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 Xie Zhi Hong
Cardiology
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Can mitral valve insufficiency be treated without valve replacement?

Mitral valve regurgitation is classified into mild, moderate, and severe categories. Generally speaking, patients with mild and some moderate regurgitation may not exhibit symptoms. However, a small proportion of patients with moderate or severe regurgitation might experience symptoms such as tightness after activity and difficulty breathing. If these conditions recur, there may be an indication for surgical intervention. Therefore, for patients with moderate to severe symptoms, or those with significant enlargement of the heart, it is recommended to consider surgery at an early stage. If patients with mild or some moderate mitral valve regurgitation are asymptomatic and do not show significant enlargement of the heart structure, medical treatment or observation without valve replacement can be considered.

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Written by Xie Zhi Hong
Cardiology
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Why does mitral valve insufficiency cause left ventricular hypertrophy?

The mitral valve is an important structure within the left ventricular system; it serves as the necessary channel for blood from the left atrium to enter the left ventricle. Normally, this channel allows for unidirectional flow. However, when mitral valve insufficiency occurs, blood flows back from the left ventricle to the left atrium. This leads to an increase in cardiac work, reduces the efficiency of the heart’s function, and causes hypertrophy due to overuse of the left ventricle. When the mitral valve closes to a certain extent, it can lead to an enlargement of the left ventricle. This is why mitral valve insufficiency can cause enlargement of the left ventricle, primarily because it increases ineffective work, leading to an increased cardiac load.

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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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Mitral valve insufficiency can easily cause what kind of failure?

The most severe complication of mitral valve insufficiency is the occurrence of left-sided heart failure, or left and right heart failure, eventually leading to total heart failure. Since the mitral valve is a type of rheumatic heart disease and also a cardiac valve disorder, cardiac function is abnormal at this time. If this condition is not treated promptly, it will further lead to a decline in cardiac function, causing the occurrence of heart rate failure. Patients mainly exhibit symptoms of ischemia and hypoxia, as well as edema in both lower limbs and some situations of water and sodium retention. It is necessary to actively use cardiotonic diuretics to improve the patient's cardiac function.

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Written by Di Zhi Yong
Cardiology
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Will mild mitral valve insufficiency become more severe?

If the patient has a history of mitral valve insufficiency, and if it is not treated timely, the condition will worsen. If the patient develops heart failure, sometimes it is necessary to actively correct the heart failure, because the most serious complication of this disease is heart failure, which is quite severe. Once the patient's heart function changes, especially if the ejection fraction decreases, it can lead to ischemic and hypoxic changes in the patient. In terms of treatment, it is also important to monitor the patient's blood pressure, heart rate, and pulse changes, while actively controlling the heart rate.