Category: आयुर्वेदिक चिकित्सा

How Can MVP With Atrial Fibrillation Be Treated With Ayurveda?


Mitral Valve Prolapse (MVP) is a condition in which two flaps of mitral valve do not close smoothly or evenly, but instead there is bulge in left atrium. Mitral Valve Prolapse (MVP) is also known as click murmur syndrome, Barlow’s syndrome or floppy valve syndrome. The mitral valve is located between left atrium and left ventricle and is composed of two flaps. In normal condition these two flaps are held tightly closed during left ventricular contraction (systole) by chordae tendinaeae (small tendons called cords that connect flaps to the muscles of heart ).

MVP with Atrial fibrillation

In the mitral valve prolapse, the flaps enlarge and stretch inward towards the left atrium. Sometimes snapping during systole may allow some backflow of blood into left atrium. The stretching and enlargement of left atrium of heart can leads to atrial fibrillation. Atrial fibrillation is an irregular and often rapid heartbeat that can increase your risk of heart strokes, heart failure and other heart related complications.

Causes and Symptoms


The exact cause of MVP is not known but heredity plays an important role. Primary and secondary mitral valve prolapsed are described below

  • Primary Mitral Valve Prolapse (MVP) It is characterized by thickening of one or both valve flaps. There is scarring of flap surface, thinning and lengthening of chordae tendinaeae, and fibrin deposits on flaps. The primary form of mitral valve prolapsed is seen in people with Marfan’s syndrome or other connective tissue disorders, but is most common in people with no heart disease.
  • Secondary Valve Prolapse This is not due to thickening of valve instead of that there are ischemic changes. In this prolapse there is ischemic damage ( caused by decreased blood flow due to coronary artery disease ) to the papillary muscles attached to the chordae tendinaeae or to the functional changes in the myocardium. It may results from damage of valvular structures during acute myocardial infarction, rheumatic heart disease or hypertrophic cardiomyopathy.

Atrial fibrillation is mainly caused by MVP. There are other causes too which can cause Atrial Fibrillation

  1. High Blood Pressure
  2. Heart Attack
  3. Coronary Heart Disease
  4. Viral Infections
  5. Previous Heart Surgery
  6. Excessive Intake of Stimulants Such As Alcohol, Caffeine
  7. Sleep Apnea

Causes According To Ayurveda

  1. Physical Exertion
  2. Drastic And Excessive Purgation
  3. Anxiety
  4. Fear
  5. Terror

Faulty Management Of Disorder

  1. Suppression of Ama and Vomiting
  2. Injury


MVP may remain asymptomatic in few people. Each individual may experience symptoms differently. Here are most common symptoms

1. Palpitations This is most common complaint among people with MVP (Mitral Valve Proplapse). These palpitations are usually associated with premature ventricular contractions (the ventricle beats faster than it should). Some patients may experience palpitations without dysrhythmias.

2. Chest Pain This associated with MVP is different from chest pain associated with coronary artery disease and is a frequent complaint. Chest pain is not like angina pain but can be recurrent.

Other Symptoms

  1. Shortness of Breath
  2. Reduce Ability To Exercise
  3. Weakness
  4. Dizziness
  5. Fatigue

Sypmtoms According To Ayurveda Abnormal Complexion

Classical Reference Charak Chikitsa Sathan

(Ref. Charak Chikitsa Sathan)
  • Fever Due To Inflammatory Heart Disease
  • Fainting
  • Breathlessness
  • Anorexia
  • Thirst
  • Chest Pain
  • Giddiness


Following Complications May Occur In People

  1. Heart Strokes
  2. Heart Failure
  3. Heart Arrhythmias
  4. Hypertension


People with Mitral Valve Prolapse (MVP) have no symptoms. Detection of click or murmur may be diagnosed during routine checkup. It can be detected by listening with a stethoscope, revealing a click or murmur. Basically murmur occurs due to leaking back of small amount of blood in left atrium. In addition to complete medical history and physical examinations, mitral valve prolapse can be diagnosed with following diagnostic criteria

  1. ECG (Electro Cardio Gram) A test that records electrical activity of heart , shows abnormal rhythms and can sometime detect heart muscle damage.
  2. ECHO (Echo Cardio Gram) A non invasive test that uses sound waves to evaluate heart’s chamber and valves. These echo sound waves create an image on the monitor as an ultrasound inducer is passed over heart. It is most important diagnostic test for MVP.
  3. CT scan (Computerized Tomography) In this method patient lies on a table inside a machine which contains x-ray tube which helps to obtain images of heart.
  4. Cardiac MRI (Magnetic Resonance Imaging) In this test magnetic field produces the images of heart structures.

In rare conditions where symptoms are more severe additional diagnostic procedure may be performed. They include

  1. Stress Test (also called treadmill test) a test is performed while a patient walks on treadmill that is monitored.
  2. Cardiac Catheterization In this test a contrast agent is inserted into an artery to locate any narrowing or other abnormalities of arteries.

Risk Factors

Mitral Valve Prolapse (MVP) can occur at any age .But serious symptoms tend to occur more often in men older than 50. Mitral Valve Prolapse can run into families and may be linked to several other conditions such as

  1. Marfan Syndrome
  2. Ehlers Danlos Syndrome
  3. Ebstein’s Anomaly
  4. Muscular Dystrophy
  5. Grave’s Disease
  6. Scoliosis

Ayurveda Treatment of Mitral Valve Prolapse (MVP)

According to Ayurveda, heart takes higher position not only by its anatomical and physiological value but also by its mental and spiritual value. In Ayurveda heart is place of vyan vayu, avlam bak kapha and mana.The herbal products provided for the treatment of Abnormal Heart Rhythm are

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1. Total Heart Support

Total heart support helps in improving heart functioning. It is a cardiac tonic due to the presence of Shankhpushpi in it. It helps in relieving stress, blood pressure, anxiety and other heart ailments.

Dosage 2 capsules twice daily with plain water

2. Arjuna Capsules

Arjuna capsules is wonderful remedy for heart disease. It helps to treat blood pressure, high triglycerides and high cholesterol.

Dosage 2 capsules twice daily with plain water

3. Arjun Tea

Arjun tea helps in strengthening of heart muscles. By drinking arjuna tea one can get rid of angina and cardiomyopathy.

Dosage 2 cups twice daily


There are many things which can you do to reduce your chances of getting heart disease.

  1. Stay at a healthy weight
  2. Eat A Healthy Diet Try to limit saturated fats, foods high in sodium and added sugars. Eat plenty of fresh vegetables, fresh fruits and whole grains.
  3. Get Regular Exercise Exercise has many benefits including strengthening your heart and improving your blood circulation. It can also maintain weight and lowers level of cholesterol.
  4. Quit Smoking Cigarette smoking raises your blood pressure and put you at a high risk for heart attack and stroke.
  5. Limit Alcohol Drinking too much alcohol causes rise in blood pressure. It can also leads to extra calories which cause weight gain.
  6. Manage Stress Stress is linked to heart in many ways. It raises your blood pressure and can also cause heart attack.
  7. Diabetes Having diabetes doubles your risk of having heart disease. This is because over time high level of glucose leads to damage of blood vessels. So it is important to keep a check on your glucose level.

Ayurvedic Treatment For Multiple System Atrophy (MSA)

The term Atrophy refers to wasting away of cell components or tissues ultimately deteriorating the affected part of the body decreasing its functions. Multiple System Atrophy, therefore as it may clearly imply is the condition that involves atrophy of multiple systems of the body. Basically, it is a progressive neurological condition that involves atrophy of the cerebellum, brainstem, and basal ganglia which play an essential role in the regulation of internal autonomic functions of the body; thereby affecting body’s involuntary (autonomic) functions, including blood pressure, breathing, bladder function and muscle control.

Multiple System Atrophy (MSA) 600

Impaired balance, movement difficulty, muscle rigidity, poor coordination, bladder dysfunction, sleep disturbances, and poor blood pressure control are the characteristic symptoms of the disorder which are more or less like other neurological conditions like parkinsonism’s . However, patients with MSA typically show symptom onset at a younger age, with the average onset in the early 50s in contrast to patients with Parkinsonism’s. It is imperative to understand that patients with this condition can never be cured completely, only symptoms be improved as this rare disorder slowly eats away the neurological control. Therefore, medications and lifestyle changes are helpful in the management but cannot revert the condition back to normal.

Causes of Multiple System Atrophy (MSA)

The disorder which was first known as Shy-Drager Syndrome is believed to be a “sporadic,” implying that there are no genetic or environmental factors identified that cause the disease, the exact cause is still unknown. The probability of genetic inheritance is also very rare.
However, identification of a protein called alpha-synuclein in the cells that support neural cells and more specifically in ‘oligodendroglia’, a cell which forms a coating on nerve cells to enable them to speedily conduct electrical signals is a distinguishing feature of MSA. Studies show the possibility of α-syn causing disruption in the support and maintenance of the neurons &altered neurotrophic factor levels

Symptoms of Multiple System Atrophy (MSA)

The initial clinical symptoms are lightheadedness, dizziness, and episodes of passing out when the patient sit up or stand up – a condition c termed as a postural neurogenic orthostatic hypotension (NOH), a kind of low blood condition.

The other general characteristics symptoms are

  • Difficulty Initiating Movement.
  • Body Stiffness.
  • Urinary Incontinence
  • Increased Falls.
  • Slowness of Movement
  • Lack of Coordination
  • Tremors
  • Impaired Speech
  • A Hoarse, Quivering Voice
  • Constipation And Loss of Bladder Control
  • Reduced Production of Sweat, Saliva And Tears
  • Sexual Dysfunction Like Loss of Libido
  • Irregular Heartbeat
  • Difficulty in Controlling Emotions.

MSA in Contrast to Parkinsonism

  1. MSA affects several areas of the brain, including the cerebellum, the brain’s balance and coordination centers, and the autonomic nervous system whereas Parkinsonism is the imbalance of neurotransmitter Dopamine in the brain.
  2. Parkinson’s disease only affects the dopamine-producing neurons of a motor-controlling portion of the brain known as the nigro-striatal area whereas MSA on the other hand affects both neurons and glial cells.
  3. Onset of symptoms of MSA is in early 50s whereas Parkinson’s have no definite age.
  4. Changes to a person’s speech such as low pitch or quivering voice is also evident and absent in a patient with Parkinson’s

Types of Multiple System Atrophy (MSA)

MSA is characterized into two main subtypes based on the predominant symptom

1. MSA-Predominant Parkinsonism (MSA-P)

  • The most common symptoms in MSA-P are more similar to Parkinson’s disease, hence the designation.
  • This condition may respond to medications used for Parkinson’s disease; however, MSA-P tends to progress more rapidly than Parkinsonism.

2. MSA-Predominant Cerebellar Ataxia (MSA-C)

  • Patients are present with symptoms that affect the cerebellum, which plays a role in synchronizing motor movement.
  • Those who have this condition may look like intoxicated with alcohol, as they have difficulty in coordinating walking, hand movements, speech, and eye movements.

Diagnosis of Multiple System Atrophy (MSA)

There is no specific test to diagnose Multiple System Atrophy (MSA), however, doctors rely on a combination of symptom history, physical examination, and laboratory tests to evaluate the motor system, coordination, and autonomic function to arrive at a probable diagnosis.

  • Magnetic Resonance Imaging (MRI) measures activity levels in the brain and can demonstrate areas of impaired brain function.
  • Positron Emission Tomography (PET scan)
  • DaTscan.
  • Evaluation of a particular type of protein molecule, known as ABCA8, could provide a causative explanation and a screening tool for MSA.

Managing Multiple System Atrophy (MSA) With Ayurveda

Managing symptoms of Multiple System Atrophy (MSA) is the only way out to improve the condition of patients so as to allow them to carry out day-to-day activities. According to Ayurveda, this condition involves an imbalance of the ‘Vata’ energy of the body. The deranged ‘Vata’ energy cause slow and progressive damage to most parts of the sufferer’s body. Therefore, herbal formulations prepared from pure and natural herbs can effectively help to balance the body and improve the condition in many positive ways.

Following herbal formulations benefit the patients with Multiple System Atrophy (MSA) in managing the severity of illness:

Herbal Supplement for Multiple System Atrophy (MSA)(1)
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1. Brahmi Capsules

Ingredient: Prepared from standardized extract of ‘Brahmi’ (Bacopa Monnieri) herb.


  1. Improves brain function and boosts memory
  2. Manages blood pressure, stress and anxiety
  3. Antioxidant properties keep the body healthy

Recommended Dosage: Two capsules with plain water two times a day, after meals.

2. Arjuna Capsules

Ingredient: Formulated using the bark extract of the ‘Arjuna’ herb (Terminalia Arjuna)


  1. Manage heart problems and other potential metabolic diseases
  2. Treat high cholesterol, blocked coronary arteries, blood pressure, high triglycerides, and effectively manages congestive heart failure.

Recommended Dosage: 1-2 Capsules twice daily, with plain water, after meals.

3. Gotukola Capsules

Ingredient: Herbal extract prepared from (Centella Asiatica) is an excellent herb for balancing the body’s three energies — Vata, Pitta, and Kapha.


  1. Balance the psychic energies of the body Satva, Rajas and Tamas
  2. Improve brain health, promote healthy blood circulation and maintain healthy metabolism
  3. Proven efficacy in management of depression, anxiety, and stress.

Recommended Dosage: 1-2 capsules two times a day with plain water, 30 minutes after meals.

4. Ashwagandha Capsules

Ingredient: Contains standardized extract of ‘Ashwagandha’ herb (Withania Somnifera), provide relaxation to the muscles and enhance mental capabilities.


Helpful in manging nervous breakdown, ageing, anxiety, stress, palpitations, and debilitating disorders.

Recommended Dosage: 1 capsule with plain water two times a day.

5. Curcumin Capsules

Ingredient: Prepared from pure and natural extracts of the ‘Haridra’ herb (Curcuma Longa), a herb commonly known as turmeric or haldi.


  1. Contains a bioactive compound called as Curcumin which tends to balance the three psychic energies of the body.
  2. Improves Postural instability

Recommended Dosage: 2 capsules with plain water, twice a day.

6. Boswellia Curcumin Capsules

Ingredients: This contains pure and standardized extracts of traditionally important herbs like Shallaki (Boswellia Serrata) and Curcumin (Curcuma Longa).


These capsules are very beneficial in managing various disorders like strains, inflammation, arthritis, sports injuries, etc.

Recommended Dosage- 1 capsule two times a day with plain water after meals.

7. Hakam Churna

Ingredients: Kalonji (Nigella sativa), Methi (Trigonella Foenum-Graceum), Ajwain (Trachyspermum Ammi)and (Lepidium Sativum).


This herbal supplement works efficiently in reducing symptoms of liver diseases, diseases caused due to inflammation, digestive ailments, etc.

Recommended Dosage: It is recommended to take 3-5gm with hot water two times a day.

8. Shilajit Capsules

Ingredients: Shilajit (Asphaltum)


Planet Ayurveda has formulated with pure purified and natural extracts of Shilajit which makes it beneficial in rejuvenating brain cells, increasing metabolism and cell regeneration.

Recommended Dosage: 2 capsules two times a day with plain water or milk after meals.

9. Giloy Capsules

Ingredients: Giloy (Tinospora Cordifolia)


This product is beneficial in treating urinary infections, Idiopathic thrombocytopenic purpura (ITP), weakness and manages blood platelets count naturally.

Recommended Dosage: 1-2 capsules two times a day with plain water after meals.


Ayurvedic formulations can be extremely beneficial for Multiple System Atrophy (MSA) patients in coping with their degenerative condition, and also in the prevention of some possible complications like breathing abnormalities while sleeping, breakdown of skin due to progressive immobility, injuries from falls resulting from poor balance, difficulty in swallowing, and vocal cord paralysis.

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – or Call at 0172-521-4030 (India), +91-172-521-4030 (Outside India) or Whatsapp at (+91) 9915-593-604.