Mitral Valve Prolapse: Symptoms, Diagnosis, and Management

Q: Mitral Valve Prolapse: Symptoms, Diagnosis, and Management

Hello： 70% to 80% of patients with mitral valve prolapse experience symptoms of autonomic dysfunction (such as palpitations, shortness of breath, chest tightness, peripheral numbness, dizziness, nausea, and other related symptoms). <br>These symptoms can become more pronounced wi

Mitral valve prolapse

Hello Doctor, my wife has been experiencing long-term health issues.
She has seen specialists in psychiatry, obstetrics and gynecology, and traditional Chinese medicine, but no specific conditions have been identified.
Her thyroid tests were normal, and she also consulted a psychologist, but her condition has not improved.
Later, her obstetrician suggested a cardiac evaluation, which she underwent at En Chu Kong Hospital, where mild mitral valve prolapse was discovered.

Her symptoms resemble those commonly associated with mitral valve prolapse, but whenever she takes the medications prescribed by her doctors, whether for colds or psychiatric conditions, her symptoms worsen.
Her current situation is severely affecting our family life, especially since our children are too young to understand the adult issues, leading to her emotional instability.

She has been following her doctor's advice by engaging in appropriate exercise and controlling her diet, yet her condition remains unchanged.
I would like to ask the doctor if she should undergo further examinations, and if so, which specialty or type of evaluation would be appropriate.
Are there any effective methods for improvement besides medication, considering that her symptoms become more pronounced with medication? Thank you.

Jeff, 30~39 year old female. Ask Date: 2009/04/29

Dr. Lin Jixiong reply Cardiology

Hello: 70% to 80% of patients with mitral valve prolapse experience symptoms of autonomic dysfunction (such as palpitations, shortness of breath, chest tightness, peripheral numbness, dizziness, nausea, and other related symptoms).
These symptoms can become more pronounced with a diet high in caffeine or staying up late.
Antihistamines commonly found in over-the-counter cold medications or bronchodilators may also exacerbate these symptoms.
The use of beta-blockers and mild sedatives can help alleviate the condition, but they do not provide a cure.
The fundamental approach to prevention and treatment lies in maintaining a balanced diet and lifestyle, managing stress appropriately, and controlling personal emotions.
In simple terms, it involves diet and lifestyle management, along with self-cultivation.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital.

Reply Date: 2009/04/29

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to a variety of symptoms and complications, and understanding the condition is crucial for effective management.

Symptoms of Mitral Valve Prolapse
Many individuals with MVP may remain asymptomatic, but when symptoms do occur, they can include:
1. Palpitations: A feeling of rapid or irregular heartbeats.

2. Chest Pain: This is often non-cardiac in nature and can be mistaken for angina.

3. Fatigue: Unexplained tiredness, especially after exertion.

4. Shortness of Breath: This can occur during physical activity or even at rest.

5. Anxiety: Some patients report increased anxiety or panic attacks.

6. Dizziness or Lightheadedness: This can occur, especially when standing up quickly.

In your case, it seems that your partner is experiencing a range of symptoms that may be exacerbated by medications, which is not uncommon. Certain medications, particularly those affecting the cardiovascular system or central nervous system, can sometimes intensify symptoms related to MVP.

Diagnosis of Mitral Valve Prolapse
MVP is typically diagnosed through echocardiography, which allows visualization of the heart's structure and function. A transthoracic echocardiogram (TTE) is the most common method used. In some cases, a transesophageal echocardiogram (TEE) may be recommended for a more detailed view.

Management of Mitral Valve Prolapse
Management strategies for MVP can vary based on the severity of the condition and the presence of symptoms:
1. Regular Monitoring: For mild cases, regular follow-ups with a cardiologist may be sufficient.

2. Medications: If symptoms are present, beta-blockers may be prescribed to help manage palpitations and anxiety. However, as you've noted, some medications can exacerbate symptoms, and this should be discussed with a healthcare provider.

3. Lifestyle Modifications: Encouraging a heart-healthy lifestyle is crucial. This includes regular exercise, a balanced diet, and stress management techniques.

4. Psychological Support: Given that anxiety can be a significant component of MVP symptoms, psychological support or therapy may be beneficial. Cognitive-behavioral therapy (CBT) can help manage anxiety and improve coping strategies.

5. Surgical Intervention: In more severe cases, particularly if there is significant mitral regurgitation or other complications, surgical repair or replacement of the mitral valve may be necessary.

Further Evaluation
Given your partner's ongoing symptoms and the impact on daily life, it may be prudent to seek further evaluation. A referral to a cardiologist specializing in valve disorders would be appropriate. They can assess the severity of the MVP and determine if additional tests, such as a Holter monitor (to assess heart rhythm over 24 hours) or an exercise stress test, are warranted.

Additionally, if psychological symptoms are prominent, a consultation with a mental health professional who has experience with chronic health conditions may provide further support.

Conclusion
Mitral Valve Prolapse can be a complex condition with a range of symptoms that can significantly affect quality of life. It is essential to work closely with healthcare providers to tailor a management plan that addresses both the physical and emotional aspects of the condition. Open communication about the effects of medications and any worsening symptoms is crucial for finding the most effective treatment strategy.

Similar Q&A

Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Exercise Tips

Thank you for your response, Director. In 1995, I experienced palpitations, arrhythmia, and high blood pressure, which led me to see a cardiologist. I was diagnosed with mild mitral valve prolapse with regurgitation and tricuspid regurgitation. Since then, I have been taking anti...

Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions: 1. Mitral valve prolapse with regurgitation is mostly asymptomatic; however, it can occasionally cause chest pain, palpitations, fatigue, or shortness of breath. In severe cases, these symptoms may be more pronounced. The conditions of your m...

Understanding Mitral Valve Prolapse: Symptoms and Risks Explained

What is mitral valve prolapse? What symptoms occur during the onset? What discomfort might one feel on a regular basis, and if left untreated, could it lead to heart disease?

Dr. Ke Zhengchang reply Internal Medicine
Mitral valve prolapse refers to the phenomenon where the mitral valve protrudes during contraction of the heart. Patients may experience discomfort such as chest pain and palpitations. However, it typically does not cause significant impairment of cardiac function and can be cons...

Understanding Mitral Valve Prolapse: Symptoms, Causes, and Care Tips

Mitral valve prolapse (MVP) is a condition in which the two flaps of the mitral valve do not close properly, allowing blood to flow backward into the left atrium of the heart. The exact cause of MVP is often unknown, but it can be associated with genetic factors, connective tissu...

Dr. Li Huixiong reply Internal Medicine
The heart contains several valves, including the tricuspid valve, aortic valve, and mitral valve, which is also known as the bicuspid valve. The mitral valve is located between the left atrium and the left ventricle and is responsible for opening and closing during the heart'...

Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Blood Donation Concerns

Hello Doctor, I would like to ask you what mitral valve prolapse is and whether it can be cured. The doctor suspects that I may have this condition, but I have not yet had an echocardiogram. Currently, I am taking Inderal and have previously taken Xanax. However, I have been expe...

Dr. Huang Guosheng reply Cardiology
Mitral valve prolapse is a congenital valvular abnormality that cannot be cured; it can only be managed by controlling the symptoms associated with the mitral valve. Methods to improve symptoms include medications such as Inderal, relaxation techniques, and stress management. If ...