Mitral Valve Prolapse: Concerns About Pulsating Neck Veins

Mitral valve prolapse

Hello...
The holiday season has just passed, and I apologize for disturbing you during this busy time.
I would like to extend my New Year greetings to you, wishing you peace, health, prosperity, and good luck in all your endeavors.

I would like to ask you about my wife, who has mitral valve prolapse.
Recently, I noticed that her neck pulse is very strong while she sleeps, and it seems to be pulsating nearly half a centimeter.
I find this quite unusual.
I recorded it on my phone, and if you think it would help to see the video for a better assessment, I can send it to you.

What concerns me is that such a strong pulse might be abnormal, and I worry about potential life-threatening issues.
However, my wife feels that there is nothing to worry about and that there is no need to seek medical attention.
I am looking forward to your clarification on this matter.
If, after viewing the video, you believe she should seek medical care, your recommendation would greatly help me persuade her to do so.

I am unsure how to send the video to you, so please let me know.
Lastly, I wish you continued health and happiness in the coming years.
Thank you.

Lán diào, 50~59 year old female. Ask Date: 2016/02/15

Dr. He Dongjin reply Cardiology

Hello, mitral valve prolapse is not directly related to a strong neck pulse.
It's better to have a pulse than not to have one.
The patient may be slender, which can make the pulse appear stronger.
As long as the pulse is regular, there is no need to worry.
Symptoms are the primary consideration.
Changhua Hospital cares about you.

Reply Date: 2016/02/15

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 a variety of symptoms, including palpitations, chest pain, and in some cases, anxiety. One of the concerns that can arise with MVP is the observation of pulsating neck veins, which can be alarming for both the patient and their loved ones.

The pulsating neck veins you observed in your wife could be related to several factors. In patients with MVP, the heart may be working harder to pump blood effectively, especially if there is any degree of mitral regurgitation (where blood leaks backward through the valve). This increased workload can sometimes lead to noticeable pulsations in the neck veins, particularly when lying down or in certain positions.
However, it is essential to differentiate between normal physiological variations and potential pathological conditions. A strong pulsation in the neck veins can also indicate increased central venous pressure, which could be due to various reasons, including heart issues, fluid overload, or even anxiety. If the pulsation is accompanied by other symptoms such as shortness of breath, dizziness, or chest pain, it may warrant further investigation.

While your wife may feel that there is no need for medical attention, it is crucial to trust your instincts as a caregiver. If you are concerned about the strength of her neck pulse and its implications, it is advisable to consult a healthcare professional. A cardiologist can perform a thorough evaluation, which may include an echocardiogram to assess the function of the mitral valve and the overall condition of the heart. This evaluation can help determine whether the pulsating neck veins are a benign finding or if they indicate a more serious underlying issue.

In addition to the echocardiogram, the doctor may also consider other diagnostic tests, such as an electrocardiogram (ECG) to check for any arrhythmias or irregular heartbeats that could be contributing to the symptoms.
It is also important to consider lifestyle factors that may affect your wife's condition. Stress and anxiety can exacerbate symptoms of MVP, so finding ways to manage stress through relaxation techniques, exercise, or counseling may be beneficial. Additionally, maintaining a healthy diet and staying hydrated can support overall cardiovascular health.

In summary, while pulsating neck veins can be a benign finding in some individuals, given your wife's history of mitral valve prolapse, it is prudent to seek medical advice. A healthcare professional can provide reassurance, conduct necessary evaluations, and recommend appropriate management strategies. Your concern for your wife's health is valid, and advocating for her well-being is an essential part of her care. If you feel that the situation is urgent or if her symptoms change, do not hesitate to seek immediate medical attention.

Similar Q&A

Understanding Mitral Valve Prolapse and Its Impact on Blood Flow

Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 and 129 (after resting), and my pulse (or the heart ...

Dr. Wu Xueming reply Cardiology
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.

Understanding Mitral Valve Prolapse and Peripheral Circulation Issues

Hello Doctor, a few days ago I experienced some unexplained discomfort in my chest, so I visited a local hospital for a consultation. During my visit today, the doctor conducted a preliminary examination and mentioned that my heartbeat seemed to have an abnormal sound, suspecting...

Dr. He Dongjin reply Cardiology
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist.

Understanding Heart and Vascular Pain: Causes and Concerns

Hello, I would like to ask about a situation where sometimes I have difficulty breathing and can only take slow breaths. The reason is that sometimes I experience sharp pain near my heart while breathing, which lasts for about a minute before subsiding. Occasionally, the pain is ...

Dr. He Dongjin reply Cardiology
Hello, if you are experiencing symptoms of mitral valve prolapse, it is advisable to visit a cardiologist for further examination. At Changhua Hospital, we are concerned about you; the prevalence of mitral valve prolapse is approximately 2.4%, making it the most common valvular h...

Understanding Tricuspid Valve Issues: Symptoms, Risks, and Management

I have had heart problems since childhood and undergo annual check-ups. Today, during my follow-up appointment, the doctor mentioned that my condition has worsened compared to before. The mitral valve is off by 2.xx millimeters, and the degree of prolapse is 62%. An electrocardio...

Dr. He Dongjin reply Cardiology
Your medical history is somewhat complex and should be evaluated alongside a physical examination. The symptoms you describe do not seem to indicate a simple prolapse, so it is advisable to seek an examination at a major hospital and discuss your condition with a physician on-sit...