Mitral stenosis increases the load on which ventricle?

Written by Di Zhi Yong
Cardiology
Updated on November 10, 2024
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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 Li Hai Wen
Cardiology
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The causes of embolism in mitral stenosis

Mitral stenosis in patients can lead to embolism due to the tendency of mitral stenosis to cause enlargement of the left atrium. The enlargement of the left atrium is a key anatomical factor leading to atrial fibrillation and cardiac arrhythmias. When atrial fibrillation occurs, it is easy for blood clots to form in the left atrium, especially in the area of the left atrial appendage. When a blood clot breaks off, it can travel with the bloodstream and cause occlusion of the corresponding blood vessels, resulting in embolic complications. Timely surgical intervention to treat mitral stenosis can effectively prevent complications such as atrial enlargement and blood clots caused by mitral stenosis.

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Written by Di Zhi Yong
Cardiology
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Can people with mitral stenosis have children?

If the patient has mitral stenosis, the decision on whether to have children should be based on the size and extent of the narrowing. This is because, in the late stages of pregnancy, this condition can be life-threatening, especially as it can lead to heart failure. This occurs because blood volume increases and the heart is overloaded, which is very dangerous. It can cause the fetus to develop certain diseases due to ischemia and hypoxia, potentially endangering its life. Since mitral stenosis is a type of congenital heart disease, surgical treatment is sometimes necessary to alleviate the condition. The decision to have children can vary depending on individual differences and is not absolute. If the symptoms are severe, it is recommended not to have children.

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Written by Li Hai Wen
Cardiology
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What causes mitral regurgitation in young people?

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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Written by Di Zhi Yong
Cardiology
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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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Written by Li Hai Wen
Cardiology
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Severe mitral regurgitation indicators

The criteria for judging mitral valve regurgitation mainly depend on the percentage of the regurgitation area in relation to the left atrial area. If the area of mitral regurgitation exceeds 40% of the left atrial area, it is medically termed as severe regurgitation. If it is below 20%, it is considered mild regurgitation. Generally, patients with severe regurgitation require surgical treatment. This treatment can be conducted through mitral valve replacement surgery or mitral valve repair surgery. Surgical treatment can effectively prevent the occurrence of heart failure, thereby improving the quality of life and extending the patient's lifespan.