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Mitral regurgitation - chronic - Treatment

Alternative Names

Chronic mitral valve regurgitation; Mitral valve insufficiency

Treatment:

The choice of treatment depends on the symptoms present and the condition and function of the heart.

Antibiotics are prescribed if you have a bacteria infection. They are also used to reduce the risk of infective endocarditis in patients with mitral valve prolapse who are having dental work.

Anti-hypertensive drugs and vasodilators may be given to reduce the strain on the heart and may help improve the condition.  

Anti-coagulant or anti-platelet medications (blood thinners) may be used to prevent clot formation in patients with atrial fibrillation.

Digitalis may be used to strengthen the heartbeat, along with diuretics (water pills) to remove excess fluid in the lungs.

A low-sodium diet may be helpful. Most individuals have no symptoms; but if a person develops symptoms, activity may be restricted.

Hospitalization may be required for diagnosis and treatment of severe symptoms. Surgical repair or replacement of the valve is recommended if heart function is poor, if symptoms are severe, or if the condition deteriorates. Once the diagnosis of mitral regurgitation is made, periodic follow-up by a specialist is needed to determine the appropriateness of surgery.

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, valve repair or valve replacement may be necessary.

Complications:

Calling your health care provider:

Call your health care provider if you have symptoms of mitral valve regurgitation, or if symptoms worsen or do not improve with treatment.

Also call your health care provider if you are being treated for this condition and develop signs of infection, which include:

  • Chills
  • Fever
  • General ill feeling
  • Headache
  • Muscle aches
  • Reviewed last on: 5/12/2008
  • Larry A. Weinrauch, MD, Assistant Professor of Medicine, Harvard Medical School, and Private practice specializing in Cardiovascular Disease, Watertown, MA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Karchmer AW. Infectious Endocarditis. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007: Chap. 63.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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