What to do with mild mitral and tricuspid regurgitation?

Written by Chen Tian Hua
Cardiology
Updated on March 02, 2025
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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 Li Hai Wen
Cardiology
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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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Written by Li Hai Wen
Cardiology
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Does severe mitral valve regurgitation require surgery?

Severe mitral valve regurgitation requires surgical treatment, with options including mitral valve repair or replacement surgery. If left untreated, severe mitral regurgitation can lead to enlargement of the left ventricle and a reduction in the heart's ejection fraction, resulting in decreased pumping function and symptoms of heart failure. Patients may experience symptoms such as difficulty breathing, fatigue, and nocturnal paroxysmal dyspnea. Severe cases might even exhibit symptoms of acute left heart failure, such as orthopnea, profuse sweating, and coughing up pink frothy sputum. These symptoms typically necessitate hospitalization, which not only adds unnecessary financial burdens but also severely impacts the patient’s quality of life.

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Written by Di Zhi Yong
Cardiology
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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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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 Chen Tian Hua
Cardiology
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What is mild regurgitation of the mitral and tricuspid valves?

If a cardiac echocardiogram simply finds mild regurgitation of the mitral and tricuspid valves, and the heart isn't noticeably enlarged, and the valves have no organic lesions, this mild regurgitation of the mitral and tricuspid valves isn't considered a pathological state. It should be considered as physiological degeneration of the valves and doesn't require treatment, generally causing no harm to overall health. However, some occurrences of mild regurgitation of the mitral and tricuspid valves are due to enlargement of the left and right ventricles. In these cases, it's necessary to further identify the causes leading to the enlargement of the ventricles and actively address them to control the condition effectively. This avoids further enlargement of the ventricles, which could worsen the valve regurgitation and negatively impact health.