Why does mitral valve insufficiency cause regurgitation?

Written by Di Zhi Yong
Cardiology
Updated on September 03, 2024
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Mitral valve regurgitation can cause backflow, as it is a type of rheumatic heart disease. Currently, treatment primarily focuses on symptomatic relief and improving the patient’s cardiopulmonary function. During this period, it is still important to actively monitor the patient’s heart rate, blood pressure, and pulse changes. If there is a rapid heart rate or increased blood pressure, these conditions need active intervention to alleviate the patient’s state of ischemia and hypoxia. If there is significant regurgitation, it may lead to a state of hypoxia. During this period, it is still important to actively monitor the patient’s heart rate, blood pressure, and pulse. Regular follow-up with cardiac echocardiography is adequate, and it is also necessary to actively prevent upper respiratory infections.

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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 Xie Zhi Hong
Cardiology
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Does mild mitral valve regurgitation require treatment?

The mitral valve is a crucial structure in the left ventricle that directs blood from the atrium to the ventricle. When there is mitral valve insufficiency, the blood that should be pumped from the ventricle into the aorta and distributed throughout the body can flow back into the left atrium through the mitral valve. This can sometimes increase the ineffective efforts of the heart, leading to a higher cardiac load, and may sometimes result in heart failure. Generally speaking, there is a limit to how much load the left heart can compensate for. Mild mitral valve insufficiency is mostly within the compensatory range of the heart and may not require treatment. However, it is important to determine the cause of the mitral valve insufficiency, such as whether it is due to cardiac enlargement, poor coronary artery blood supply leading to poor mitral valve development, age-related degenerative changes, rheumatic heart valve disease, or endocardial infection. Some conditions, such as those caused by infection or coronary artery ischemia, need timely treatment. The notion that treatment is not necessary is incomplete. For some age-related degenerative changes, treatment may not be needed.

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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 Chen Tian Hua
Cardiology
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Mild to moderate mitral valve regurgitation treatment

"Mild to moderate mitral valve regurgitation has been detected, and treatment should be given based on the specific circumstances. If it is simply mild to moderate mitral valve regurgitation without related structural heart disease, it can be temporarily observed without special intervention, and regular follow-up echocardiograms should be scheduled. If mild to moderate mitral valve regurgitation is accompanied by structural heart disease, active treatment of the related heart disease should be pursued to effectively control it. If heart failure occurs, active treatment for heart failure should be initiated to prevent the worsening of mitral valve regurgitation due to aggravated heart failure. Therefore, if mild to moderate mitral valve regurgitation is present, the cause should be further investigated and treated accordingly based on the different causes."

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Written by Di Zhi Yong
Cardiology
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Can mitral valve insufficiency run?

Patients with mitral valve stenosis and insufficiency are advised not to run, as running is an aerobic exercise that increases heart rate. This can lead to symptoms like palpitations, chest tightness, and difficulty breathing, which are indicative of the heart needing more oxygen supply. Moreover, running increases the heart rate, which in turn increases the myocardial oxygen consumption and is detrimental to health. Particularly, running with mitral valve insufficiency is very dangerous. It is recommended to rest primarily and avoid participating in sports, especially running, for the health of the patient.