Why does mitral valve insufficiency cause left heart failure?

Written by Di Zhi Yong
Cardiology
Updated on September 07, 2024
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Mitral valve insufficiency can lead to left heart failure, as it may cause excessive pressure in the left atrium and ventricle, leading to left heart failure. This condition is characterized by symptoms such as coughing up pink frothy sputum, feeling of heart palpitations, chest tightness, and difficulty breathing.

This situation leads to an increased afterload on the heart, causing a series of symptoms. Therefore, mitral valve insufficiency can result in left heart failure, especially noticeable during the night with orthopnea and coughing up pink frothy sputum, which are typical clinical manifestations of left heart failure. The current treatment primarily focuses on symptomatic management, using medications such as cardiac glycosides and diuretics to improve symptoms.

(Please use medication under the guidance of a physician.)

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Written by Xie Zhi Hong
Cardiology
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Can people with mitral valve regurgitation drink coffee?

The mitral valve refers to an important passageway between the atrium and the ventricle in the left heart system. This passageway is unidirectional. When the blood from the ventricle can flow back to the atrium through the mitral valve, it indicates mitral valve regurgitation. Mild to moderate mitral valve regurgitation often has no symptoms, and drinking coffee is permissible. However, patients with severe mitral valve regurgitation may experience severe palpitations, chest tightness, and shortness of breath. Drinking coffee can cause arrhythmias, palpitations, chest tightness, and increased heart workload; therefore, it is advised that such patients should not consume coffee.

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Written by Xie Zhi Hong
Cardiology
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Can mitral valve insufficiency be detected on a chest radiograph?

Mitral valve insufficiency is characterized by an enlarged heart, and a blowing murmur can be heard during mitral valve systole through auscultation. Therefore, in chest X-ray examinations, an enlargement of the left lower cardiac border can be observed. Some severe cases may exhibit pulmonary artery hypertension, indicated by a prominent pulmonary artery segment; additionally, patients with heart failure may show increased pulmonary blood flow, all of which aid in the diagnosis of mitral valve insufficiency. However, this is not the definitive diagnosis, which should be determined through echocardiography. Especially through Doppler imaging, the enlargement of heart structures, the mosaic blood flow caused by mitral valve insufficiency, and changes in blood flow speed and direction can be clearly diagnosed. Therefore, the primary diagnostic tool for mitral valve insufficiency is not the chest X-ray, which only shows indirect signs, but echocardiography.

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Written by Di Zhi Yong
Cardiology
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How to treat calcification of mitral valve regurgitation?

Mitral valve regurgitation with calcification indicates the onset of calcification in this condition, though this alone does not necessarily indicate a problem. However, mitral valve regurgitation should still be actively treated. Early or mild cases can lead to pathological changes in the heart, particularly when there is excess pressure on the mitral valve, left ventricle, or left atrium. This may cause symptoms like palpitations, chest tightness, and difficulty breathing. Sometimes, medications to dilate blood vessels, strengthen the heart, and promote urination may be necessary to reduce cardiac load and improve symptoms.

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Written by Xie Zhi Hong
Cardiology
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Does mitral valve insufficiency affect heart rate?

In order to maintain the vital signs of the human body, the heart must have a fixed cardiac output to ensure the blood supply and nourishment of the body, therefore the cardiac output is definite as per the body's needs. When there is severe mitral valve regurgitation, it causes a decrease in the stroke volume. As a compensation, while the stroke volume decreases, in order to ensure the body's blood supply and nourishment, the heart accelerates its beating to maintain the supply of output. Therefore, patients with mitral valve regurgitation often experience symptoms of tightness in the chest, difficulty breathing, and palpitations after exercising. This means that our heart rate after exercise will be faster than in people without mitral valve regurgitation, thus mitral valve regurgitation affects the heart rate.

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Written by Di Zhi Yong
Cardiology
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Is mild mitral valve regurgitation a serious condition?

If the patient has a history of mitral valve insufficiency, it is recommended that they undergo a cardiac echocardiography to further clarify the diagnosis. Simple mitral valve insufficiency can present with rumbling murmurs in the precordial area, but it may also be accompanied by palpitations, chest tightness, and difficulty breathing. Sometimes, it is necessary to actively manage these symptoms by using positive inotropic drugs to improve the patient's cardiac function. If the patient exhibits swelling in both lower limbs, it may sometimes be necessary to use medications to manage this condition and alleviate the current symptoms. Dietary recommendations should also include a low-salt, low-fat, and low-sugar diet to help improve the symptoms.