mitral valve prolapse and heart murmur

[1tiredchic]

Hi; I am still searching for answers I do have mitral valve prolapse known since i was 22-had problems with passing out during pregnancys.... Eversince 1992 i have had a gamment of problems... I am now on topril for high heart rate at rest and high blood pressure. My symptoms have got worse in the past 4 months ( it could be from the mitral valve or fibromylagia?) I have very bad chest pain at times that will radiate to neck and right arm and left breastbone... But will last only for about 10 min..had been to the emergency in Oct,where pain wasn't as bad as just 2 nights ago was given nitro ekg did not show heart attack. told to take baby aspirin..  When i went to sleep study recently the tech said my heart monitor was doing crazy things? and the second study my heartrate when hypopnia was 118 at rest and that is on heart med to lower..(will see sleep doc end of month now on cpap for moderate sleep apnea)When i had a heart monitor at home my heartrate also went up to 118 doing laundry and went high again while sleeping..I have had many tooth infections i am wondering if i could have some kind of infection ? Eventhough cbc blood work comes out normal???? Or can fibromylagia go hand & hand with the chest pain?? and should i go to the er next time? I also have chronic pain in neck and extreme fatique and shortness of breath at times. Thanks for any help

[1tiredchic]

Thanks; I am going to be seeing my gasto this week,,I am going to see if she can refer me to a neuro? I want to know if it is the mitral valve or the fibro or something else.. Take care

[Heiferly]

It's possible that you have what is known as Mitral Valve Prolapse Dysautonomia (may also be called Mitral Valve Prolapse Syndrome, Orthostatic Intolerance Associated with Mitral Valve Prolapse, or POTS/Postural Orthostatic Tachycardia Syndrome Associated with Mitral Valve Prolapse).  

To be evaluated for this, you likely need to see a specialist at a major teaching hospital, usually a cardiologist (especially an electrophysiologist-cardiologist) or a neurologist with knowledge/experience in autonomic disorders and orthostatic intolerance syndromes.  Your doctor may be able to give you referral.

A tilt table test and possibly Holter monitoring may be useful in helping to make this diagnosis, along with some targeted blood labs and urinalysis (things that would not have been done as part of a normal CBC panel).  

You will need to talk with your doctor about what symptoms should warrant a trip to an ER; this varies depending on the patient.

Here is more information on getting a diagnosis and our further reading section which has articles on various types of autonomic dysfunction:

http://www.medhelp.org/health_pages/Neurological-Disorders/Diagnosing-Dysautonomia/show/827?cid=196

http://www.medhelp.org/health_pages/Neurological-Disorders/Autonomic-Dysfunction-FAQ/show/181?cid=196

http://www.medhelp.org/health_pages/Neurological-Disorders/Dysautonomia-Specialists/show/717?cid=196

http://www.medhelp.org/health_pages/Neurological-Disorders/Dysautonomia---Links/show/744?cid=196

http://www.medhelp.org/health_pages/Neurological-Disorders/Further-Reading-on-Dysautonomia/show/696?cid=196