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MITRAL   REGURGITATION

 

A study was done in 1995 to determine whether patients with mitral valve prolapse with no  regurgitation at rest, would develop mitral regurgitation during exercise.  Mitral regurgitation puts patients at a high risk of endocarditis, cerebral embolism and sudden death.   Ninety four patients were studied and the results were that 32% had exercise induced regurgitation, raising their risk for major complications.

 

DEFINITION: The mitral valve does not close properly causing blood to flow back into the atrium with each beat. Also referred to as incompetent and insufficient.
CAUSES: It is frequently due to rheumatic fever,  and various heart muscle disorders. Regurgitation can be caused by weak or damaged valves.  The blood flow to the rest of the body is decreased.  The heart may pump harder to compensate for this decrease.  Acute regurgitation may be caused by heart attack or infective endocarditis.
SYMPTOMS: Symptoms include:   shortness of breath,  rapid respirations,  palpitations (sensation of feeling the heart beat),   chest pain (unrelated to coronary artery disease or heart attack),   cough.   A rapid heart beat is usually found with severe regugitation
"DR." TESTS: Testing may include:  stethoscope for palpitations,   echocardiogram,   coronary angiography,  and chest x-ray
TREATMENTS: Treatments include: antibiotics if there is an infection,   anti arrhythmias for irregular heart beats,   vasodilators to reduce workload of the heart,   diuretics to remove excess fluid.  Prophylactic use of antibiotics to prevent against infective endocarditis.
COMPLICATIONS: Complications may include:  chronic mitral regurgitation (if now acute),   endocarditis,   heart failure,   pulmonary emboli,   clots in other areas,   arrhythmias. 

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