Mitral and Tricuspid Valve Prolapse: Managing Arrhythmia and Symptoms

Q: Mitral and Tricuspid Valve Prolapse: Managing Arrhythmia and Symptoms

Hello： Your condition indicates that the regulation of your autonomic nervous system is easily disturbed, which is a personal constitution. <br>Taking medication only treats the related symptoms. <br>The fundamental approach is to avoid consuming high-caffeine beverages and alcoh

Mitral valve prolapse, tricuspid valve prolapse, and arrhythmia?

I would like to ask about my condition.
Ten years ago, I experienced discomfort in my heart, and a cardiologist diagnosed me with mitral and tricuspid valve prolapse.
The doctor mentioned that my condition could be managed with medication and was not severe, so I stopped taking the medication on my own.
However, after ten years, I have been experiencing chest tightness and pain again, so I went back to see a doctor.
The doctor said I have arrhythmia and prescribed propranolol and Erispan.
He mentioned that my blood pressure is too low and my heart rate is too fast, so I can only take these cardiovascular medications.
The doctor warned that I might experience difficulty breathing, fatigue, and dizziness.
Unfortunately, my condition has only worsened over the past ten years.
Now, I often experience shortness of breath three to four times a day (with varying durations), occasional dizziness, and fatigue as a side effect of Erispan.
I would like to ask: 1.
Will continuing to take these medications really help? 2.
If my condition continues like this, what complications might I face? 3.
What might happen in a few years, and how should I cope with it?

Liu Liu, 20~29 year old female. Ask Date: 2013/09/04

Dr. Lin Jixiong reply Cardiology

Hello: Your condition indicates that the regulation of your autonomic nervous system is easily disturbed, which is a personal constitution.
Taking medication only treats the related symptoms.
The fundamental approach is to avoid consuming high-caffeine beverages and alcohol; maintain a regular schedule (avoid staying up too late or pulling all-nighters); and find ways to relieve daily life stress.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2013/09/04

More Info

Mitral and tricuspid valve prolapse (MVP and TVP) can lead to a variety of symptoms and complications, including arrhythmias, which can significantly affect a patient's quality of life. Your situation, where you have experienced symptoms over a decade and are now facing increased issues such as palpitations, shortness of breath, and dizziness, is concerning and warrants careful management.

1. Continuing Medication: Is It Helpful?
Propranolol, a beta-blocker, is commonly prescribed for patients with MVP and associated arrhythmias. It works by slowing down the heart rate and reducing the workload on the heart, which can help alleviate symptoms like palpitations and anxiety. Erispan (also known as meclizine) is typically used to treat dizziness and motion sickness but may also help with some symptoms of vestibular dysfunction.

While these medications can be beneficial, their effectiveness can vary from person to person. If you are experiencing side effects such as fatigue from Erispan or if your symptoms are not improving, it is essential to communicate this with your healthcare provider. They may need to adjust your medication regimen or explore alternative treatments.

2. Potential Progression of Symptoms
If your symptoms continue to worsen, it is crucial to consider the potential complications associated with MVP and arrhythmias. In some cases, severe mitral valve prolapse can lead to mitral regurgitation, where blood leaks backward into the left atrium, potentially causing heart enlargement and heart failure over time. Additionally, persistent arrhythmias can increase the risk of more severe complications, including stroke or sudden cardiac events.

Monitoring your symptoms closely and maintaining regular follow-ups with your cardiologist is vital. They may recommend further diagnostic tests, such as echocardiograms or Holter monitoring, to assess the severity of your valve prolapse and the nature of your arrhythmias.

3. Long-Term Outlook and Management
Over the coming years, if your symptoms persist or worsen, it is essential to have an open dialogue with your healthcare provider about your concerns and treatment options. Lifestyle modifications, such as maintaining a healthy diet, regular exercise (as tolerated), and stress management techniques, can also play a significant role in managing symptoms.

If medications are not adequately controlling your symptoms, your cardiologist may discuss other interventions, such as catheter ablation for arrhythmias or even surgical options for valve repair or replacement if the prolapse is severe.

Conclusion
In summary, while medications like propranolol and Erispan can help manage symptoms associated with mitral and tricuspid valve prolapse, their effectiveness can vary. It is crucial to maintain regular follow-ups with your healthcare provider to monitor your condition and adjust treatment as necessary. If your symptoms continue to worsen, further evaluation and potential intervention may be warranted. Always prioritize open communication with your healthcare team to ensure you receive the best possible care tailored to your needs.

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