Is it safe for individuals with mitral valve prolapse to undertake long flights?
I am experiencing shortness of breath, numbness in my hands, chest tightness and pain, and sudden cold sweats.
After undergoing an echocardiogram, the doctor mentioned that I have some palpitations and mitral valve prolapse.
The doctor prescribed Seroxat; do I need to take it regularly? I'm also unsure if someone with these symptoms is suitable for long flights.
kuang, 20~29 year old female. Ask Date: 2001/07/24
Dr. Ke Zhengchang reply Internal Medicine
Hello, Kuang: Seroxat is a mild sedative that can alleviate symptoms of palpitations and anxiety.
It can be taken regularly for a period of time, and the medication should only be discontinued after symptoms have resolved.
Generally, individuals with mild mitral valve prolapse can engage in regular travel and air travel, but it is advisable to consult a cardiologist.
Reply Date: 2001/07/24
More Info
Mitral valve prolapse (MVP) is a condition where the valve between the heart's left atrium and left ventricle doesn't close properly, which can lead to various symptoms, including palpitations, chest pain, and anxiety. Your symptoms of shortness of breath, numbness in the hands, and cold sweats can be concerning, especially in the context of MVP. It’s essential to manage these symptoms effectively, and your doctor’s recommendation to take Seroxat (paroxetine) suggests they believe anxiety or depression may be contributing to your symptoms.
When it comes to long-distance flying for patients with mitral valve prolapse, several factors should be considered:
1. Oxygen Levels: Airplane cabins are pressurized, but the oxygen levels are lower than at sea level. For most people, this is not an issue, but if you have underlying heart conditions or respiratory issues, it could exacerbate symptoms like shortness of breath.
2. Duration of Flight: Long flights can lead to prolonged periods of immobility, which can increase the risk of blood clots, especially in individuals with cardiovascular issues. It's advisable to move around periodically during the flight and stay hydrated.
3. Anxiety and Panic Attacks: If you experience anxiety or panic attacks, which can be common in individuals with MVP, flying might trigger these symptoms. The confined space and altitude changes can lead to feelings of claustrophobia or anxiety. Taking your prescribed medication as directed can help manage these feelings.
4. Consultation with Your Doctor: Before flying, it’s crucial to have a thorough discussion with your healthcare provider. They can assess your overall heart health, the severity of your mitral valve prolapse, and any other underlying conditions that may affect your ability to fly safely. They might also recommend a pre-flight check-up to ensure that your symptoms are well-managed.
5. Emergency Preparedness: If you decide to fly, consider carrying a letter from your doctor explaining your condition and any medications you are taking. This can be helpful in case of emergencies. Additionally, know the location of medical facilities at your destination in case you experience any issues.
6. Medication Compliance: It’s important to take your medication as prescribed. Seroxat can help manage anxiety, which may alleviate some of the symptoms you are experiencing. Discuss with your doctor about the importance of adherence to your medication regimen, especially before traveling.
In summary, while many individuals with mitral valve prolapse can fly without issues, your specific symptoms and overall health status are critical in determining whether it is safe for you. Always prioritize open communication with your healthcare provider and follow their recommendations to ensure a safe and comfortable travel experience. If you have any doubts or experience worsening symptoms, it may be best to postpone your travel plans until you have a clearer understanding of your health status.
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