Mitral Valve Prolapse: Symptoms, Treatment, and Exercise Tips

Q: Mitral Valve Prolapse: Symptoms, Treatment, and Exercise Tips

Hello： In response to your questions： 1. <br>Mitral valve prolapse with regurgitation is mostly asymptomatic; however, it can occasionally cause chest pain, palpitations, fatigue, or shortness of breath. <br>In severe cases, these symptoms may be more pronounced. <br>The conditio

Heart valve

Thank you for your response, Director.
In 1995, I experienced palpitations, arrhythmia, and high blood pressure, which led me to see a cardiologist.
I was diagnosed with mild mitral valve prolapse with regurgitation and tricuspid regurgitation.
Since then, I have been taking antihypertensive medication, and my blood pressure is well controlled.
However, I still frequently experience arrhythmia, and during these episodes, I find it difficult to run due to shortness of breath.
Overall, the frequency and severity of these episodes have decreased compared to before, and the duration of the episodes is shorter.
I would like to know if this condition can be cured or if surgical treatment is necessary.
What precautions should I take regarding exercise? How does this condition develop? I did not notice any issues when I was younger.
Thank you.

Rongmin Jia, 50~59 year old female. Ask Date: 2002/08/06

Dr. Xiao Yongxun reply Internal Medicine

Hello: In response to your questions: 1.
Mitral valve prolapse with regurgitation is mostly asymptomatic; however, it can occasionally cause chest pain, palpitations, fatigue, or shortness of breath.
In severe cases, these symptoms may be more pronounced.
The conditions of your mitral and tricuspid valves must be evaluated by a cardiologist based on clinical symptoms, echocardiography, radiological examinations, and consideration of cardiovascular hemodynamics to determine the appropriate management, including whether surgical intervention is necessary.
2.
Regarding exercise, an assessment of individual cardiopulmonary function, hemodynamics, and related factors should be conducted by a physician to prescribe an exercise regimen.
Your statement about being able to hike and run long distances suggests that your cardiopulmonary function may be relatively good.
3.
As for the reasons for valve pathology, there are many potential causes, including congenital factors, rheumatic heart disease, endocarditis, and degeneration.
A physician must make a differential diagnosis based on individual circumstances.
4.
For your concerns regarding heart valves, it is advisable to discuss them with your cardiologist.

Reply Date: 2002/08/06

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, shortness of breath, and fatigue, especially during physical exertion. In your case, you have been diagnosed with mild mitral valve prolapse combined with regurgitation, which is a common scenario.

Symptoms and Diagnosis
The symptoms you are experiencing, such as palpitations and irregular heartbeats, are typical of MVP. These symptoms can be exacerbated by physical activity, as you noted during your mountain climbing and long-distance running. It is essential to monitor these symptoms closely, especially since you have a history of hypertension and irregular heart rhythms.

Treatment Options
In many cases, MVP does not require surgical intervention, especially if the symptoms are mild and manageable. Treatment typically focuses on symptom management. Since you are already on antihypertensive medication and your blood pressure is well-controlled, this is a positive aspect of your management plan.
For those with more severe symptoms or significant regurgitation, surgical options may be considered. Surgical intervention usually involves repairing or replacing the mitral valve, but this is typically reserved for cases where the MVP leads to significant heart dysfunction or severe symptoms that cannot be managed medically.

Exercise Recommendations
Regarding exercise, it is crucial to listen to your body. While regular physical activity is beneficial for heart health, you should avoid high-intensity workouts or activities that lead to significant shortness of breath or palpitations. Here are some tips for exercising with MVP:
1. Moderate Intensity: Engage in moderate-intensity aerobic activities, such as walking, cycling, or swimming. These activities can help improve cardiovascular fitness without putting excessive strain on your heart.

2. Avoid High-Intensity Activities: Activities that require sudden bursts of energy, such as sprinting or heavy weightlifting, may trigger symptoms. It’s best to avoid these until you have a clearer understanding of your condition.

3. Warm-Up and Cool Down: Always include a proper warm-up and cool-down in your exercise routine to help your heart adjust to changes in activity levels.

4. Stay Hydrated: Dehydration can exacerbate symptoms, so ensure you drink plenty of fluids before, during, and after exercise.

5. Monitor Symptoms: Keep a close watch on how you feel during and after exercise. If you experience increased palpitations, shortness of breath, or dizziness, stop the activity and consult your healthcare provider.

Understanding the Condition
MVP can occur due to a variety of factors, including genetic predisposition, connective tissue disorders, or simply as a part of the aging process. It is not uncommon for individuals to be unaware of their MVP until symptoms arise or they undergo an echocardiogram for another reason.

Conclusion
In summary, while MVP can be concerning, many individuals live normal, active lives with the condition. Regular follow-ups with your cardiologist are essential to monitor your heart health and adjust treatment as necessary. If your symptoms worsen or if you have concerns about your exercise regimen, do not hesitate to reach out to your healthcare provider for personalized advice.

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