Can mitral valve insufficiency be treated with interventional surgery?

Written by Di Zhi Yong
Cardiology
Updated on September 11, 2024
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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 Di Zhi Yong
Cardiology
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Is mitral valve regurgitation due to incomplete closure congenital?

If the patient has a history of mitral valve insufficiency accompanied by regurgitation, it may indicate congenital heart disease, but it does not rule out rheumatic heart disease caused by other illnesses. Because of this, it may indeed be a type of congenital heart disease, and some surgical treatments can be used, which are relatively safe. During this period, it is still necessary to actively monitor changes in the patient's blood pressure, pulse, and heart rate. If there is an increase in blood pressure or an overly rapid heart rate, it needs to be actively managed. Early intervention and treatment can alleviate the current condition of the patient. Based on this situation, it is recommended to just perform a cardiac echocardiogram.

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Written by Di Zhi Yong
Cardiology
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Will mild mitral valve insufficiency become more severe?

If the patient has a history of mitral valve insufficiency, and if it is not treated timely, the condition will worsen. If the patient develops heart failure, sometimes it is necessary to actively correct the heart failure, because the most serious complication of this disease is heart failure, which is quite severe. Once the patient's heart function changes, especially if the ejection fraction decreases, it can lead to ischemic and hypoxic changes in the patient. In terms of treatment, it is also important to monitor the patient's blood pressure, heart rate, and pulse changes, while actively controlling the heart rate.

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Written by Di Zhi Yong
Cardiology
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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 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 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.