Will mild mitral valve regurgitation worsen?

Written by Di Zhi Yong
Cardiology
Updated on October 22, 2024
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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
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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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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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Is mild mitral valve regurgitation serious?

Mild mitral valve regurgitation, as the name implies, is mild and not severe. From a medical perspective, most cases of mild mitral valve regurgitation are normal physiological phenomena in the human body, which do not cause symptoms, do not affect health, and do not require treatment. Therefore, there is no need to overly worry about this condition in daily life. Of course, maintaining good lifestyle habits is necessary, such as exercising regularly with activities like running and practicing yoga, not smoking, not drinking alcohol, ensuring good sleep, and keeping a pleasant mood. Regarding diet, eat less spicy and greasy food and consume more vegetables and fruits. Good lifestyle habits can effectively prevent the worsening of mitral valve regurgitation.

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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.

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Written by Xie Zhi Hong
Cardiology
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Can mitral valve insufficiency be treated without valve replacement?

Mitral valve regurgitation is classified into mild, moderate, and severe categories. Generally speaking, patients with mild and some moderate regurgitation may not exhibit symptoms. However, a small proportion of patients with moderate or severe regurgitation might experience symptoms such as tightness after activity and difficulty breathing. If these conditions recur, there may be an indication for surgical intervention. Therefore, for patients with moderate to severe symptoms, or those with significant enlargement of the heart, it is recommended to consider surgery at an early stage. If patients with mild or some moderate mitral valve regurgitation are asymptomatic and do not show significant enlargement of the heart structure, medical treatment or observation without valve replacement can be considered.