Managing Mitral Valve Prolapse: Symptoms and Treatment Options - Cardiology

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Mitral valve prolapse


Hello, I have mitral valve prolapse.
A few days ago, I tried doing squats, but after just a few, I felt something strange near my heart, like a hand tightly gripping my left chest.
It has been three to four days, and despite taking my mitral valve medication, the symptoms have not improved.
I would like to ask the doctor what I should do.
Could this be related to the weather?

limo, 20~29 year old female. Ask Date: 2015/10/26

Dr. Li Han reply Cardiology


Hello, based on your inquiry, chest pain is one of the common complaints among patients with mitral valve prolapse syndrome, although its mechanism is unclear.
The chest tightness and pain triggered after squatting could have various causes.
If it can be induced by repetitive movements or static postures, it is likely related to myofascial sources.
Generally, the duration of angina pectoris does not last for three to four days.
As for the exact cause, more details are needed for assessment.
It is recommended that you consult with your trusted family physician or cardiologist for further evaluation.
Take care, Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2015/10/26

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to various symptoms and complications. Your experience of discomfort in the chest area after attempting deep squats may be related to your MVP, especially if you have a history of this condition. MVP can sometimes cause palpitations, chest pain, or a feeling of tightness in the chest, particularly during physical exertion or stress.


Symptoms of Mitral Valve Prolapse
Common symptoms associated with MVP include:
1. Chest Pain: This is often described as a sharp or aching sensation and can be mistaken for heart-related issues. It is usually not related to physical exertion but can occur during or after activities.


2. Palpitations: Many patients report feeling their heart racing or skipping beats, which can be alarming but is often benign.

3. Fatigue: Some individuals with MVP may experience unusual tiredness, especially after physical activity.

4. Shortness of Breath: This can occur during exertion or even at rest in some cases.

5. Anxiety: Many patients with MVP report increased anxiety or panic attacks, which can exacerbate the perception of symptoms.


Treatment Options
The management of MVP largely depends on the severity of symptoms and the presence of any complications such as mitral regurgitation. Here are some treatment options:
1. Lifestyle Modifications: Avoiding caffeine, alcohol, and stimulants can help reduce palpitations. Regular, moderate exercise is encouraged, but it’s essential to listen to your body and avoid activities that trigger symptoms.

2. Medications: Beta-blockers are often prescribed to help manage palpitations and anxiety. If you are already on medication for your MVP, it’s crucial to follow your doctor’s advice regarding dosage and adherence.

3. Monitoring: Regular follow-ups with a cardiologist are essential to monitor the condition of the mitral valve and assess any changes in symptoms or heart function.

4. Surgical Options: In rare cases where there is significant mitral regurgitation or other complications, surgical intervention may be necessary to repair or replace the mitral valve.


Addressing Your Symptoms
Given that you have experienced persistent discomfort for several days, it is advisable to consult your healthcare provider. They may recommend further evaluation, such as an echocardiogram, to assess the function of your mitral valve and rule out any complications.

Weather and Symptoms
While weather changes can affect some individuals with cardiovascular conditions, there is no direct correlation between weather and MVP symptoms. However, changes in atmospheric pressure or temperature can influence overall cardiovascular health and may exacerbate symptoms in sensitive individuals.


Conclusion
In summary, if your symptoms persist or worsen, it is crucial to seek medical attention. Your healthcare provider can help determine if your symptoms are related to MVP or if there is another underlying issue that needs to be addressed. It’s essential to communicate openly about your symptoms and any activities that trigger discomfort, as this information will help guide your treatment plan. Remember, managing MVP effectively often involves a combination of lifestyle changes, medication, and regular monitoring.

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