Mitral Valve Prolapse: Symptoms, Concerns, and When to Seek Help

Mitral valve prolapse

Hello, Doctor: I have a history of hyperventilation, but recently, with the weather fluctuating between hot and cold, I've been experiencing chest tightness and chest pain, even though I am not feeling anxious.
Why is this happening? Why do I feel very cold when these symptoms occur? Whenever I feel stuffy on the MRT or bus, what should I do?
Another issue is that I have mitral valve prolapse, but I am unsure of the severity of the prolapse.
Sometimes, I genuinely feel difficulty breathing, almost as if I am about to suffocate.
I previously underwent an examination, and the doctor told me that surgery was not necessary at that time.
It has been a long time since my last check-up; under what circumstances would surgery be required? Should I go to a major hospital for an echocardiogram? Thank you for your response, Doctor.

Xiao Mi, 10~19 year old female. Ask Date: 2005/03/07

Dr. Zheng Shumeng reply Cardiology

Perform tests before deciding on treatment.

Reply Date: 2005/03/07

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle, does not close properly. This can lead to a variety of symptoms and concerns, particularly when it is associated with other conditions such as anxiety or hyperventilation.

Symptoms of Mitral Valve Prolapse
Many individuals with MVP may not experience any symptoms. However, when symptoms do occur, they can include:
1. Chest Pain: This can be sharp or dull and may not necessarily correlate with physical activity.

2. Palpitations: A sensation of a racing or irregular heartbeat.

3. Shortness of Breath: This can occur during exertion or even at rest, particularly if the MVP is associated with mitral regurgitation (where blood leaks backward into the left atrium).

4. Fatigue: General tiredness or lack of energy.

5. Anxiety: Some patients report feelings of anxiety or panic, which can exacerbate symptoms.

Understanding Your Symptoms
In your case, the symptoms of chest tightness and pain, especially with changes in weather, could be related to several factors. Weather changes can affect respiratory conditions, and if you have a history of hyperventilation, it may lead to feelings of chest discomfort. Hyperventilation can cause a decrease in carbon dioxide levels in the blood, leading to symptoms such as dizziness, tingling, and a sensation of coldness.
When you experience these symptoms in crowded places like public transport, it could be a combination of anxiety and the physical discomfort of being in a confined space. It’s essential to practice breathing techniques to help manage hyperventilation, such as slow, deep breaths or breathing into a paper bag to increase carbon dioxide levels.

When to Seek Help
Regarding your MVP, if you are experiencing significant symptoms such as difficulty breathing or a sensation of impending suffocation, it is crucial to seek medical attention. While many individuals with MVP do not require surgery, certain conditions may necessitate surgical intervention:
1. Severe Mitral Regurgitation: If the valve does not close properly and leads to significant backflow of blood, it can cause heart enlargement and heart failure.

2. Symptoms that Affect Quality of Life: If symptoms are severe and impact daily activities, further evaluation may be warranted.

3. Progression of Symptoms: If you notice a change in the frequency or severity of your symptoms, it is essential to consult a healthcare provider.

Follow-Up and Monitoring
Since you mentioned that you have not had a follow-up echocardiogram in a while, it would be advisable to schedule one. This imaging test can assess the current state of your mitral valve and determine if there have been any changes since your last evaluation. Regular monitoring is essential, especially if you have symptoms that could indicate worsening of your condition.

Conclusion
In summary, MVP can present with a variety of symptoms, and while many individuals live without significant issues, it is essential to monitor your condition, especially if you experience new or worsening symptoms. Engaging in regular follow-up with your healthcare provider and discussing your symptoms openly will help ensure that you receive appropriate care. If you have concerns about your symptoms or the need for surgery, do not hesitate to seek a second opinion or further evaluation at a specialized heart center. Your health and peace of mind are paramount.

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