Is mitral valve regurgitation due to incomplete closure congenital?

Written by Di Zhi Yong

Cardiology

Updated on September 04, 2024

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If the patient has a history of mitral valve insufficiency accompanied by regurgitation, it may indicate congenital heart disease, but it does not rule out rheumatic heart disease caused by other illnesses. Because of this, it may indeed be a type of congenital heart disease, and some surgical treatments can be used, which are relatively safe. During this period, it is still necessary to actively monitor changes in the patient's blood pressure, pulse, and heart rate. If there is an increase in blood pressure or an overly rapid heart rate, it needs to be actively managed. Early intervention and treatment can alleviate the current condition of the patient. Based on this situation, it is recommended to just perform a cardiac echocardiogram.

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Written by Xie Zhi Hong

Cardiology

1min 22sec

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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

42sec

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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 Xie Zhi Hong

Cardiology

58sec

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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 Chen Tian Hua

Cardiology

47sec

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What should I do if I have mild mitral valve regurgitation?

Mild mitral valve regurgitation is observed and further investigation is needed to understand the causes of this condition. If mild mitral valve regurgitation occurs in a healthy individual, it is primarily due to physiological degeneration of the mitral valve, generally does not lead to adverse consequences, and does not require special treatment. If it is caused by diseases that lead to an enlarged heart, resulting in relative mild mitral valve regurgitation, this situation necessitates active treatment of the underlying diseases to effectively control the condition, prevent further enlargement of the heart, exacerbate the degree of mitral valve regurgitation, and thus adversely affect health.

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Written by Di Zhi Yong

Cardiology

36sec

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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.