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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are The Prolonged Palpitations Due To Mitral Valve Prolapse Condition?

I was told I had mitral valve prolapse 3 months ago after an echo was done and the ECG was normal, I later saw another cardiologist who said everything was normal,how ever I usually have palpitations which prolong especially after sexual intercourse,is the prolonged palpitations and increased heart rate due to the mitral valve prolapse condition?
Mon, 10 Aug 2015
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Cardiologist,  's  Response
Hello. Thank you for your question. Welcome to HCM. I understand your concern.

Mitral valve prolapse (MVP) can not, per se, produce palpitations. It is a totally benign situation, which has to produce mitral regurgitation (blood returning from the left ventricle to the left atrium during systole - when mitral valve is normally shut) in such severity that can eventually produce left atrium enlargement, due to high pressures in this chamber, to eventually produce palpitations. This statement, written in one sentence, may take up to 40 years to happen, from the moment that the MVP is diagnosed.

Sexual intercourse is considered a moderate to vigorous physical activity, depending on performance and duration. In these kinds of activities, the normal thing that happens is that heart rate goes up (you feel your heart pounding) and blood pressure goes up. These are regular beats that are merely due to physical activity, and happen to anyone, diagnosed with MVP or not. If these are regular beats, then my opinion is that there is nothing to worry about, and continue to live your life and do not withhold sexual intercourse, or physical activity.

I hope I was helpful with my answer.

Best regards,
Dr. Meriton
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Are The Prolonged Palpitations Due To Mitral Valve Prolapse Condition?

Hello. Thank you for your question. Welcome to HCM. I understand your concern. Mitral valve prolapse (MVP) can not, per se, produce palpitations. It is a totally benign situation, which has to produce mitral regurgitation (blood returning from the left ventricle to the left atrium during systole - when mitral valve is normally shut) in such severity that can eventually produce left atrium enlargement, due to high pressures in this chamber, to eventually produce palpitations. This statement, written in one sentence, may take up to 40 years to happen, from the moment that the MVP is diagnosed. Sexual intercourse is considered a moderate to vigorous physical activity, depending on performance and duration. In these kinds of activities, the normal thing that happens is that heart rate goes up (you feel your heart pounding) and blood pressure goes up. These are regular beats that are merely due to physical activity, and happen to anyone, diagnosed with MVP or not. If these are regular beats, then my opinion is that there is nothing to worry about, and continue to live your life and do not withhold sexual intercourse, or physical activity. I hope I was helpful with my answer. Best regards, Dr. Meriton