Managing Mild Mitral Valve Prolapse: Symptoms, Treatment, and Lifestyle Tips - Cardiology

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Mild mitral valve prolapse


Hello, doctor.
My daughter has recently been frequently complaining of chest pain, and the doctor diagnosed her with mild mitral valve prolapse and autonomic nervous system dysfunction.
She has been taking medications, including Kangken and Yulishuban tablets.
After taking these medications for a month, her chest pain symptoms have improved significantly.
Can we consider stopping the medication? I am worried that stopping the medication might cause her symptoms to return, as she used to frequently complain of chest tightness and pain.
The doctor advised regular exercise, but are there any restrictions on activities such as jogging and cycling? I am currently very concerned that exercising might put a heavy burden on her heart, which has made her hesitant to engage in many activities.
My daughter used to love sports, playing basketball for half an hour and cycling a few kilometers, but she has stopped these activities because the doctor advised against intense exercise.
What should we pay attention to regarding this condition, particularly in terms of diet and lifestyle?

Mr. Chen, 10~19 year old female. Ask Date: 2015/09/13

Dr. Lin Jixiong reply Cardiology


Hello: Nearly 80% of young women with mitral valve prolapse experience autonomic dysfunction.
Medication may only alleviate clinical symptoms, and symptoms may reappear once the medication is discontinued.
However, it is generally recommended to gradually reduce the dosage to discontinue the medication after symptoms improve, and to monitor for any recurrence of symptoms, at which point medication can be resumed.
Additionally, it is advisable to avoid high-caffeine beverages, refrain from staying up late, and to relax as much as possible to prevent symptom recurrence.
Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/09/13

More Info


Managing mild mitral valve prolapse (MVP) can be a concern for many patients, especially when symptoms such as chest pain and palpitations arise. It’s great to hear that your daughter has shown improvement after starting her medications, which include 康肯 (Kankin) and 癒利舒盼錠 (Yuli Shupan). These medications are often prescribed to help manage symptoms related to anxiety and autonomic dysfunction, which can accompany MVP.


Symptoms of Mitral Valve Prolapse
MVP is characterized by the improper closure of the mitral valve, which can lead to a variety of symptoms. While many individuals with MVP may remain asymptomatic, others may experience:
- Chest Pain: This is often sharp and can be mistaken for heart-related pain, but it is usually not associated with heart disease.

- Palpitations: Patients may feel a fluttering or irregular heartbeat.

- Fatigue: Some may experience unusual tiredness, especially after physical activity.

- Shortness of Breath: This may occur during exertion or when lying flat.

- Anxiety: Many patients report increased anxiety, which can exacerbate symptoms.


Treatment and Medication Management
Regarding the question of whether to continue or stop medication, it is crucial to consult with your daughter's healthcare provider. If she has been symptom-free for a month, it may be tempting to discontinue the medication, but doing so without medical advice could lead to a recurrence of symptoms. A gradual tapering of medication under a doctor's supervision might be a safer approach if the physician deems it appropriate.


Lifestyle Tips and Exercise Recommendations
1. Regular Exercise: While it’s true that some patients with MVP are advised to avoid vigorous activities, moderate exercise is generally beneficial. Activities like walking, swimming, or cycling at a comfortable pace can help improve cardiovascular health without overstraining the heart. It’s essential to listen to her body; if she feels discomfort, she should stop and rest.

2. Avoiding High-Intensity Sports: Since your daughter previously enjoyed basketball and other high-impact sports, it may be wise to avoid these until she has a clearer understanding of her condition. Instead, she can engage in low-impact activities that she enjoys.

3. Stress Management: Since anxiety can exacerbate MVP symptoms, incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises can be beneficial.


Dietary Considerations
While there is no specific diet for MVP, maintaining a heart-healthy diet is always a good idea. This includes:
- Fruits and Vegetables: Aim for a variety of colors to ensure a range of nutrients.

- Whole Grains: Foods like brown rice, whole wheat bread, and oats can provide fiber and support heart health.

- Lean Proteins: Incorporate sources such as chicken, fish, beans, and legumes.

- Healthy Fats: Focus on unsaturated fats found in olive oil, avocados, and nuts while limiting saturated and trans fats.


Monitoring and Follow-Up
Regular follow-ups with a cardiologist are essential for monitoring the condition. They may recommend echocardiograms to assess the mitral valve's function over time. Keeping a symptom diary can also be helpful to track any changes or triggers related to her symptoms.


Conclusion
In summary, managing mild mitral valve prolapse involves a combination of medication, lifestyle modifications, and regular medical follow-up. Encourage your daughter to engage in moderate exercise, maintain a healthy diet, and practice stress management techniques. Always consult her healthcare provider before making any changes to her treatment plan. With proper management, many individuals with MVP lead active and fulfilling lives.

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