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

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Mitral valve prolapse


Hello, a few months ago I noticed symptoms of palpitations, and after an echocardiogram, I was diagnosed with mitral valve prolapse.
The doctor advised me to manage it with medication, and when the palpitations and shortness of breath became noticeable, I was instructed to take rhythm control medication after each meal.
The shortness of breath was quite uncomfortable, so I was also prescribed anti-anxiety medication, with the plan to reduce the dosage if my condition improved.
A few weeks ago, when I was taking the rhythm control medication in the morning and evening, I felt a tingling sensation in my heart.
During my follow-up appointment, the doctor mentioned that I could reduce the dosage to once a day or every other day, and eventually stop taking the medication unless I felt unwell.
The tingling sensation in my heart has since disappeared, but I have not been taking the medication regularly, only when I feel discomfort.
Recently, due to significant changes in the weather, I thought about soaking in hot water to feel better, but I started feeling unwell again (the water temperature was not very high).
Over the past few days, I have frequently felt a mild pain in my heart, which is tolerable, but whenever I feel this pain, I start to feel anxious.
Is this a phenomenon associated with mitral valve prolapse? The doctor said I should maintain normal breathing, but I often feel too anxious to sleep due to discomfort in my heart, and I even hesitate to sleep when I feel unwell! Should I see a psychiatrist? Also, is it okay to engage in activities like exercise or soaking in hot water that may cause my heart rate to increase?

MEYAME, 30~39 year old female. Ask Date: 2016/01/28

Dr. Lin Jixiong reply Cardiology


Hello: About 80% of patients with mitral valve prolapse experience symptoms of autonomic dysfunction, which include the symptoms you described.
When feeling very uncomfortable, taking medication to alleviate the symptoms is sufficient.
Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/28

More Info


Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to symptoms such as palpitations, shortness of breath, and sometimes chest pain. While MVP is often benign and does not require treatment, it can cause discomfort and anxiety for some patients, especially when symptoms flare up.


Symptoms of Mitral Valve Prolapse
Common symptoms associated with MVP include:
1. Palpitations: Many patients report feeling their heart racing or skipping beats.

2. Chest Pain: This can be sharp or dull and is often described as a feeling of pressure.

3. Shortness of Breath: This may occur during exertion or even at rest.

4. Fatigue: Some individuals may feel unusually tired.

5. Anxiety: The awareness of heart symptoms can lead to increased anxiety, creating a cycle of discomfort.


Treatment Options
Treatment for MVP typically focuses on managing symptoms rather than the condition itself. Here are some common approaches:
1. Medications: Beta-blockers (like Inderal) are often prescribed to help manage palpitations and anxiety. If anxiety is a significant issue, anti-anxiety medications (like Xanax) may also be used, but they should be taken cautiously due to potential side effects, including drowsiness.


2. Lifestyle Modifications: Patients are encouraged to maintain a healthy lifestyle, which includes:
- Regular exercise: Light to moderate exercise can be beneficial, but it's essential to listen to your body and avoid overexertion.

- Stress management: Techniques such as yoga, meditation, and deep-breathing exercises can help reduce anxiety and improve overall well-being.

- Avoiding stimulants: Reducing or eliminating caffeine and nicotine can help minimize palpitations.

3. Monitoring Symptoms: Keeping track of symptoms can help you and your healthcare provider determine if treatment adjustments are necessary. If symptoms worsen or new symptoms develop, a follow-up appointment is advisable.


Lifestyle Tips
1. Regular Check-ups: Regular visits to your healthcare provider are essential to monitor your condition and adjust treatment as necessary.


2. Exercise: Engage in regular physical activity, but avoid high-intensity workouts if they exacerbate your symptoms. Activities like walking, swimming, or cycling at a comfortable pace can be beneficial.

3. Hydration and Nutrition: Staying well-hydrated and eating a balanced diet can help maintain overall health and potentially reduce symptoms.

4. Sleep Hygiene: Establishing a regular sleep routine can help improve sleep quality. If anxiety about your heart condition is affecting your sleep, consider discussing this with a healthcare provider who may recommend cognitive behavioral therapy or other interventions.

5. Avoid Hot Baths: While soaking in a hot tub can be relaxing, it can also lead to increased heart rate and discomfort in some individuals. If you notice that hot baths trigger symptoms, it may be best to avoid them.


When to Seek Help
If you experience significant changes in your symptoms, such as increased chest pain, severe shortness of breath, or fainting, it is crucial to seek medical attention promptly. Additionally, if anxiety about your condition is impacting your daily life, consulting with a mental health professional may be beneficial. They can provide strategies to manage anxiety and improve your overall quality of life.

In summary, while MVP can be concerning, many individuals manage their symptoms effectively with lifestyle changes and, when necessary, medication. Regular communication with your healthcare provider is key to ensuring that you receive appropriate care tailored to your needs.

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