Mitral regurgitation; chronic
Alternative names:
chronic mitral valve regurgitation
Treatment:
Hospitalization may be required for diagnosis and treatment of severe symptoms. Surgical repair or replacement of the valve is curative. It is recommended if heart function is poor, if symptoms are severe, or if condition deteriorates.
Antibiotics are prescribed if bacterial infection is present.
Antiarrhythmics may be needed to control irregular rhythms.
Vasodilators to reduce the workload of the heart. Digitalis may be used to strengthen the heartbeat, along with diuretics to remove excess fluid in the lungs. Anticoagulants or antiplatelet medications may be used to prevent clot formation if atrial fibrillation is present (atrial fibrillation increases the chances of clot formation). A low-sodium diet may be helpful.
Most individuals have no symptoms; but if a person develops symptoms activity may be restricted.
Expectations (prognosis):
The outcome varies and depends on the underlying conditions. Usually the condition is benign, so no therapy or restriction is necessary. Symptoms can usually be controlled with medication. In severe cases, surgical opening of the valve or valve replacement may be necessary.
Complications:
Calling your health care provider:
Call for an appointment with your health care provider if symptoms are suggestive of mitral valve regurgitation. Call for an appointment with your health care provider if symptoms worsen or do not improve with treatment. Call your health care provider if during treatment, signs of infection occur: fever, chills, muscle aches, headache, malaise (general ill feeling).
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