Heart Palpitations and Mitral Valve Prolapse in Young Women - Cardiology

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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 mitral regurgitation, where blood leaks backward into the atrium when the ventricle contracts. MVP is relatively common, especially in young women, and often does not cause significant health issues. However, it can be associated with various symptoms, including palpitations, chest pain, and anxiety.

Your experience of feeling your heart skip beats, or having an irregular heartbeat, is not uncommon among individuals with MVP. These palpitations can occur due to the heart's electrical system reacting to the structural changes caused by the prolapse. The sensation of a skipped heartbeat can feel like a "thump" or "flutter," and it may be accompanied by feelings of anxiety or discomfort. The absence of a pulse during these episodes can be alarming, but it is often a result of the irregular rhythm rather than a lack of blood flow.

The pain you describe in your heart area is also something that can occur with MVP. While the heart itself does not have pain receptors, the surrounding structures, such as the pericardium (the heart's outer layer) and the chest wall, can transmit pain signals. This discomfort can sometimes be mistaken for heart pain, especially if it occurs during episodes of palpitations or anxiety.

It's important to note that while MVP can be benign, it can also be associated with more serious conditions, such as arrhythmias. If you are experiencing significant symptoms, such as persistent palpitations, chest pain, or shortness of breath, it is crucial to consult with a healthcare provider. They may recommend further evaluation, such as an echocardiogram or Holter monitor, to assess the severity of the prolapse and any associated regurgitation or arrhythmias.

Regarding your concerns about whether these symptoms are normal, it is essential to understand that while MVP can cause these sensations, the degree of symptoms can vary widely among individuals. Some people with MVP may experience no symptoms at all, while others may have significant discomfort.
In summary, your symptoms of palpitations and occasional chest discomfort may be related to your mitral valve prolapse. While MVP is often benign, it is essential to monitor your symptoms closely and maintain regular follow-ups with your healthcare provider. They can help determine if your symptoms are within a normal range or if further investigation is warranted. If you notice any worsening of your symptoms, such as increased frequency or severity of palpitations, or if you experience new symptoms like dizziness or fainting, seek medical attention promptly.