What causes mitral regurgitation in young people?

Written by Li Hai Wen
Cardiology
Updated on September 29, 2024
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Mitral regurgitation is a phenomenon caused by incomplete closure of the mitral valve. From a medical perspective, when the left ventricle contracts, the mitral valve should be closed to prevent blood from flowing back into the left atrium, ensuring that the blood in the left ventricle can be fully pumped into the aorta to meet the needs of the body's tissues and organs. If there is incomplete closure of the mitral valve, the blood in the left ventricle will flow back into the left atrium, affecting the pumping efficiency of the left ventricle. If it is a mild closure insufficiency, generally it is not a big problem, but if it is moderate to severe, it often easily triggers the onset of heart failure.

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Why does mitral stenosis cause enlargement of the left atrium?

Because mitral stenosis can lead to changes in the mitral valve, particularly causing excessive pressure in the left ventricle, this excessive pressure can lead to enlargement of the left atrium, which are complementary conditions. During this period, it is still important to actively manage the condition, using medication treatment. If the area of stenosis is relatively large, surgical treatment is needed, as balloon dilation can currently be used to alleviate this condition. Early treatment is best to relieve clinical symptoms. At the same time, it is also important to actively monitor changes in heart rate, blood pressure, and pulse, so as to control the heart rate and reduce myocardial oxygen consumption.

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What is mild mitral and tricuspid regurgitation of the heart?

Mild regurgitation of the mitral and tricuspid valves means that during the contraction phase of the heart, the mitral and tricuspid valves cannot close completely, resulting in a slight imperfection in closure. This causes a small amount of blood to flow back from the ventricle into the atrium. Since the closure imperfection is minor, the volume of the regurgitating blood is not significant. If not accompanied by any organic disease, this type of regurgitation typically does not lead to adverse outcomes and does not require treatment. However, if the patient has an organic disease, especially organic heart disease, it is crucial to actively control the related diseases to prevent aggravation, which could worsen the condition of mitral and tricuspid valves regurgitation, leading to more severe regurgitation.

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The cause of thromboembolism in mitral stenosis

The mitral valve is an important part of the left heart system, located between the left ventricle and the left atrium. When the heart is in diastole, the mitral valve opens, allowing blood from the atrium to be transferred into the ventricle. However, when the mitral valve is narrowed, blood from the left atrium cannot flow into the left ventricle in a timely manner. This leads to an increased load on the left atrium. Over time, this can cause severe enlargement of the left atrium and lead to atrial fibrillation, a type of cardiac arrhythmia. Once atrial fibrillation occurs, it can cause thrombosis in the left atrium, particularly in the part called the atrial appendage. If a thrombus forms, it may dislodge during the heart's contractions, potentially causing systemic embolism with serious consequences, including paralysis or even sudden death.

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Is mild regurgitation of the mitral and tricuspid valves serious?

Because mild regurgitation of the mitral and tricuspid valves is a type of heart valve disease, if it is not very severe, it can be observed for the time being, and some medications can be used to alleviate the symptoms. Currently, the treatment of this disease is mainly symptomatic. It is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. If the patient experiences chest tightness, palpitations, or difficulty breathing, some cardiotonics and diuretics can be used to reduce the cardiac load and thus improve the patient's symptoms. If it is a mild regurgitation, regular cardiac echocardiography checks are sufficient. During this period, it is still important to actively prevent upper respiratory tract infections.

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Can someone with mitral stenosis fly on a plane?

If the patient has a history of mitral stenosis, it is best not to fly, as flying may exacerbate the symptoms, causing situations like palpitations, chest tightness, and breathing difficulties. If the mitral stenosis is treated timely, these symptoms will subside. During this period, it is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. An overly rapid heart rate can sometimes cause palpitations. It is especially important to manage the ventricular rate. The patient's diet should primarily consist of low salt, low fat, and low sugar. Regular re-examinations of the electrocardiogram and echocardiogram are necessary, and if symptoms worsen, it is critical to go to the hospital for treatment promptly.