Is mitral valve regurgitation due to incomplete closure congenital?

Written by Di Zhi Yong

Cardiology

Updated on September 04, 2024

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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 Chen Tian Hua

Cardiology

47sec

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What should I do if I have mild mitral valve regurgitation?

Mild mitral valve regurgitation is observed and further investigation is needed to understand the causes of this condition. If mild mitral valve regurgitation occurs in a healthy individual, it is primarily due to physiological degeneration of the mitral valve, generally does not lead to adverse consequences, and does not require special treatment. If it is caused by diseases that lead to an enlarged heart, resulting in relative mild mitral valve regurgitation, this situation necessitates active treatment of the underlying diseases to effectively control the condition, prevent further enlargement of the heart, exacerbate the degree of mitral valve regurgitation, and thus adversely affect health.

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Written by Xie Zhi Hong

Cardiology

1min 15sec

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Can mitral valve insufficiency be detected on a chest radiograph?

Mitral valve insufficiency is characterized by an enlarged heart, and a blowing murmur can be heard during mitral valve systole through auscultation. Therefore, in chest X-ray examinations, an enlargement of the left lower cardiac border can be observed. Some severe cases may exhibit pulmonary artery hypertension, indicated by a prominent pulmonary artery segment; additionally, patients with heart failure may show increased pulmonary blood flow, all of which aid in the diagnosis of mitral valve insufficiency. However, this is not the definitive diagnosis, which should be determined through echocardiography. Especially through Doppler imaging, the enlargement of heart structures, the mosaic blood flow caused by mitral valve insufficiency, and changes in blood flow speed and direction can be clearly diagnosed. Therefore, the primary diagnostic tool for mitral valve insufficiency is not the chest X-ray, which only shows indirect signs, but echocardiography.

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Written by Xie Zhi Hong

Cardiology

1min 8sec

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Can mitral valve insufficiency cause angina?

Angina is caused by severe ischemia of the coronary arteries, leading to abnormal myocardial metabolism, which results in cardiac angina. Some people may also experience chest tightness, a burning sensation in the precordial area, or various other discomforts. Mitral valve regurgitation can reduce the effectiveness of ventricular ejection. Most cases of mild to moderate mitral valve regurgitation do not cause angina. However, severe mitral valve regurgitation, which causes most of the heart’s blood to flow back into the left atrium during contraction, can lead to reduced aortic blood supply. Once the reduction in aortic blood supply reaches a certain level, it may cause symptoms of angina. This is relatively rare, as most cases of mitral valve regurgitation typically present symptoms of cardiac failure such as breathlessness, difficulty breathing, and orthopnea.

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Written by Di Zhi Yong

Cardiology

41sec

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How to treat calcification of mitral valve regurgitation?

Mitral valve regurgitation with calcification indicates the onset of calcification in this condition, though this alone does not necessarily indicate a problem. However, mitral valve regurgitation should still be actively treated. Early or mild cases can lead to pathological changes in the heart, particularly when there is excess pressure on the mitral valve, left ventricle, or left atrium. This may cause symptoms like palpitations, chest tightness, and difficulty breathing. Sometimes, medications to dilate blood vessels, strengthen the heart, and promote urination may be necessary to reduce cardiac load and improve symptoms.

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Written by Di Zhi Yong

Cardiology

38sec

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Can mitral valve insufficiency run?

Patients with mitral valve stenosis and insufficiency are advised not to run, as running is an aerobic exercise that increases heart rate. This can lead to symptoms like palpitations, chest tightness, and difficulty breathing, which are indicative of the heart needing more oxygen supply. Moreover, running increases the heart rate, which in turn increases the myocardial oxygen consumption and is detrimental to health. Particularly, running with mitral valve insufficiency is very dangerous. It is recommended to rest primarily and avoid participating in sports, especially running, for the health of the patient.