Can mitral stenosis be repaired?

Written by Di Zhi Yong
Cardiology
Updated on September 29, 2024
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Mitral stenosis sometimes requires surgical treatment to achieve repair standards, but it cannot be repaired solely through medication, as medications only relieve symptoms and cannot serve the purpose of treatment. This disease can cause ischemic and hypoxic changes, leading to heart failure. Patients typically present with a rumbling murmur in the precordial area, and may also experience palpitations, difficulty breathing, and other symptoms. It is sometimes crucial to actively monitor changes in the patient's blood pressure, heart rate, and pulse. The treatment primarily focuses on symptomatic relief, improving heart function, and may include the administration of low-flow oxygen inhalation to help alleviate the current condition of the patient.

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Written by Chen Tian Hua
Cardiology
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What to do with mild mitral and tricuspid regurgitation?

The appearance of mild regurgitation in the mitral and tricuspid valves requires further clarification of the specific causes leading to the regurgitation, and treatment should be based on these causes. In healthy individuals, mild regurgitation of the mitral and tricuspid valves may be considered physiological degeneration, which is not considered a disease and does not require special treatment. However, mild regurgitation of these valves can also occur due to related organic diseases causing ventricular enlargement and annular dilation, leading to relative mild regurgitation of the mitral and tricuspid valves. In such cases, effective treatment of the underlying disease is necessary to keep it stable in the long term, preventing further enlargement of the ventricle that could worsen valve regurgitation and adversely affect the patient.

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Written by Di Zhi Yong
Cardiology
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What is causing the nausea and vomiting due to mitral stenosis?

If a patient exhibits mitral stenosis along with nausea and vomiting, it is possible that there is an overproduction of stomach acid, leading to symptoms like acid reflux, nausea, and vomiting. This condition might be due to gastrointestinal congestion caused by mitral stenosis, resulting in excess stomach acid under stress. In terms of treatment, it is advisable to recommend medications that suppress stomach acid secretion early on to alleviate the current symptoms. As for treating mitral stenosis, employing cardiotonic and diuretic therapies to improve heart function can help relieve symptoms. Regular hospital visits for cardiac ultrasound are still necessary to monitor the condition.

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Written by Li Hai Wen
Cardiology
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Severe mitral regurgitation indicators

The criteria for judging mitral valve regurgitation mainly depend on the percentage of the regurgitation area in relation to the left atrial area. If the area of mitral regurgitation exceeds 40% of the left atrial area, it is medically termed as severe regurgitation. If it is below 20%, it is considered mild regurgitation. Generally, patients with severe regurgitation require surgical treatment. This treatment can be conducted through mitral valve replacement surgery or mitral valve repair surgery. Surgical treatment can effectively prevent the occurrence of heart failure, thereby improving the quality of life and extending the patient's lifespan.

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Written by Chen Tian Hua
Cardiology
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Can mitral and tricuspid regurgitation heal by themselves?

Mitral and tricuspid valve regurgitation generally cannot heal on their own. Of course, different cases of mitral and tricuspid regurgitation require different clinical treatments. Generally speaking, if it is only mild mitral and tricuspid regurgitation, no special treatment is needed. If it is caused by organic lesions in the mitral and tricuspid valves themselves, causing severe regurgitation, then surgical treatment is necessary to correct the organic abnormalities of the valves. If the regurgitation of the tricuspid and mitral valves is caused by diseases that lead to an enlarged heart and dilation of the valve annulus, it is necessary to actively treat these diseases to effectively control the condition and prevent it from worsening.

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Written by Di Zhi Yong
Cardiology
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Mitral stenosis increases the load on which ventricle?

If a patient exhibits symptoms of mitral stenosis, it primarily leads to an increased load on the left atrium and left ventricle, resulting in palpitations, chest tightness, and difficulty breathing. The current treatment mainly involves symptomatic therapy, using cardiotonic and diuretic medications to improve the patient's condition. Currently, medications are used in treatment to control symptoms like palpitations and chest tightness. It is advised that the patient should undergo a cardiac echocardiography to further confirm the diagnosis. In treatment, it is still necessary to control blood pressure, heart rate, and pulse changes. If there is a rapid heart rate or increased blood pressure, these should also be actively managed to reduce the cardiac load. Dietarily, it is recommended that patients adopt a light diet, particularly eating smaller, more frequent meals and avoiding spicy and irritating foods. It’s important to keep warm and avoid catching cold.