Treatment FAQ

what is the treatment of mitral regurgitation

by Boyd Boyle Published 3 years ago Updated 2 years ago
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Types of medications that may be prescribed for mitral valve regurgitation include: Diuretics. Sometimes called water pills, this type of medication reduces or prevents fluid buildup in the lungs and other parts of the body. Blood thinners (anticoagulants).Feb 8, 2022

Medication

  • Also called functional or ischemic
  • Due to a left ventricular wall motion abnormalities (i.e., ischemic cardiomyopathy) or left ventricular remodeling (i.e., dilated cardiomyopathy)
  • No structural problems with the valve itself

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Procedures

  • Aging: if you are over 50 years old, the risk of getting valve leakage is bigger. ...
  • Rheumatic Fever: if you have had a rheumatic fever for the past years, it may cause scars on the heart valve. ...
  • Mitral Valve Prolapse: when the mitral valve between the left atrium and ventricle sinks or prolapses. ...

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Nutrition

This is turn balances out the cardiac system. Can mitral valve regurgitation heal on its own? No, It is a structural abnormality of the heart. The symptoms of this may be more or less severe, at times, but the defect doesn't heal on it's own. Below is an image, showing the structure a normal valve and the one with a prolapse or regurgitating valve.

What is the most common cause of mitral regurgitation?

  • Having mitral valve regurgitation does not mean that you should restrict your physical activity
  • If your condition is not severe, you can certainly include some mild to moderate physical exercises in your daily routine
  • It is also a good idea to pursue your hobbies and interests

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How dangerous is mitral valve regurgitation?

Can mitral valve regurgitation heal on its own?

How to cope with mitral valve regurgitation?

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Can mitral valve regurgitation be treated?

Severe mitral valve regurgitation often requires a catheter procedure or heart surgery to repair or replace the mitral valve. Without proper treatment, severe mitral valve regurgitation can cause heart rhythm problems (arrhythmias) or heart failure.

What is the most common cause of mitral regurgitation?

Mitral valve prolapse: Prolapse is the most common cause of mitral regurgitation, and features extra tissue in the valve that keeps it from closing. Certain inherited genes can increase your risk of developing prolapse. It is also called click-murmur syndrome, Barlow's syndrome, and floppy valve syndrome.

Is mitral regurgitation serious?

Acute, severe mitral valve regurgitation is a medical emergency. It can cause serious symptoms such as: Symptoms of shock, such as pale skin, loss of consciousness, or rapid breathing. Severe shortness of breath.

What should I avoid if I have mitral valve regurgitation?

Eating well: You need to eat lots of fruits, vegetables, whole grains, and proteins. You'll need to limit salt, added sugars, saturated and trans fats, and alcohol.

How long can you live with mitral valve regurgitation?

Widely disparate estimates of long term survival in patients with mitral regurgitation—between 97–27% at five years—have been reported.

How do you improve mitral valve regurgitation?

Lifestyle and home remediesManage blood pressure. Control of high blood pressure is important if you have mitral valve regurgitation.Eat a heart-healthy diet. ... Get regular exercise. ... Maintain a healthy weight. ... Prevent infective endocarditis. ... Avoid or limit alcohol. ... Avoid tobacco. ... Get regular health checkups.

What is the best medication for mitral regurgitation?

What kinds of medications treat mitral valve regurgitation?Diuretics that help reduce the buildup of fluids in the body and swelling in the legs and feet.Blood thinners to prevent with clots.Beta blockers that help control your heart rate.Hypertension drugs to keep your blood pressure stable.

How can I strengthen my heart valve naturally?

9 Natural Ways to Strengthen Your Heart ValvesLook at Your Plate. ... Pop Some Fish Oil. ... Keep Your Weight in Check. ... Decrease Salt Intake. ... Get Better Sleep. ... Move Around. ... Try Meditation. ... Up Your Dental Hygiene.More items...•

What are the stages of mitral valve regurgitation?

There are three stages of mitral regurgitation:Compensated stage.Transitional stage.Decompensated stage.

Is walking good for mitral valve regurgitation?

If you have mild to moderate regurgitation and reduced heart function, ask your doctor what level and type of activity is safe for you. You might be able to exercise at low or moderate aerobic levels such as walking or swimming.

Is exercise good for leaky heart valves?

Everyone with a leaky heart valve can benefit from daily exercise, like walking. Before engaging in competitive or contact sports, people with severe valve regurgitation should talk with their doctors.

How do you fix a leaky heart valve without surgery?

While this condition can lead to serious health problems, it is treatable – even more so these days due to a minimally invasive procedure using the MitraClip. This FDA-approved device allows physicians to fix faulty heart valves without doing open heart surgery.

What is the procedure to repair a mitral valve?

Open-heart surgery to repair or replace the diseased valve may be required for severe mitral valve regurgitation that develops or worsens abruptly. The replacement is a mechanical valve or one made of pig, cow or human heart tissue.

What to do if your heart regurgitates?

Your doctor will monitor your condition and may prescribe medication to relieve symptoms. If the regurgitation is more of a problem, you may need to have the valve repaired or replaced. Depending on your heart's condition and your overall health, the doctor will recommend one of the following procedures: Open-heart surgery to repair ...

Can mitral valve surgery be done with a bypass machine?

During surgery, the patient's heart is temporarily stopped to allow work on the valve, so a heart-lung bypass machine is used to circulate blood through the body. Minimally invasive mitral valve surgery can be an option for patients who have regurgitation but no other serious heart problems.

Can you make an incision in the chest for mitral valve replacement?

The procedure doesn't require making incisions in the chest or temporarily stopping the heart. Transcatheter mitral valve replacement may be recommended for certain patients who are not candidates for either open-heart or minimally invasive valve repair.

Why do you need to replace a mitral valve?

You may need to have your mitral valve repaired or replaced if your condition starts to affect your heart’s ability to pump blood. The decision on whether to fix it and what type of procedure to use depends on several things: The severity of your valve problem.

What is the mitral valve?

Your mitral valve is one of the parts that makes this happen. It’s located between two of the four chambers in your heart: the left atrium and the left ventricle. When it’s working the right way, the valve opens up and allows blood to flow out of the atrium, which is above it. It’s then supposed to close back up.

How to repair a heart valve?

Your surgeon may make a small cut, or incision, into your chest to guide it in. For others, open-heart surgery is the best option. This is the most common way to repair or replace your heart valve.

Can medicine reverse regurgitation?

Medicine cannot reverse the actual condition. But it can treat many of the symptoms regurgitation causes and can be used if the leakage isn’t too bad. Depending on what’s going on in your body, your doctor may put you or a loved one on the following: Sometimes, lifestyle changes and medications aren’t enough.

Can regurgitation cause heart failure?

It can also cause high blood pressure and a buildup of fluid in your lungs. If it’s left untreated and gets worse, regurgitation could lead to heart failure, stroke, or blood clots because the heart can’t pump enough blood to your body.

What are the symptoms of mitral valve regurgitation?

Signs and symptoms of mitral valve regurgitation, which depend on its severity and how quickly the condition develops, can include: Abnormal heart sound (heart murmur) heard through a stethoscope. Shortness of breath (dyspnea), especially when you have been very active or when you lie down. Fatigue.

What is the mitral valve?

Mitral valve prolapse and regurgitation. The mitral valve separates the two chambers (atrium and ventricle) of the left side of the heart. In mitral valve prolapse, the leaflets of the mitral valve bulge (prolapse) into the left atrium like a parachute during the heart's contraction.

What valve is responsible for causing blood to leak backwards into the left atrium?

In mitral valve regurgitation, the valve between the upper left heart chamber (left atrium) and the lower left heart chamber (left ventricle) doesn't close tightly, causing blood to leak backward into the left atrium (regurgitation).

What is it called when the mitral valve doesn't close?

Mitral valve regurgitation — also called mitral regurgitation, mitral insufficiency or mitral incompetence — is a condition in which your heart's mitral valve doesn't close tightly, allowing blood to flow backward in your heart.

What causes a mitral valve to be damaged?

The mitral valve may be damaged by an infection of the lining of the heart (endocarditis) that can involve heart valves. Heart attack. A heart attack can damage the area of the heart muscle that supports the mitral valve, affecting the function of the valve.

What to do if your heart murmurs?

If your doctor hears a heart murmur when listening to your heart with a stethoscope, he or she may recommend that you visit a cardiologist and get an echocardiogram. If you develop symptoms that suggest mitral valve regurgitation or another problem with your heart, see your doctor right away.

Where is the mitral valve located?

The mitral valve is located between the upper left heart chamber (left atrium) and the lower left heart chamber (left ventricle). A healthy mitral valve keeps your blood moving in the right direction. A leaky valve doesn't close the way it should, allowing some blood to flow backward into the left atrium. If left untreated, a leaky valve could lead to heart failure.

What is the best treatment for mitral regurgitation?

Depending on the severity of your heart valve disease, your cardiologist may recommend: Medications. Surgical treatment. Non-surgical , less invasive treatments. To learn about the various treatment options for mitral regurgitation, keep reading.

What is the procedure called when the surgeon fastens the leaflets of the mitral valve?

Annuloplasty, in which the surgeon implants a ring (a collar-like structure) around the opening of the mitral valve to make it smaller. Edge-to-Edge, a procedure in which the surgeon fastens portions of the valve leaflets together.

What percentage of ejection fraction is needed for mitral valve surgery?

Surgery is recommended to treat the mitral valve if the ejection fraction drops below 65 percent, or if the left ventricle is enlarged (larger than 45 millimeters). Your doctor may recommend surgical treatment of the valve if a change in your left ventricle is detected by ultrasound, even if you do not have symptoms.

What is the best treatment for a leaking heart valve?

Antibiotics: Drugs that kill bacteria may help prevent or treat an infection of the heart valves ( endocarditis ). Leaking heart valves are at higher risk of being infected during routine teeth cleaning or surgery. Even if you are on medications, you may notice an increase in fatigue or shortness of breath.

How long does it take to recover from valve surgery?

After valve surgery, recovery in the hospital may last from 4 to 10 days, depending on your condition. You may spend the first days after surgery in an intensive care unit (ICU), where your heart will be closely monitored.

What is the measure used to determine whether a surgical approach should be taken?

One measure used to determine whether a surgical approach should be taken is called ejection fraction. The ejection fraction measures the fraction of blood that your heart’s left lower chamber ( left ventricle) is able to pump to the body during a heartbeat.

Is mitral valve repair better than valve replacement?

Heart function is usually better if your valve can be repaired, and complications are typically fewer than with valve replacement.

What is mitral regurgitation?

Mitral Regurgitation is basically a leaky mitral valve. It’s also known as mitral valve regurgitation, mitral insufficiency or just MR for short. Look at the image of the mitral valve below. The mitral valve separates the top and bottom of the left side of the heart (the main pumping chamber). Usually, the mitral valve stops blood from going backwards and keeps blood going forwards to the body where it is needed. In mitral regurgitation, blood is allowed to leak backwards into the upper chamber of the heart.

How to repair a mitral valve?

The standard way to repair the mitral valve is to do this via a sternotomy, which is the term for sawing the breastbone. Mitral valve repair is complex, and an advantage to an open surgical approach is that the entire valve can be visualized and complex repair performed. Some people would argue that the open approach allows the highest chance of success in a high quality repair. A minimally invasive approach that involves a smaller incision may also be an option.

Can mitral regurgitation be reversed?

For severe mitral regurgitation, especially if primary and symptomatic, then fixing the valve is the only way to alleviate the problem. There is currently no medicine that can fully reverse the condition. Some medical treatment may be beneficial, as discussed below.

Is mitral regurgitation primary or secondary?

As explained above, there is primary mitral regurgitation where the valve leaflets are affected and there is secondary mitral regurgitation where the structures holding the valve in place are affected.

Can mitral valve prolapse be reversed?

In primary mitral regurgitation where there is a problem with the valve itself such as mitral valve prolapse there is no medicine proven to reverse the disease, and no specific medicine recommended by the guidelines.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Coping and Support

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The treatment depends on the severity of the condition. Medications may help reduce the symptoms while surgery to repair or replace the mitral valve may be recommended for severe cases.
Medication

Diuretics: Helps relieve fluid accumulation in lungs and legs which may accompany mitral regurgitation.

Chlorothiazide . Indapamide


Diuretics: Helps relieve fluid accumulation in lungs and legs which may accompany mitral regurgitation.

Chlorothiazide . Indapamide


Angiotensin-converting enzyme (ACE) inhibitors: To manage high blood pressure.

Quinapril . Perindopril erbumine


Beta blockers: To prevent arrhythmias by reducing blood pressure and relaxing smooth muscles of blood vessels.

Atenolol . Bisoprolol


Anticoagulants: To reduce the risks of clot formation.

Warfarin . Heparin

Procedures

Valve repair: To reconnect valve leaflets or removes excess valve tissue.

Valve replacement: The narrowed valves are removed and replaced with a bio prosthetic valve.

Nutrition

Food doesn't directly affect mitral valve regurgitation but eating food that helps maintain general health of the heart is important.

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.
Cardiothoracic surgeon
Specializes in the surgical procedures of the heart, lungs, esophagus, and other organs in the chest.

Preparing For Your Appointment

  • Your doctor will ask about your medical history and your family history of heart disease. Your doctor will also perform a physical exam that includes listening to your heart with a stethoscope. Mitral valve regurgitation usually produces a sound of blood leaking backward through the mitra…
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Treatment

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Symptoms

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Results

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Overview

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Risks

  • Mitral valve regurgitation is a type of heart valve disease in which the valve between the left heart chambers doesn't close completely, allowing blood to leak backward across the valve. It is the most common type of heart valve disease (valvular heart disease). If the leakage is severe, not enough blood will move through the heart or to the rest o...
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Prevention

Durability

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