Why is there a murmur during diastole in mitral stenosis?

Written by Xie Zhi Hong
Cardiology
Updated on March 02, 2025
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The mitral valve is a one-way piston valve between the left atrium and the left ventricle. Generally, once the ventricle completes a contraction and ejects blood, it immediately begins to relax, at which time the mitral valve opens to allow blood from the atrium into the left ventricle. When the mitral valve is severely narrowed, the blood from the atrium cannot pass through the mitral valve into the left ventricle in a timely manner. At this time, the blood flow speed at the mitral orifice increases, forming turbulence, which results in the appearance of diastolic murmurs.

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Written by Xie Zhi Hong
Cardiology
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Why is there a murmur during diastole in mitral stenosis?

The mitral valve is a one-way piston valve between the left atrium and the left ventricle. Generally, once the ventricle completes a contraction and ejects blood, it immediately begins to relax, at which time the mitral valve opens to allow blood from the atrium into the left ventricle. When the mitral valve is severely narrowed, the blood from the atrium cannot pass through the mitral valve into the left ventricle in a timely manner. At this time, the blood flow speed at the mitral orifice increases, forming turbulence, which results in the appearance of diastolic murmurs.

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Written by Di Zhi Yong
Cardiology
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Mitral stenosis increases the load on which ventricle?

If a patient exhibits symptoms of mitral stenosis, it primarily leads to an increased load on the left atrium and left ventricle, resulting in palpitations, chest tightness, and difficulty breathing. The current treatment mainly involves symptomatic therapy, using cardiotonic and diuretic medications to improve the patient's condition. Currently, medications are used in treatment to control symptoms like palpitations and chest tightness. It is advised that the patient should undergo a cardiac echocardiography to further confirm the diagnosis. In treatment, it is still necessary to control blood pressure, heart rate, and pulse changes. If there is a rapid heart rate or increased blood pressure, these should also be actively managed to reduce the cardiac load. Dietarily, it is recommended that patients adopt a light diet, particularly eating smaller, more frequent meals and avoiding spicy and irritating foods. It’s important to keep warm and avoid catching cold.

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Written by Zeng Xian Fu
General Surgery
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Lifespan after mitral valve surgery

Mitral valve surgery includes mitral valve repair and mitral valve replacement repair. The life expectancy after mitral valve surgery is directly related to the patient's preoperative heart function. Patients with poor heart function or poor physical condition have worse prognoses after surgery. If the preoperative heart function and cardiac quality are good and the surgery is timely, the prognosis can be good, even reaching normal life expectancy. Conversely, if the preoperative heart function is poor and the overall physical condition is not good, the prognosis tends to be worse due to the patient's physical state. In general, the earlier the detection and the more timely the surgery, the better the prognosis. Therefore, if there is any growth, it is necessary to seek medical attention promptly.

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Written by Di Zhi Yong
Cardiology
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Do young people have mitral valve regurgitation?

Mitral valve regurgitation is a type of congenital heart disease that tends to occur in children, adolescents, or the elderly. Young people can also develop mitral valve regurgitation. To diagnose this condition, an echocardiogram is necessary, as it allows for a more definitive diagnosis. In terms of treatment, symptomatic treatment is often primary, using cardiotonic diuretics to improve the patient's heart function. During this period, it is important to monitor changes in the patient's vital signs, especially heart rate, pulse, and blood pressure. If the heart rate is too fast, efforts should sometimes be made to actively control ventricular force, thereby reducing the load on the heart.

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Written by Chen Tian Hua
Cardiology
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What are the symptoms of mild mitral regurgitation?

"Mild mitral regurgitation generally does not cause significant symptoms, and mild mitral regurgitation is often seen under physiological conditions. As age increases, due to aging and other reasons, mild regurgitation may occur in the mitral valve, which does not result in adverse consequences. However, sometimes mild mitral regurgitation may be caused by heart disease leading to heart enlargement and annular dilation. In such cases, it is crucial to actively treat the underlying heart disease to prevent further enlargement of the heart, which could worsen the mitral regurgitation. Therefore, when mild mitral regurgitation occurs, it is important to actively investigate the cause of the regurgitation."