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Is chest tightness a symptom of mitral valve prolapse?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had mild mitral valve prolapse for the past five years. For the last eight months, I have not been feeling well mentally and have been experiencing chest tightness and pain.

After an echocardiogram, I was diagnosed with trivial mitral valve prolapse and redundant chordae tendineae.

Please help me.

Thank you.

Hello,

Welcome to icliniq.com.

I have reviewed your reports (attachment removed to protect patient identity). Your echocardiogram and ECG (electrocardiogram) are normal. The echocardiogram shows only redundant chordae, which means the chordae are longer. This will not cause chest pain or any other problems. You do not need medication or surgery. Therefore, whatever you are experiencing is likely in your mind, not your heart.

You are under a lot of stress, which is probably causing gastritis and reflux, leading to your chest pain. Do you also have upper abdominal pain, nausea, bloating, burping, increased pain when eating, a sour taste in your throat, or burning in your chest? These could be associated symptoms.

I suggest you take a combination of Pantoprazole and Domperidone before breakfast once a day for two weeks. Additionally, for headaches and stress relief, you might consider taking a tablet of Amitriptyline at bedtime for two weeks. Please consult a specialist doctor, discuss this with them, and start taking the medications with their consent.

I hope this helps you.

Please revert in case of any more queries.

Thank you.

Medically reviewed byDr. K. Shobana

Published At February 27, 2018
Reviewed AtMarch 24, 2026

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