Managing Mitral Valve Prolapse: Tips for Stress Relief and Symptom Control

Mitral valve prolapse

I have mild mitral valve prolapse and I am taking Concor 1.25 mg along with an anti-anxiety medication, but I have not been taking the medication regularly.
When I rest, my heart rate starts to exceed 100 beats per minute.
Due to my fear of stopping the medication, my symptoms have worsened recently due to increased stress, and I frequently experience chest pain and shortness of breath.
Lately, at night, I feel difficulty breathing and have nightmares, resulting in poor sleep.
The next day, I drink coffee to feel more energized, but I have been using the wrong methods, leading to a vicious cycle.
I would like to ask the doctor if soaking in a hot spring can help me relax both physically and mentally, or if there are other methods that might be more suitable for me.
Despite taking medication, these symptoms still occur during times of high stress and fatigue.
What methods can I use to improve my condition?

Yici, 10~19 year old female. Ask Date: 2015/12/12

Dr. He Dongjin reply Cardiology

Hello, I have already taken the medication, but when I am under stress and fatigued, these symptoms still occur.
You can: 1.
Increase the dosage; the medication can be taken up to four times a day.
2.
Find ways to relieve stress, such as soaking in hot springs or exercising.
Please avoid drinking coffee.
Changhua Hospital cares about you.

Reply Date: 2015/12/12

More Info

Managing Mitral Valve Prolapse (MVP) can be challenging, especially when symptoms such as palpitations, chest pain, and anxiety are exacerbated by stress. It is important to understand that MVP is a common condition where the mitral valve does not close properly, which can lead to various symptoms, including those you are experiencing. Here are some tips for stress relief and symptom control that may help you manage your condition more effectively.

Understanding Your Condition
Mitral Valve Prolapse is often benign, but it can be associated with symptoms like palpitations, anxiety, and even panic attacks. The symptoms can be worsened by stress, caffeine, and certain lifestyle choices. It is crucial to work closely with your healthcare provider to monitor your condition and adjust your treatment plan as necessary.

Stress Management Techniques
1. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety and stress. These techniques can lower your heart rate and promote a sense of calm.

2. Regular Exercise: Engaging in regular physical activity can help alleviate stress and improve your overall cardiovascular health. However, it's essential to choose low-impact exercises, such as walking, swimming, or yoga, which can be particularly beneficial for individuals with MVP.

3. Adequate Sleep: Sleep disturbances can exacerbate symptoms of MVP. Establishing a regular sleep routine, creating a comfortable sleep environment, and practicing good sleep hygiene can improve your sleep quality. If you are experiencing nightmares or anxiety during sleep, consider discussing this with your doctor, as they may recommend cognitive behavioral therapy or other interventions.

4. Dietary Considerations: While you mentioned using coffee to boost your energy, it might be beneficial to limit caffeine intake, as it can increase heart rate and anxiety levels. Instead, consider herbal teas or other non-caffeinated beverages. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can also support your overall health.

5. Hydrotherapy: Soaking in a warm bath or using a hot tub can be soothing and may help relieve muscle tension and stress. However, ensure that the temperature is comfortable and does not lead to overheating, which can sometimes exacerbate palpitations.

6. Avoiding Stimulants: In addition to caffeine, be mindful of other stimulants, such as nicotine and certain medications, that can increase heart rate and anxiety. Discuss any medications you are taking with your healthcare provider to ensure they are appropriate for your condition.

7. Therapeutic Support: Since you are already on anxiety medication, it’s important to maintain open communication with your healthcare provider about your symptoms. If you feel that your current medication is not adequately controlling your symptoms, your doctor may consider adjusting your dosage or trying a different medication.

8. Support Groups: Connecting with others who have MVP can provide emotional support and practical tips for managing symptoms. Consider joining a support group, either in-person or online.

Conclusion
Managing Mitral Valve Prolapse involves a combination of medical treatment and lifestyle modifications. While it is essential to follow your doctor's recommendations regarding medication, incorporating stress management techniques can significantly improve your quality of life. If you find that your symptoms persist or worsen, it is crucial to consult your healthcare provider for further evaluation and potential adjustments to your treatment plan. Remember, you are not alone in this journey, and there are many resources available to help you manage your condition effectively.

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