Understanding Mitral Regurgitation: A Common Heart Valve Problem

May 3, 2024
Nish Patel, MD

Your heart is a marvel of engineering, with four valves that ensure blood flows efficiently in one direction. One of these key valves is the mitral valve, located between the heart's upper left chamber (left atrium) and its lower left pumping chamber (left ventricle). Mitral regurgitation happens when this valve doesn't close fully, allowing blood to leak backward.

What Causes Mitral Regurgitation?

There are several things that can lead to mitral regurgitation:

  • Mitral valve prolapse: The most common cause; the flaps (leaflets) of the valve bulge back causing a leak.
  • Degenerative changes: Wear and tear over time weakens the valve.
  • Rheumatic fever: This illness, while less common now, can damage heart valves.
  • Heart attack: A heart attack can damage the muscle supporting the mitral valve.
  • Infections: Infections of the heart (endocarditis) can harm the valve.
  • Rare conditions: Certain connective tissue disorders may affect the mitral valve.

Spotting the Signs: Symptoms of Mitral Regurgitation

Mitral regurgitation often develops slowly. In mild cases, you might not even have noticeable symptoms for years. However, as it progresses, you might experience:

  • Shortness of breath, especially with activity
  • Fatigue (tiredness)
  • Heart palpitations (feeling your heart race or skip beats)
  • A heart murmur (your doctor may hear this during an exam)
  • Swelling in your feet or ankles

Don't Wait: Why You Should See Your Doctor

If you experience any of the above symptoms, it's crucial to get checked. Untreated mitral regurgitation can put extra strain on your heart and might lead to complications like heart failure or an irregular heartbeat (atrial fibrillation).

Making the Diagnosis

  • Echocardiogram: This ultrasound of your heart is the best way to diagnose mitral regurgitation and see how severe it is.
  • Other tests: Your doctor may order additional tests like a chest X-ray, electrocardiogram (EKG), or a cardiac stress test.

Treatment: Restoring Your Heart's Function

The right treatment depends on the severity of your mitral regurgitation and your overall health. Options include:

  • Regular monitoring: For mild cases, your doctor may simply monitor your condition.
  • Medications: These can help manage symptoms and address underlying issues like high blood pressure.
  • Mitral valve repair: This surgical option fixes the leaky valve, often preserving your own valve tissue.
  • Mitral valve replacement: If repair isn't possible, the valve may need to be replaced.
  • Minimally invasive procedures: Options like MitraClip may be available depending on your case.

Your Path to Wellness

Living with mitral regurgitation requires some healthy adjustments:

  • Heart-healthy choices: Eat well, exercise regularly (as approved by your doctor), manage stress, and don't smoke.
  • Control other conditions: Take care of high blood pressure, diabetes, etc.
  • Follow-up is key: See your doctor regularly to monitor your heart.

Remember: Mitral regurgitation is a manageable condition. Early diagnosis and working closely with your doctor are essential for keeping your heart healthy!

Disclaimer: This blog post is intended for informational purposes only. It is not a substitute for professional medical advice. Consult your doctor for any health concerns or treatment options.

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