Can mild regurgitation of the heart's mitral and tricuspid valves be repaired?

Written by Li Hai Wen
Cardiology
Updated on February 26, 2025
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Mild regurgitation of the heart's mitral and tricuspid valves is a very common phenomenon clinically. This mild regurgitation will not disappear nor can it be repaired. However, from a medical perspective, this mild regurgitation is a normal physiological phenomenon; it does not cause symptoms, does not affect health, and does not require treatment. Naturally, there is also no need to consider repairs. In daily life, it is important to maintain good habits, abstain from smoking and alcohol, engage in regular exercise, and have periodic health checks including blood pressure monitoring and blood tests for lipids and glucose. Early identification and proactive intervention in cases of high blood pressure, cholesterol, and blood sugar can effectively prevent worsening of this regurgitation.

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Mild to moderate mitral stenosis, how long?

If the patient has mitral stenosis which is mild and progressing to moderate, it will take a year or even longer. Because if mild cases are aggressively managed with medication, it can slow the further progression of the disease. Mitral stenosis is a type of rheumatic heart disease or heart valve disease, mainly causing symptoms such as palpitations, chest tightness, and shortness of breath, with severe cases also presenting with swelling of the lower limbs. For mild mitral stenosis, it is necessary to have regular hospital check-ups, particularly to actively prevent upper respiratory tract infections, as sometimes these conditions can occur after catching cold, and actively controlling respiratory inflammation can improve symptoms.

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Can mild regurgitation of the mitral and tricuspid valves be cured?

For the disease of mild regurgitation of the heart's mitral and tricuspid valves, which belongs to heart valve disorders, it can be improved with medication. However, this disease tends to recur, particularly in cases of upper respiratory tract infections or under the influence of inflammation, which can provoke the onset of this disease. This condition primarily manifests as symptoms like palpitations, chest tightness, and shortness of breath in patients. These symptoms especially include paroxysmal nocturnal dyspnea. Occasionally, there may also be swelling in the lower limbs. With aggressive medical treatment, these issues can be managed, but it is also advisable for patients to regularly come to the hospital for follow-up checks.

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What to do with mild mitral and tricuspid regurgitation?

The appearance of mild regurgitation in the mitral and tricuspid valves requires further clarification of the specific causes leading to the regurgitation, and treatment should be based on these causes. In healthy individuals, mild regurgitation of the mitral and tricuspid valves may be considered physiological degeneration, which is not considered a disease and does not require special treatment. However, mild regurgitation of these valves can also occur due to related organic diseases causing ventricular enlargement and annular dilation, leading to relative mild regurgitation of the mitral and tricuspid valves. In such cases, effective treatment of the underlying disease is necessary to keep it stable in the long term, preventing further enlargement of the ventricle that could worsen valve regurgitation and adversely affect the patient.

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Mild regurgitation of the mitral and tricuspid valves, what's the cause?

Mild regurgitation of the mitral and tricuspid valves, if seen in healthy individuals without related organic diseases, mainly occurs due to the physiological aging of the mitral and tricuspid valves as age increases. This results in slight insufficiency during ventricular contraction, leading to mild regurgitation. This condition is not pathological and does not require treatment, nor does it lead to adverse consequences. However, if the mild regurgitation of the mitral and tricuspid valves is accompanied by an organic disease that causes ventricular enlargement, the cardiac enlargement and annular dilation result in relative regurgitation due to the organic disease. It is necessary to actively control the underlying disease to prevent further enlargement of the heart, which could worsen the insufficiency and cause more blood regurgitation.

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Possible causes of blood-streaked sputum in mitral stenosis

If the patient shows signs of mitral stenosis, it could be due to congestive heart failure causing pulmonary congestion, which may lead to blood-streaked sputum. It is also possible that the bleeding is caused by vascular dilation. For bleeding caused by mitral valve issues, symptomatic treatment is primarily used. Medications to stop bleeding can be employed, as well as vasoconstrictors to achieve hemostasis. However, it is still recommended that the patient visit a hospital to undergo cardiac echocardiography and chest CT to further confirm the diagnosis and determine the treatment plan. Currently, medications that improve myocardial function or reduce cardiac load can be used for treatment.