Treatment FAQ

what treatment is needed for mild regurgitation of the mitral and the tricuspid valves

by Ms. Rosina Kunde Published 2 years ago Updated 1 year ago

Surgery or other procedures. Some people with tricuspid valve regurgitation may need surgery to repair or replace the valve. Valve repair or replacement may be done as open-heart surgery or as a minimally invasive heart surgery. Sometimes a tricuspid valve problem may be treated with a catheter-based procedure.Apr 6, 2022

Medication

Treatment 1 Watchful waiting. Some people, especially those with mild regurgitation, might not need treatment. ... 2 Medications. Your doctor may prescribe medication to treat symptoms, although medication can't treat mitral valve regurgitation. 3 Surgery. Your mitral valve may need to be repaired or replaced. ...

Procedures

Tricuspid valve regurgitation 1 Tests. Your doctor may order several tests to diagnose tricuspid valve regurgitation,... 2 Regular monitoring. If you have mild tricuspid valve regurgitation,... 3 Medications. Your doctor may prescribe medications to treat underlying conditions,... 4 Surgery. Your doctor may recommend surgery to repair or replace...

Nutrition

If tricuspid valve disease is due to an underlying condition or congenital heart defect, you may need medications, a catheter procedure, or surgery to repair or replace the valve. Your health care provider may prescribe medications to control symptoms or to treat an underlying condition that is causing tricuspid regurgitation.

What is the treatment for mitral valve regurgitation?

For mitral valve regurgitation, some basic questions to ask your doctor include: What is likely causing my symptoms or condition? What are other possible causes for my symptoms or condition? What tests will I need? What's the best treatment? What are the alternatives to the primary approach you're suggesting? I have other health conditions.

How to diagnose and treat tricuspid valve regurgitation?

What are the treatment options for tricuspid valve disease?

What questions should I ask my doctor about mitral valve regurgitation?

Does mild mitral valve regurgitation need treatment?

Some people with mitral regurgitation don't need treatment, especially when the regurgitation is mild. Severe mitral valve regurgitation often requires a catheter procedure or heart surgery to repair or replace the mitral valve.

Can mild tricuspid regurgitation be treated?

Advertising revenue supports our not-for-profit mission. Mild tricuspid valve regurgitation may not cause symptoms or require treatment. If the condition is severe and causing signs and symptoms, medications or surgery may be needed.

What does mild mitral and tricuspid regurgitation mean?

Tricuspid valve regurgitation (often called tricuspid regurgitation) happens when the tricuspid valve of your heart doesn't seal completely shut, allowing blood to flow backward. Over time, this can change the structure or shape of your heart and lead to permanent heart damage and a variety of other problems.

How do you treat mild mitral regurgitation?

Medications to treat symptoms and prevent complications, such as blood clots. Surgery to repair or replace the mitral valve....Types of medications that may be prescribed for mitral valve regurgitation include:Diuretics. ... Blood thinners (anticoagulants). ... Blood pressure medications.

Should I worry about mild tricuspid regurgitation?

In general, no, there is no cause for concern. Mild tricuspid regurgitation is common. It does not cause symptoms or have an effect on the heart function. As with anyone, it's important to treat usual cardiac risk factors and prevent the development of heart failure.

How long can you live with mild tricuspid regurgitation?

Table 2.Tricuspid RegurgitationP valuePrimary (n = 226)HF19 (38.0%)0.784Median survival from diagnosis (years)4.48 ± 3.630.128Median survival from onset of symptoms (years)2.37 ± 1.480.73922 more rows

How long can you live with mild mitral valve regurgitation?

Widely disparate estimates of long term survival in patients with mitral regurgitation—between 97–27% at five years—have been reported. We analysed the natural history of mitral regurgitation caused by flail leaflets because these patients present with severe mitral regurgitation in more than 85% of cases.

Can you have mitral and tricuspid regurgitation?

Because mitral and tricuspid regurgitation often coexist, and although concomitant treatment of both valves is indicated during mitral surgery, it is yet unclear whether both valves should be treated simultaneously using a percutaneous approach.

Is mild mitral valve regurgitation normal?

Seventy percent of normal people can be found to have trace tricuspid regurgitation. Forty percent of normal people have a little mitral regurgitation. If your mitral valve is structurally normal appearing, what you describe is very unlikely to ever cause you a problem.

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.

When does mitral valve regurgitation require surgery?

The most common indication for mitral valve surgery is symptomatic chronic severe primary mitral regurgitation, usually owing to degenerative valve disease, with a left ventricular ejection fraction (LVEF) of >30% (Class I recommendation); mitral valve surgery is indicated in symptomatic patients with severe LV ...

Can mitral valve regurgitation get worse over time?

People with mild or moderate mitral regurgitation often don't have any symptoms. If the regurgitation becomes more severe, symptoms may start. They may be stronger and happen more often over time.

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 it called when a heart valve does not close?

If the valve does not close fully when it should, blood can flow backwards. This is called regurgitation.

How to tell if aortic valve is leaking?

This can be detected by listening for a specific type of heart murmur and doing an echocardiogram. Depending on the severity and associated problems with heart function, surgery may be necessary to correct some cases.

Can you cure a leaky valve?

?cure?: Your only cure for leaky valves is replacement with new ones. Since this would require major surgery and risk, it is not done when things are mild. If or when the leaks lead to some other heart issues, they would usually be managed with medication.

What is the mitral valve?

Normal finding: The mitral and tricuspid valves are the valves between the upper and lower chambers of the heart. When the heart contracts a tiny amount of blood may ... Read More

What is the name of the valves that go backwards?

Dr. Roy Arnold answered. Normal finding: The mitral and tricuspid valves are the valves between the upper and lower chambers of the heart. When the heart contracts a tiny amount of blood may go backwards through the valves. This is called physiological regurgitation and is normal.

Is MVP a contraindication?

The echo doppler is a very sensitive tool to find "valvular leaks= regurgitation" the fact that the leaks are "mild" make them more likely without clinical significance and should not be a contraindication for vaginal delivery.

Is MVP a common condition?

Not really: Mvp is a very common condition in women, over diagnosed in the 80's and 90's. The echo doppler is a very sensitive tool to find "valvular leaks= regu ... Read More

Question

I'm a healthy male (52) who had a normal stress echocardiogram. However it showed mild mitral regurgitation and trace tricuspid regurgitation. I do have chronic gingivitis and my mom died following a mitral valve replacement. Should I see a cardiologist?

Answer

I'm glad your stress echo was normal. It is a good, non-invasive test that lets you know you do not have any significant coronary blockage. It doesn't mean that you have no cholesterol build-up in your vessels, so you should still eat well, exercise, and make sure your blood cholesterol is at a good level.

How to cope with tricuspid regurgitation?

If you have tricuspid valve regurgitation, here are some steps that may help you cope: Take medications as prescribed. Take your medications as directed by your doctor. Get support. Having support from your family and friends can help you cope with your condition. Ask your doctor about support groups that may be helpful.

What is the best test for tricuspid valve regurgitation?

Echocardiogram. This is the main test used to diagnose tricuspid valve regurgitation. In this test, sound waves produce detailed images of your heart. This test assesses the structure of your heart, the tricuspid valve and the blood flow through your heart. Your doctor also may order a 3-D echocardiogram. Echocardiogram.

What is the best way to repair a tricuspid valve?

Surgery. Your doctor may recommend surgery to repair or replace the tricuspid valve if you have severe tricuspid valve regurgitation and you're experiencing signs or symptoms, or if your heart begins to enlarge and heart function begins to decrease.

How is a replacement valve inserted?

A replacement valve is inserted through the catheter and guided to the heart. Doctors then inflate the balloon in the biological tissue valve in the heart, and place the replacement valve inside the valve that is no longer working properly. The new valve is then expanded.

How do surgeons repair heart valves?

Your surgeon may perform valve repair by separating tethered valve leaflets, closing holes in leaflets, or reshaping the valve leaflets so that they can make contact with each other and prevent backward flow.

What tests are used to measure heart rate?

Exercise tests or stress tests . Different exercise tests help measure your activity tolerance and monitor your heart's response to physical exertion. If you are unable to exercise, medications to mimic the effect of exercise on your heart may be used.

Can tricuspid valve regurgitation be diagnosed?

Tricuspid valve regurgitation often has no symptoms, and you may be diagnosed incidentally when having tests for other conditions. If you are having symptoms that suggest a heart condition, your doctor may review your medical history and conduct a physical examination.

How to determine if a patient has mitral valve regurgitation?

To determine if a patient has mitral valve regurgitation, the physician will ask questions about family history and symptoms and listen to the patient’s heart with a stethoscope. We use advanced diagnostic procedures and technology to effectively diagnose, inform treatment and carefully monitor the condition. Diagnostic procedures can include:

What is mitral regurgitation?

Mitral valve regurgitation is a condition in which the flaps, or leaflets, of the mitral valve don’t close tightly. This allows some of the blood being pumped from the left atrium to the left ventricle to flow backward, or regurgitate into the left atrium. Baptist Health is known for advanced, superior care for patients with heart problems and ...

How does a surgeon repair a mitral valve?

Mitral valve repair: A surgeon repairs the valve by reconnecting valve leaflets or by removing excess valve tissue so that the leaflets can close tightly. He or she may also tighten or reinforce the ring around the valve.

What is the most common imaging test for aorta?

Cardiac MRI: In this test, a large magnet, radio waves and a computer are used to produce pictures of the heart and blood vessels. Chest X-ray: This is a common imaging test of the heart and aorta, which can identify enlargement of the left atrium or ventricle.

How many electrodes are used in an EKG?

The heart’s electrical currents are detected by 12 to 15 electrodes that are attached to the arms, legs and chest via sticky tape.

What is the procedure to test for aortic valve?

Diagnostic procedures can include: Cardiac catheterization : During this test, a long, thin flexible tube is threaded through a blood vessel in the arm or groin and to the heart. Contrast material is injected through the tube and a type of X-ray movie is taken to show how the aortic valve functions and measure pressure in the heart chambers.

Can mitral valve regurgitation be reversed?

Medication can ease symptoms, but cannot reverse mitral valve regurgitation. Surgical treatments have greatly improved the prognosis for mitral valve regurgitation patients.

What tests can be done to check for aortic valve disease?

Exercise tests help doctors see whether you have signs and symptoms of aortic valve disease during physical activity, and these tests can help determine the severity of your condition. If you are unable to exercise, medications that have similar effects as exercise on your heart may be used. Cardiac MRI.

What is the procedure to replace a leaking aortic valve?

Doctors may use a catheter procedure to insert a plug or device to repair a leaking replacement aortic valve. In a biological valve replacement, a biological or tissue valve replaces the damaged valve. In a mechanical valve replacement, a mechanical valve replaces the damaged valve.

What type of echocardiogram is used to check aortic valve?

Doctors may also use a 3-D echocardiogram. Doctors may conduct another type of echocardiogram called a transesophageal echocardiogram to get a closer look at the aortic valve.

What does a stethoscope tell you about a heart murmur?

Your doctor may listen to your heart with a stethoscope to determine if you have a heart murmur that may indicate an aortic valve condition . A doctor trained in heart disease (cardiologist) may evaluate you. Your doctor may order several tests to diagnose your condition, and determine the cause and severity of your condition.

How does a doctor do a cardiac catheter?

In cardiac catheterization, a doctor threads a thin tube (catheter) through a blood vessel in your arm or groin to an artery in your heart and injects dye through the catheter to make the artery visible on an X-ray. This provides your doctor with a detailed picture of your heart arteries and how your heart functions.

How to prepare for a heart appointment?

Preparing for your appointment. You're likely to start by seeing your family doctor. After your initial appointment, your doctor may refer you to a doctor who specializes in the diagnosis and treatment of heart conditions (cardiologist). Here's some information to help you prepare for your appointment.

What is an ECG?

Electrocardiogram (ECG). In this test, wires (electrodes) attached to pads on your skin measure the electrical activity of your heart. An ECG can detect enlarged chambers of your heart, heart disease and abnormal heart rhythms. Chest X-ray.

Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

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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