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Dr. Gammie’s Bio | Q&A Archive
Chronic mitral valve regurgitation; Mitral valve insufficiency
There are often no symptoms. When symptoms occur, they often develop gradually, and may include:
The doctor may detect a thrill (vibration) over the heart when feeling the chest area. An extra heart sound (S4 gallop) and a distinctive heart murmur may be heard when listening to the chest with a stethoscope. However, some patients may not have this murmur. If fluid backs up into the lungs, there may be crackles heard in the lungs.
The physical exam may also reveal ankle swelling, enlarged liver, distended neck veins, and other signs consistent with right-sided heart failure.
The following tests may be done: