Can I Continue Marathon Running with Mitral Valve Prolapse? - Cardiology

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Hello! I have symptoms of mitral valve prolapse! However, I used to run marathons..?


Hello, doctor! I have some abnormalities in my electrocardiogram, and after undergoing an ultrasound examination at the hospital, I was diagnosed with mitral valve prolapse.
I have always had a habit of exercising and have not experienced any discomfort such as chest tightness or palpitations; my daily life has been quite normal, and I have a habit of long-distance running (marathon).
Can I continue to run long distances? Are there any specific precautions I should be aware of?

Niming, 20~29 year old female. Ask Date: 2012/03/15

Dr. He Dongjin reply Cardiology


Hello, you should be able to continue without any contraindications.
A 24-hour Holter monitor can be arranged for further screening, but please don't push yourself too hard; if you feel fatigued, take a break.
Changhua Hospital cares about you.

Reply Date: 2012/03/15

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve in the heart does not close properly, which can lead to various symptoms, including palpitations, chest pain, and sometimes even more serious complications. Given your history of regular exercise and the absence of significant symptoms like chest pain or shortness of breath during your activities, it is generally considered safe for individuals with MVP to continue their exercise routines, including marathon running. However, there are several important factors and precautions to consider.


Understanding Mitral Valve Prolapse
MVP is relatively common and often benign. Many people with this condition lead normal, active lives without any significant issues. The key is to monitor for any symptoms that may arise during physical activity. In some cases, individuals with MVP may experience palpitations or a sensation of the heart racing, especially during intense exercise. It is crucial to differentiate between benign symptoms and those that may indicate a more serious problem.


Recommendations for Continuing Marathon Running
1. Consult Your Cardiologist: Before continuing with marathon training, it is essential to have a thorough discussion with your cardiologist. They can provide personalized advice based on your specific condition, the severity of the prolapse, and any other risk factors you may have.

2. Monitor Symptoms: Pay close attention to how your body responds during and after your runs. If you experience any new symptoms such as chest pain, severe palpitations, dizziness, or shortness of breath, it is crucial to stop exercising and seek medical attention.

3. Gradual Increase in Intensity: If you decide to continue running, consider gradually increasing your training intensity. This approach allows your body to adapt and helps you monitor how your heart responds to increased physical demands.

4. Stay Hydrated and Maintain Nutrition: Proper hydration and nutrition are vital, especially during long runs. Dehydration can exacerbate symptoms and lead to complications.

5. Consider Cross-Training: Incorporating other forms of exercise, such as swimming or cycling, can provide cardiovascular benefits while reducing the strain on your heart compared to long-distance running.

6. Regular Follow-ups: Schedule regular follow-ups with your healthcare provider to monitor your heart's condition. This is particularly important if you notice any changes in your symptoms or if your exercise routine changes significantly.

7. Know When to Stop: Be aware of your body’s signals. If you feel any discomfort or unusual symptoms, it’s better to err on the side of caution and stop exercising.


Conclusion
In summary, many individuals with mitral valve prolapse can continue to participate in marathon running, provided they are symptom-free and have received medical clearance from their healthcare provider. It is essential to remain vigilant about any changes in your health and to maintain open communication with your cardiologist. By taking these precautions, you can continue to enjoy your passion for running while managing your condition effectively. Always prioritize your health and well-being above all else.

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