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Q: Mitral valve prolapse and panic disorder
asked by: DoctorQuestion on September 23rd, 2008
On Monday Sept 22 I got a tight sqeeze above my left breast . I was kinda gasy and belching. The pressure let up some and then returned. I noticed my mitral valve had acted up during the afternoon. I went to bed and the pressure above the breast was hurting, but I was able to fall asleep. I woke at 5 am with pain where your heart is located, I again then started belching. It's not 8:30 am and I 'm so what sore where the squeeze was and where I usually feel my mitral valve on the left side of the breast. I do have anxitey and panic disorder. I take the atenteol actually for the panic because my heart will soar to a easy 190 when I have one and its suppose to not allow my heart to go as fast. I had never took anything for the mitral valve, but was told it would be good for it as well. My panic is horrid., I dont leave my home due to it. I have not left my house in 7 yrs. The dr treats me at home. Any ideas how to over come that would be great as well. Thanks for your time and help.


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Dr. Nikola Gjuzelov , MD
replied on September 24th, 2008
General Q and A Answer A4738
Current medical status: panic disorder and mital valve prolapse
Current medical treatment: atenteol 25 mgs twice a day

Mitral valve prolapse could cause certain heart arrhythmias and in such cases atenolol should help. In most cases of mitral valve prolapse there are no symptoms at all. In less cases mitral valve prolapse causes heart failure and needs surgical repair or replacement. Echo-cardiograph can help to diagnose and evaluate the level of mitral valve regurgitation.

Your panic disorder is not caused by the mitral valve prolapse or any other heart disorder. Panic disorder is a kind of anxiety disorder that occurs suddenly and is manifested with excessive neuro-vegetative symptoms (tachycardia, sweating, fast breathing...) and fear that the person has a heart attack. Certain symptoms of the panic disorder and mitral valve prolapse could be similar (tachycardia) so you may think that the heart disorder caused them. Fear to come out of your home has nothing in common with the mitral valve prolapse but is probably due only to the anxiety and panic disorder.

You may want to consult a cardiologist and mental health doctor about your problem.




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