30 year old female, 131 pounds, Mitral valve prolapse, frequent palpitations and urge to urinate, nothing seems to make them better or worse. Dorsalis pedis pulse was +3/+4 and posterior tibial was +1/+4. On birth control for 6 years, smoked for 3 (1-3 packs per day), and I think the EKG showed premature atrial contractions.
Hello, Yes MVP can cause palpitation and urge to urinate. The palpation is mostly because of ventricular premature beats or any change on rhythm. In sensitive patients even atrial premature beats can cause palpitations, also at the same time a Hormone is released from the atrial causing diuresis.  I would suggest you to consider beta blockers if palpitation is debilitating and aspirin as MVP, birth pills and smoking all cause small thrombus. Lastly avoid smoking as it per se can precipitate extra beats. Regards