Mitral stenosis increases the load on which ventricle?

Written by Di Zhi Yong
Cardiology
Updated on November 10, 2024
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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.

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Written by Di Zhi Yong
Cardiology
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Why does mitral stenosis cause thromboembolism?

Due to mitral stenosis, thrombus formation can sometimes occur, especially when ischemic cerebrovascular diseases lead to cerebral infarction. This is because mitral stenosis can cause emboli to dislodge and travel through the bloodstream to reach the cerebral arteries or veins, leading to thrombus formation. During this period, anticoagulant medications are sometimes used for treatment. If a patient has a history of mitral stenosis, it is necessary to actively use medications for treatment. During this time, it is also important to monitor changes in the patient’s heart rate, blood pressure, and pulse to control the ventricular rate. Currently, treatment is primarily symptomatic, aimed at improving cardiac function.

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Written by Li Hai Wen
Cardiology
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Can mild regurgitation of the heart's mitral and tricuspid valves be repaired?

Mild regurgitation of the heart's mitral and tricuspid valves is a very common phenomenon clinically. This mild regurgitation will not disappear nor can it be repaired. However, from a medical perspective, this mild regurgitation is a normal physiological phenomenon; it does not cause symptoms, does not affect health, and does not require treatment. Naturally, there is also no need to consider repairs. In daily life, it is important to maintain good habits, abstain from smoking and alcohol, engage in regular exercise, and have periodic health checks including blood pressure monitoring and blood tests for lipids and glucose. Early identification and proactive intervention in cases of high blood pressure, cholesterol, and blood sugar can effectively prevent worsening of this regurgitation.

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Written by Xie Zhi Hong
Cardiology
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Why is there a murmur during diastole in mitral stenosis?

The mitral valve is a one-way piston valve between the left atrium and the left ventricle. Generally, once the ventricle completes a contraction and ejects blood, it immediately begins to relax, at which time the mitral valve opens to allow blood from the atrium into the left ventricle. When the mitral valve is severely narrowed, the blood from the atrium cannot pass through the mitral valve into the left ventricle in a timely manner. At this time, the blood flow speed at the mitral orifice increases, forming turbulence, which results in the appearance of diastolic murmurs.

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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 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.