Sudden Breathlessness and Chest Pain: Heart Valve Issues

During rest, there may be sudden shortness of breath?

Sometimes when I sit on the couch to rest, I suddenly experience chest pain, as if someone is striking my heart, along with difficulty breathing, similar to how I feel after running.
At times, I also feel my heart racing, and if it beats too hard, my body shakes.
Recently, I've been noticing unexplained bruises on my thighs and back.
I was previously diagnosed with mitral valve prolapse with mild regurgitation.
Does this mean my condition has worsened? It's also time for my follow-up appointment, and I'm wondering if I should mention these symptoms to my doctor.
Additionally, the day before yesterday, I suddenly felt very dizzy to the point where I could barely stand, and my heart was racing.
The dizziness wasn't the spinning type, so I'm unsure of the cause.

katherine, 20~29 year old female. Ask Date: 2015/10/04

Dr. He Dongjin reply Cardiology

Hello, it sounds like the symptoms of mitral valve prolapse may be changing due to autonomic nervous system dysregulation.
Please inform your physician about adjusting your medication during your follow-up visit.
Changhua Hospital cares about you.

Reply Date: 2015/10/04

More Info

Sudden breathlessness and chest pain can be alarming symptoms, especially when they occur unexpectedly. Given your history of mitral valve prolapse (MVP) with mild regurgitation, it is essential to understand how these conditions can relate to your current symptoms and what steps you should take moving forward.

Mitral valve prolapse occurs when the valve between the heart's left atrium and left ventricle doesn't close properly, which can lead to a variety of symptoms. While many individuals with MVP experience no symptoms, others may have episodes of chest pain, palpitations, or even anxiety. The symptoms you describe—sudden chest pain, breathlessness, and a sensation of your heart racing—could be related to your MVP.
The chest pain you experience, described as feeling like a heavy blow to the heart, can be attributed to several factors associated with MVP. These include the mechanical stress on the heart caused by the valve not closing properly, which can lead to increased pressure in the heart and lungs, resulting in breathlessness. Additionally, the autonomic nervous system, which regulates involuntary bodily functions, can become overstimulated in individuals with MVP, leading to symptoms such as palpitations and anxiety, which may further exacerbate your feelings of breathlessness and discomfort.

The presence of unexplained bruising on your thighs and back is concerning and should be discussed with your healthcare provider. While it may not be directly related to your heart condition, it could indicate a bleeding disorder or other underlying issues that require further investigation.
Your recent episodes of dizziness and rapid heart rate, particularly when standing, could suggest orthostatic hypotension or other cardiovascular issues. This is especially relevant given your history of MVP, as individuals with this condition may experience variations in blood flow and pressure that can lead to dizziness or fainting spells.

As you prepare for your follow-up appointment, it is crucial to communicate all your symptoms to your doctor. Be sure to mention the following:
1. The nature and frequency of your chest pain and breathlessness.

2. Any episodes of dizziness or fainting, particularly those that occur when standing or after exertion.

3. The recent bruising on your thighs and back.

4. Any changes in your exercise tolerance or daily activities due to these symptoms.

Your doctor may recommend further testing, such as an echocardiogram, to assess the function of your mitral valve and check for any changes in the severity of your regurgitation. They may also consider a Holter monitor to evaluate your heart rhythm over a 24-hour period, especially since you have experienced palpitations.

In the meantime, managing stress and anxiety through relaxation techniques, regular exercise (as tolerated), and a balanced diet can be beneficial. Avoiding stimulants like caffeine may also help reduce palpitations and anxiety symptoms.

In summary, while your symptoms may be related to your mitral valve prolapse, it is essential to have a thorough evaluation to rule out any other potential issues. Keeping an open line of communication with your healthcare provider will ensure that you receive the appropriate care and management for your condition.

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