Is mild regurgitation of the mitral and tricuspid valves serious?

Written by Di Zhi Yong

Cardiology

Updated on March 08, 2025

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Because mild regurgitation of the mitral and tricuspid valves is a type of heart valve disease, if it is not very severe, it can be observed for the time being, and some medications can be used to alleviate the symptoms.

Currently, the treatment of this disease is mainly symptomatic. It is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. If the patient experiences chest tightness, palpitations, or difficulty breathing, some cardiotonics and diuretics can be used to reduce the cardiac load and thus improve the patient's symptoms.

If it is a mild regurgitation, regular cardiac echocardiography checks are sufficient. During this period, it is still important to actively prevent upper respiratory tract infections.

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Is severe mitral valve regurgitation serious?

Mitral valve regurgitation can be mild, moderate, or severe, with severe mitral valve regurgitation being the most serious. Over time, severe mitral valve regurgitation can cause enlargement of the heart and a decreased heart pumping function, eventually leading to symptoms of heart failure. Patients may experience difficulty breathing, shortness of breath, fatigue, and other symptoms. Additionally, there may be swelling in both lower limbs. When such symptoms occur, it is necessary to take diuretic medications under the guidance of a doctor to reduce heart strain, such as furosemide or spironolactone. If necessary, digoxin may be taken to strengthen the heart and improve symptoms of heart failure. After stabilization, a mitral valve replacement or repair surgery may be scheduled.

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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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Cardiology

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Can people with mitral stenosis have children?

If the patient has mitral stenosis, the decision on whether to have children should be based on the size and extent of the narrowing. This is because, in the late stages of pregnancy, this condition can be life-threatening, especially as it can lead to heart failure. This occurs because blood volume increases and the heart is overloaded, which is very dangerous. It can cause the fetus to develop certain diseases due to ischemia and hypoxia, potentially endangering its life. Since mitral stenosis is a type of congenital heart disease, surgical treatment is sometimes necessary to alleviate the condition. The decision to have children can vary depending on individual differences and is not absolute. If the symptoms are severe, it is recommended not to have children.

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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.