Managing Symptoms of Mitral Valve Prolapse: When to Seek Help - Cardiology

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Chest pain, palpitations, and shortness of breath?


I have mitral valve prolapse and have been taking Conken 1.25 mg.
I have also been taking anti-anxiety medication at bedtime for the past five months.
I often experience chest pain, and during my last follow-up visit, my doctor mentioned that if I feel uncomfortable while on medication, I should consider stopping it.
A week before my follow-up appointment, I tried to stop the medication, and I noticed a significant improvement in my chest pain symptoms.
However, I then experienced sudden increases in heart rate and shortness of breath.
Should I return for a follow-up if I have symptoms? Should I take medication if I have symptoms? I feel that my sympathetic nervous system has been overactive for too long.
Is it possible that my symptoms are due to sympathetic overactivity? I have read a lot of information suggesting that this condition does not necessarily require medication, and that medication can improve most symptoms.
My follow-up appointment is next week, and I am unsure whether I should inform my doctor about the symptoms that appeared after I stopped the medication.

An, 20~29 year old female. Ask Date: 2015/11/08

Dr. Lin Jixiong reply Cardiology


Hello: Based on your description, it seems that you may be experiencing symptoms of autonomic nervous system dysfunction.
I recommend that you pay attention to your diet and avoid excessive caffeine intake.
Additionally, be mindful of your daily routine and try to avoid staying up late.
You may keep some medication on hand to take if you feel very uncomfortable.
Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/08

More Info


Managing symptoms of mitral valve prolapse (MVP) can be a complex process, especially when accompanied by anxiety and other related symptoms. It’s important to understand the nature of your symptoms and when to seek medical help.

Mitral valve prolapse is a condition where the valve between the heart's left atrium and left ventricle doesn't close properly, which can lead to various symptoms, including chest pain, palpitations, and shortness of breath. While many individuals with MVP may not experience significant issues, others can have symptoms that affect their quality of life.

In your case, you mentioned experiencing chest pain, which improved after stopping your medication, but you also noted the onset of rapid heartbeat and breathing difficulties. These symptoms can be concerning, especially if they are new or have changed in intensity. It’s essential to recognize that while MVP itself may not always require medication, the symptoms you are experiencing could be related to anxiety or a heightened sympathetic nervous system response, which can occur in individuals with MVP.


When to Seek Help
1. New or Worsening Symptoms: If you experience new symptoms such as sudden chest pain, significant changes in heart rate, or difficulty breathing, it is crucial to seek medical attention promptly. These could indicate a more serious underlying issue that requires evaluation.

2. Persistent Symptoms: If your symptoms persist or worsen despite changes in medication or lifestyle, it’s important to discuss these with your healthcare provider. They can help determine if further investigation or a change in treatment is necessary.

3. Mental Health Considerations: Anxiety can exacerbate physical symptoms, including those related to MVP. If you find that your anxiety is impacting your physical health, it may be beneficial to discuss this with your doctor. They might suggest therapy or adjustments in your medication regimen.


Managing Symptoms
- Medication: If your symptoms improve with medication but return when you stop, it may indicate that you need to discuss a different approach with your doctor. Some patients find that beta-blockers can help manage palpitations and anxiety associated with MVP.

- Lifestyle Modifications: Regular exercise, a balanced diet, and stress management techniques such as mindfulness or yoga can help alleviate symptoms. Avoiding stimulants like caffeine and nicotine is also advisable.

- Monitoring Symptoms: Keep a diary of your symptoms, noting when they occur, their intensity, and any potential triggers. This information can be invaluable for your healthcare provider in tailoring your treatment plan.


Follow-Up with Your Doctor
Since you have a follow-up appointment soon, it’s essential to communicate all your symptoms, including the changes you experienced after stopping your medication. Be open about your concerns regarding your heart rate and breathing difficulties. Your doctor may recommend tests such as an echocardiogram or Holter monitor to assess your heart function and rhythm.

In summary, while MVP can often be managed effectively, it’s important to remain vigilant about your symptoms and communicate openly with your healthcare provider. If you experience any alarming symptoms, do not hesitate to seek medical attention. Your health and well-being are paramount, and your doctor is there to help you navigate these challenges.

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