to ask you whether I should continue treatment with the psychiatrist, and if there is a need to consult a cardiologist.

Ginny, 10~19 year old female. Ask Date: 2004/12/22

Dr. Zhong Yuxun reply Cardiology

Hello Ginny: Tricuspid or mitral valve prolapse is often associated with autonomic nervous system dysregulation, which can lead to symptoms such as palpitations, chest discomfort, and panic.
It is advisable to consult a cardiologist for further evaluation.
Dr.
Chung Yu-Hsuan

Reply Date: 2004/12/22

More Info

Tricuspid valve prolapse (TVP) is a condition where the tricuspid valve, located between the right atrium and right ventricle of the heart, does not close properly. This can lead to various symptoms, including palpitations, chest discomfort, and in some cases, more severe complications like heart failure or arrhythmias. Given your history of palpitations and chest discomfort, along with the recent diagnosis of tricuspid valve prolapse, it is indeed advisable to consult a cardiologist.

Your experience over the past two years, including the episodes of palpitations and chest tightness, suggests that there may be an underlying cardiac issue that needs to be addressed. Although your previous tests, including ECGs and echocardiograms, did not reveal any abnormalities, the recent finding of tricuspid valve prolapse could be significant. While many individuals with TVP may remain asymptomatic or have mild symptoms, it is essential to evaluate the severity of the prolapse and its potential impact on your heart function.

The symptoms you are experiencing could be multifactorial. Panic disorder and autonomic dysregulation can indeed cause palpitations and chest discomfort, but the presence of tricuspid valve prolapse may also contribute to these symptoms. It is not uncommon for patients with anxiety disorders to experience heightened awareness of bodily sensations, which can exacerbate feelings of palpitations or chest tightness. However, it is crucial to differentiate whether these symptoms are primarily psychological or if they have a physiological basis related to the heart.

A cardiologist can perform a thorough evaluation, which may include a repeat echocardiogram to assess the degree of tricuspid valve prolapse and its hemodynamic significance. They may also consider additional tests, such as a Holter monitor, to evaluate your heart rhythm over a more extended period, especially if you continue to experience palpitations. Furthermore, they can provide guidance on whether any specific treatment or monitoring is necessary based on the severity of your condition.

In terms of your current treatment with a psychiatrist, it is essential to maintain that relationship, especially if you have been diagnosed with panic disorder. Managing anxiety and panic symptoms can significantly improve your quality of life and may help alleviate some of the physical symptoms you are experiencing. However, it is equally important to address the cardiac aspect of your health. Therefore, I recommend that you continue with your psychiatric treatment while also seeking a cardiology consultation. This dual approach will ensure that both your mental and physical health needs are being addressed comprehensively.

In summary, given your symptoms and the recent diagnosis of tricuspid valve prolapse, it is prudent to see a cardiologist for further evaluation. This will help clarify the role of the prolapse in your symptoms and determine if any specific cardiac treatment is necessary. Meanwhile, continue your psychiatric care to manage anxiety and panic symptoms effectively. This holistic approach will provide you with the best chance for symptom relief and improved overall well-being.

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