Heart Palpitations and Mitral Valve Prolapse Symptoms

Cardiac issues?

Dear Doctor: Sometimes I experience a sensation of my heart twitching (which is not painful), and at times I also feel pain in my heart.
I have a condition of mitral valve prolapse, so I wonder why this happens.
I have never mentioned this to a doctor because I thought it wasn't significant, so I didn't bring it up.
I would like to ask if this could be a concern.
I still experience this sensation, and since it is not painful, I didn't think to mention it to my doctor, which I now question.
That feeling is quite uncomfortable for me.
Could you please explain why this occurs? Thank you.

Xiao Qianqian, 20~29 year old female. Ask Date: 2001/10/18

Dr. Li Huixiong reply Internal Medicine

Regarding issues of physical discomfort, one should never hesitate to seek medical attention, as it is for your own good, isn't it? Mitral valve prolapse, if not severe, generally does not present symptoms.
Even if there are symptoms, they are not typically as you described.
I believe that upon learning about your diagnosis of the aforementioned heart condition, it may cause you some anxiety, and you might attribute various discomforts to "it." I hope you can personally visit a physician for a thorough consultation and examination; it could be something else entirely.

Reply Date: 2001/10/18

More Info

Heart palpitations and symptoms associated with mitral valve prolapse (MVP) can be concerning, especially when they manifest as sensations of the heart "twitching" or "fluttering." It's important to understand the underlying mechanisms and implications of these symptoms, particularly in the context of MVP.

Mitral valve prolapse is a condition where the mitral valve, which separates the left atrium from the left ventricle, does not close properly. This can lead to various symptoms, including palpitations, chest discomfort, and sometimes even anxiety. The sensation of your heart "twitching" could be attributed to several factors related to MVP.

1. Palpitations: These are often described as a feeling of skipped heartbeats, fluttering, or a racing heart. In patients with MVP, palpitations can occur due to the abnormal movement of the mitral valve leaflets. This abnormality can lead to changes in the heart's electrical conduction system, resulting in ectopic beats or arrhythmias. While these sensations can be alarming, they are often benign, especially if they are not associated with significant symptoms like dizziness, fainting, or severe chest pain.

2. Chest Discomfort: The discomfort you describe as "heart pain" could be related to MVP as well. Some patients with MVP experience atypical chest pain, which is not due to coronary artery disease but rather due to the mechanical stress on the heart and surrounding structures. This discomfort can be exacerbated by anxiety or stress, which is common in individuals with MVP.

3. Anxiety and Stress: It's also worth noting that anxiety can amplify the perception of palpitations and discomfort. Many patients with MVP report increased anxiety levels, which can create a cycle of heightened awareness of heart sensations. This can lead to more frequent reports of palpitations and discomfort.

4. When to Seek Help: Although many individuals with MVP experience mild symptoms that do not require treatment, it is essential to communicate any new or worsening symptoms to your healthcare provider. If your palpitations are frequent, associated with significant discomfort, or accompanied by other symptoms such as shortness of breath, dizziness, or fainting, it is crucial to seek medical evaluation. Your doctor may recommend an electrocardiogram (ECG), echocardiogram, or Holter monitor to assess your heart's rhythm and function.

5. Management: If your symptoms are determined to be benign, management may include lifestyle modifications such as reducing caffeine intake, managing stress through relaxation techniques, and regular exercise. In some cases, if palpitations are bothersome, medications such as beta-blockers may be prescribed to help manage symptoms.

In conclusion, while the sensations you are experiencing can be uncomfortable, they are often benign, particularly in the context of mitral valve prolapse. However, it is essential to have an open dialogue with your healthcare provider about your symptoms, even if they seem minor. They can help determine the best course of action and provide reassurance or treatment as needed. Remember, your health and comfort are paramount, and no symptom is too small to discuss with your doctor.

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