Why does mitral valve insufficiency cause left heart failure?

Written by Di Zhi Yong
Cardiology
Updated on September 07, 2024
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Mitral valve insufficiency can lead to left heart failure, as it may cause excessive pressure in the left atrium and ventricle, leading to left heart failure. This condition is characterized by symptoms such as coughing up pink frothy sputum, feeling of heart palpitations, chest tightness, and difficulty breathing.

This situation leads to an increased afterload on the heart, causing a series of symptoms. Therefore, mitral valve insufficiency can result in left heart failure, especially noticeable during the night with orthopnea and coughing up pink frothy sputum, which are typical clinical manifestations of left heart failure. The current treatment primarily focuses on symptomatic management, using medications such as cardiac glycosides and diuretics to improve symptoms.

(Please use medication under the guidance of a physician.)

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Written by Di Zhi Yong
Cardiology
42sec home-news-image

Mitral valve insufficiency can easily cause what kind of failure?

The most severe complication of mitral valve insufficiency is the occurrence of left-sided heart failure, or left and right heart failure, eventually leading to total heart failure. Since the mitral valve is a type of rheumatic heart disease and also a cardiac valve disorder, cardiac function is abnormal at this time. If this condition is not treated promptly, it will further lead to a decline in cardiac function, causing the occurrence of heart rate failure. Patients mainly exhibit symptoms of ischemia and hypoxia, as well as edema in both lower limbs and some situations of water and sodium retention. It is necessary to actively use cardiotonic diuretics to improve the patient's cardiac function.

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Written by Li Hai Wen
Cardiology
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How does mitral valve insufficiency lead to heart failure?

Mitral valve regurgitation can easily lead to heart failure, especially left heart failure. This is because, when there is moderate or severe mitral regurgitation, the left ventricle contracts, and a large amount of blood in the left ventricle flows back into the left atrium. When the ventricle relaxes and fills again, the volume of blood in the left ventricle significantly increases, leading to an overload in the capacity of the left ventricle. Over time, this causes left ventricular hypertrophy, a decline in the heart's pumping function, and thus, heart failure occurs. In terms of symptoms, it presents as exertional dyspnea and paroxysmal nocturnal dyspnea, among other symptoms. When these symptoms occur, it is necessary to go to the hospital for proper examination and treatment, and to take diuretic medications under the guidance of a doctor to improve the symptoms.

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Written by Di Zhi Yong
Cardiology
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Is mild to moderate mitral valve regurgitation serious?

If the patient has a history of mitral valve insufficiency, especially in moderate cases, it is considered quite severe. The current treatment mainly focuses on symptomatic treatment to improve the patient's cardiopulmonary function. If the patient experiences palpitations, chest tightness, or difficulty breathing, sometimes intravenous therapy is required to alleviate the current condition. Because for congenital heart disease or rheumatic heart disease, the treatment primarily involves strengthening the heart, diuresis, vasodilation, symptomatic treatment, and management. If not treated and managed promptly, the disease could worsen, and the patient may also develop swelling in both lower limbs.

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Written by Di Zhi Yong
Cardiology
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What to do about chronic cough due to mitral valve insufficiency?

If the patient exhibits mitral regurgitation, this condition falls under cardiac valvular diseases. If the patient frequently experiences coughing and expectorating phlegm, it indicates a certain level of inflammatory infection. It is recommended for the patient to undergo a chest CT scan for an effective confirmation of the cause, which will then determine the treatment plan. For simple mitral stenosis, symptomatic treatment is currently the primary approach, using medications to address heart failure or ischemia and hypoxia. Early treatment is advised to alleviate the current state of ischemia and hypoxia. Persistent coughing and expectorating phlegm indicate inflammation, necessitating the use of antibiotics.

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Written by Chen Tian Hua
Cardiology
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Mild to moderate mitral valve regurgitation treatment

"Mild to moderate mitral valve regurgitation has been detected, and treatment should be given based on the specific circumstances. If it is simply mild to moderate mitral valve regurgitation without related structural heart disease, it can be temporarily observed without special intervention, and regular follow-up echocardiograms should be scheduled. If mild to moderate mitral valve regurgitation is accompanied by structural heart disease, active treatment of the related heart disease should be pursued to effectively control it. If heart failure occurs, active treatment for heart failure should be initiated to prevent the worsening of mitral valve regurgitation due to aggravated heart failure. Therefore, if mild to moderate mitral valve regurgitation is present, the cause should be further investigated and treated accordingly based on the different causes."