Is mild mitral regurgitation a disease?

Written by Chen Tian Hua
Cardiology
Updated on February 09, 2025
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Mild mitral regurgitation can be caused by diseases or it can also be seen in healthy individuals. In healthy people, as age increases, the valve may experience some aging, leading to mild regurgitation. This mild mitral regurgitation is not considered a pathological condition and does not require treatment. Of course, mild mitral regurgitation can also be seen in some organic heart diseases, most commonly due to heart enlargement caused by various diseases leading to relative mild mitral regurgitation. For mild mitral regurgitation caused by diseases, it is important to effectively treat the related diseases to maintain stability of the condition, to prevent the disease from worsening and causing the heart to enlarge further, leading to more severe mitral regurgitation.

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Can mild mitral and tricuspid regurgitation be cured by taking medication?

If a patient frequently exhibits mild regurgitation of the mitral or tricuspid valve, it is advisable to go to the hospital for a cardiac echocardiogram, as this would help to further clarify the diagnosis. If the condition is related to heart valve disease, early stage treatment can involve using medications to improve ventricular rate, or to manage heart failure, thereby reducing the load on the heart. During this period, it is still necessary to actively monitor the patient's heart rate, blood pressure, and pulse changes. If the patient's heart rate is too fast or blood pressure is elevated, these symptoms need to be actively managed using medications. Because this disease can recur, medical treatment can only improve symptoms but is not curative; regular follow-ups are still required.

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Does mitral valve cause hemoptysis with lumps?

If the patient has a history of mitral stenosis, it is still necessary to actively control the symptoms in treatment. Because mitral stenosis can cause hemoptysis, the amount of blood coughed up depends on individual factors. This condition can cause capillary rupture and bleeding, which may result in the coughing up of blood clots. This situation does not indicate whether there is a tumor, as mitral stenosis is a type of rheumatic heart disease or congenital heart disease. Currently, the treatment primarily focuses on symptomatic relief, actively controlling the heart rate, and managing changes in blood pressure and pulse, which can also improve this condition.

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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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Why does mitral stenosis cause enlargement of the left atrium?

Because mitral stenosis can lead to changes in the mitral valve, particularly causing excessive pressure in the left ventricle, this excessive pressure can lead to enlargement of the left atrium, which are complementary conditions. During this period, it is still important to actively manage the condition, using medication treatment. If the area of stenosis is relatively large, surgical treatment is needed, as balloon dilation can currently be used to alleviate this condition. Early treatment is best to relieve clinical symptoms. At the same time, it is also important to actively monitor changes in heart rate, blood pressure, and pulse, so as to control the heart rate and reduce myocardial oxygen consumption.

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The reason for the formation of mitral stenosis pear-shaped heart

The heart undergoes a contraction cycle that begins once the ejection from the previous cycle is complete, necessitating the relaxation of the heart. As the heart relaxes, the mitral valve opens to allow blood to flow from the atrium to the ventricle, preparing for the next heartbeat. In patients with severe mitral stenosis, a significant reduction in the return volume of blood to the heart occurs. This reduction diminishes the pumping action of the ventricle, leading to disuse atrophy of the left ventricle. Normally, the left ventricle is relatively large and capable of maintaining a normal heart shape. When the left ventricle atrophies, it results in the heart having a flatter, more rounded apex, leading to a pear-shaped heart. If the ventricles are unable to efficiently reclaim blood, the load on the left atrium increases. Consequently, the left atrium enlarges, appearing larger at the top and smaller at the bottom in an X-ray, resembling a pear. This is how a pear-shaped heart is formed.