Chest Pain: Mitral Valve Prolapse and Its Symptoms - Cardiology

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Chest tightness or chest pain?


I previously experienced frequent chest tightness and dizziness, so I went to the hospital for an examination.
An echocardiogram revealed that I have mitral valve prolapse.
I took medication for a while, which helped a bit, but recently, in addition to the original symptoms, I have been experiencing frequent pain in my left arm, shoulder, and neck.
Could this be angina? Additionally, I would like to ask if rheumatic heart disease is a hereditary condition.

Yu, 20~29 year old female. Ask Date: 2011/10/18

Dr. He Dongjin reply Cardiology


Hello, this is likely caused by poor posture.
At this age, myofascial pain syndrome would not lead to angina, so there is no need to panic.
Rheumatic heart disease is not a hereditary condition.
Changhua Hospital cares about you.

Reply Date: 2011/10/18

More Info


Mitral valve prolapse (MVP) is a condition where the two flaps of the mitral valve, located between the left atrium and left ventricle of the heart, do not close properly. This can lead to a variety of symptoms, including chest pain, palpitations, and in some cases, dizziness or lightheadedness. Your experience of chest discomfort, along with the recent development of pain in your left arm, shoulder, and neck, raises important considerations regarding your cardiovascular health.

The symptoms you describe could potentially be related to your mitral valve prolapse. While MVP is often benign and may not require treatment, it can sometimes lead to complications such as mitral regurgitation, where blood leaks backward into the left atrium. This can cause symptoms similar to those of angina (chest pain due to reduced blood flow to the heart). However, it is essential to differentiate between MVP-related symptoms and those that may indicate more serious conditions, such as coronary artery disease or even a heart attack, especially given the new onset of pain in your left arm and shoulder.

Chest pain associated with MVP can vary in intensity and may be exacerbated by stress or anxiety. It is not uncommon for individuals with MVP to experience anxiety-related symptoms, which can further complicate the clinical picture. If your chest pain is accompanied by other symptoms such as shortness of breath, severe dizziness, or if the pain feels like pressure or squeezing, it is crucial to seek immediate medical attention, as these could be signs of a more serious condition.

Regarding your question about rheumatic heart disease, it is primarily a complication of rheumatic fever, which can occur after an untreated streptococcal throat infection. While rheumatic heart disease itself is not inherited, there may be a genetic predisposition to rheumatic fever in some families. It is important to note that not everyone who has a family history of rheumatic fever will develop rheumatic heart disease, and the condition is more influenced by environmental factors, such as access to medical care and the prevalence of streptococcal infections.

In summary, your symptoms warrant further evaluation, especially considering the new pain in your left arm, shoulder, and neck. It would be advisable to consult with a cardiologist who can perform a thorough assessment, including an electrocardiogram (ECG) and possibly a stress test, to rule out any significant cardiac issues. Additionally, if you have concerns about your family history of rheumatic heart disease, discussing this with your healthcare provider can help clarify any potential risks and guide appropriate preventive measures. Always prioritize your health and do not hesitate to seek medical advice when experiencing concerning symptoms.

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Hello, it seems that having valve prolapse along with autonomic nervous system dysfunction is normal. You can manage symptoms by taking medication when they occur. Changhua Hospital cares about you.

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