Can mitral valve insufficiency be treated with interventional surgery?

Written by Di Zhi Yong
Cardiology
Updated on September 11, 2024
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If the condition of mitral valve regurgitation is not very severe, interventional surgery can be considered when the condition is under control. However, if the mitral valve regurgitation is accompanied by heart failure, especially chronic heart failure, and if cardiac function is not timely corrected, the patient may not tolerate the surgery, and there are certain risks associated with the operation.

Because mitral valve regurgitation can lead to the formation of thrombi, particularly causing cerebral thrombosis or ischemic cerebrovascular diseases, it is important to actively monitor changes in the patient's heart rate, blood pressure, and pulse. If conditions such as tachycardia or elevated blood pressure occur, they need to be actively managed. If the disease is timely controlled, surgical treatment can be considered.

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Written by Di Zhi Yong
Cardiology
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What to do about chronic cough due to mitral valve insufficiency?

If the patient exhibits mitral regurgitation, this condition falls under cardiac valvular diseases. If the patient frequently experiences coughing and expectorating phlegm, it indicates a certain level of inflammatory infection. It is recommended for the patient to undergo a chest CT scan for an effective confirmation of the cause, which will then determine the treatment plan. For simple mitral stenosis, symptomatic treatment is currently the primary approach, using medications to address heart failure or ischemia and hypoxia. Early treatment is advised to alleviate the current state of ischemia and hypoxia. Persistent coughing and expectorating phlegm indicate inflammation, necessitating the use of antibiotics.

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Written by Li Hai Wen
Cardiology
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Why does the pulse pressure increase with mitral valve insufficiency?

Mitral valve regurgitation leading to an increased pulse pressure difference is a very common phenomenon, which is related to the condition of mitral valve regurgitation itself. This is because when the left ventricle is in systole, the incomplete closure of the mitral valve causes the blood in the left ventricle to flow back into the left atrium, significantly increasing the volume of blood in the left atrium. When the ventricle is in the diastolic filling phase, a large amount of blood from the left atrium enters the left ventricle. At the same time, the left ventricle receives blood from the left atrium as well as the blood remaining from the systolic phase of the ventricle, resulting in a significant increase in the volume of blood the ventricle pumps. This leads to a notable rise in systolic pressure, thereby increasing the pulse pressure difference.

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Written by Di Zhi Yong
Cardiology
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Why does mitral regurgitation decrease during inspiration?

If the patient has a history of mitral valve regurgitation, this condition can lead to changes in heart function, particularly symptoms like palpitations and difficulty breathing. If the symptoms decrease during inhalation, this might be caused by abnormally low pressure in the left ventricle or left atrium. Since this is a pathological change, it is currently recommended that the patient actively use medication and control changes in heart function. If the condition worsens, sometimes surgical treatment is advised as it can also serve a therapeutic purpose.

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Written by Di Zhi Yong
Cardiology
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Can you drink alcohol with mitral valve insufficiency?

If the patient has a history of mitral stenosis or mitral regurgitation, they should avoid alcohol as it can lead to a series of side effects, especially symptoms such as chest tightness, palpitations, and difficulty breathing. If drinking alcohol results in elevated blood pressure, it requires proactive management, especially for those with heart valve diseases. It is advised that patients focus on a diet rich in high-quality protein and low in salt, fat, and sodium. Regular echocardiographic check-ups are also essential. If the patient has no special complications, active treatment is needed, which usually involves using medications to improve cardiac function.

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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.