What to do about chronic cough due to mitral valve insufficiency?

Written by Di Zhi Yong

Cardiology

Updated on September 19, 2024

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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 Di Zhi Yong

Cardiology

42sec

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Will mild mitral valve regurgitation worsen?

Because mitral valve insufficiency is a type of heart valve disease and also a form of rheumatic heart disease, mild mitral valve insufficiency can be actively managed with internal medicine, thereby alleviating the patient's symptoms. However, this disease can potentially worsen, especially in cases of mild insufficiency. When cardiac function becomes impaired, it can lead to severe insufficiency. In such cases, surgical treatment is sometimes recommended for the patient. If the patient's cardiac function is actively managed, infections controlled, and regular hospital check-ups are maintained, improvement can be achieved.

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Written by Di Zhi Yong

Cardiology

44sec

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Can mitral valve regurgitation be detected by imaging?

Mitral stenosis is a type of heart valve disease. It may be congenital heart disease or rheumatic heart disease, depending on individual differences. It is recommended that patients go to the hospital for a cardiac ultrasound to confirm the diagnosis, as X-rays cannot differentiate between mitral regurgitation and mitral stenosis. This condition requires a cardiac ultrasound for diagnosis. If patients experience symptoms like palpitations, chest tightness, or difficulty breathing during this period, these issues need to be actively managed. Generally, positive inotropic agents are used to alleviate the current condition of the patient and achieve relief, while also ensuring regular follow-up visits at the hospital.

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Written by Di Zhi Yong

Cardiology

45sec

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Is mild mitral valve regurgitation a serious condition?

If the patient has a history of mitral valve insufficiency, it is recommended that they undergo a cardiac echocardiography to further clarify the diagnosis. Simple mitral valve insufficiency can present with rumbling murmurs in the precordial area, but it may also be accompanied by palpitations, chest tightness, and difficulty breathing. Sometimes, it is necessary to actively manage these symptoms by using positive inotropic drugs to improve the patient's cardiac function. If the patient exhibits swelling in both lower limbs, it may sometimes be necessary to use medications to manage this condition and alleviate the current symptoms. Dietary recommendations should also include a low-salt, low-fat, and low-sugar diet to help improve the symptoms.

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Written by Di Zhi Yong

Cardiology

51sec

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Can mitral valve insufficiency be treated with interventional surgery?

If the condition of mitral valve regurgitation is not very severe, interventional surgery can be considered when the condition is under control. However, if the mitral valve regurgitation is accompanied by heart failure, especially chronic heart failure, and if cardiac function is not timely corrected, the patient may not tolerate the surgery, and there are certain risks associated with the operation. Because mitral valve regurgitation can lead to the formation of thrombi, particularly causing cerebral thrombosis or ischemic cerebrovascular diseases, it is important to actively monitor changes in the patient's heart rate, blood pressure, and pulse. If conditions such as tachycardia or elevated blood pressure occur, they need to be actively managed. If the disease is timely controlled, surgical treatment can be considered.

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Written by Chen Tian Hua

Cardiology

55sec

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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."