Can people with mitral valve regurgitation drink coffee?

Written by Xie Zhi Hong
Cardiology
Updated on March 21, 2025
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The mitral valve refers to an important passageway between the atrium and the ventricle in the left heart system. This passageway is unidirectional. When the blood from the ventricle can flow back to the atrium through the mitral valve, it indicates mitral valve regurgitation. Mild to moderate mitral valve regurgitation often has no symptoms, and drinking coffee is permissible. However, patients with severe mitral valve regurgitation may experience severe palpitations, chest tightness, and shortness of breath. Drinking coffee can cause arrhythmias, palpitations, chest tightness, and increased heart workload; therefore, it is advised that such patients should not consume coffee.

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Written by Di Zhi Yong
Cardiology
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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 Xie Zhi Hong
Cardiology
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Can people with mitral valve regurgitation drink coffee?

The mitral valve refers to an important passageway between the atrium and the ventricle in the left heart system. This passageway is unidirectional. When the blood from the ventricle can flow back to the atrium through the mitral valve, it indicates mitral valve regurgitation. Mild to moderate mitral valve regurgitation often has no symptoms, and drinking coffee is permissible. However, patients with severe mitral valve regurgitation may experience severe palpitations, chest tightness, and shortness of breath. Drinking coffee can cause arrhythmias, palpitations, chest tightness, and increased heart workload; therefore, it is advised that such patients should not consume coffee.

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Written by Xie Zhi Hong
Cardiology
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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 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 Xie Zhi Hong
Cardiology
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Why does mitral valve insufficiency cause left ventricular hypertrophy?

The mitral valve is an important structure within the left ventricular system; it serves as the necessary channel for blood from the left atrium to enter the left ventricle. Normally, this channel allows for unidirectional flow. However, when mitral valve insufficiency occurs, blood flows back from the left ventricle to the left atrium. This leads to an increase in cardiac work, reduces the efficiency of the heart’s function, and causes hypertrophy due to overuse of the left ventricle. When the mitral valve closes to a certain extent, it can lead to an enlargement of the left ventricle. This is why mitral valve insufficiency can cause enlargement of the left ventricle, primarily because it increases ineffective work, leading to an increased cardiac load.