Mild Heart Regurgitation: Should You Be Concerned? - Cardiology

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Mild cardiac regurgitation


Hello Doctor: I would like to ask...
I have been diagnosed with a problem of blood regurgitation in my heart.
The examining physician mentioned that it is a mild regurgitation issue and stated that this is normal and many people experience such problems.
No medication was prescribed, and there is no need for regular follow-up.
However, when applying for insurance, the insurance company considers this a serious issue and has denied coverage.
Do I need to undergo further testing? I do not experience any heart discomfort or chest tightness.
Please help clarify this for me! Thank you!!

Alex, 30~39 year old female. Ask Date: 2016/12/24

Dr. He Dongjin reply Cardiology


Hello, there shouldn't be any issues.
The insurance company requires a score of 100, but it's normal for no one to achieve a perfect score.
Many people encounter similar problems, so don't worry.
Changhua Hospital cares about you.

Reply Date: 2016/12/24

More Info


Mild heart regurgitation, often referred to as mitral or aortic regurgitation depending on the affected valve, is a condition where blood flows backward through a heart valve when it should be closed. This can occur due to various reasons, including valve abnormalities, heart enlargement, or other underlying heart conditions. In many cases, mild regurgitation is common and may not lead to significant health issues or symptoms, particularly if the individual is otherwise healthy and has no other heart problems.

From your description, it seems that your healthcare provider has assessed your condition and determined that your regurgitation is mild and does not require medication or regular follow-up. This is a positive indication, as many individuals with mild regurgitation lead normal, healthy lives without any complications. It is also true that many people may experience some degree of regurgitation without it being clinically significant.

Regarding your concern about insurance coverage, it is not uncommon for insurance companies to have strict criteria regarding pre-existing conditions, including heart issues. Even if your doctor has deemed your condition to be mild and non-threatening, insurance companies may classify it differently based on their underwriting guidelines. This can sometimes lead to complications when applying for coverage or facing higher premiums.

As for whether you should seek further evaluation, it largely depends on your personal health and peace of mind. If you are asymptomatic and your doctor has reassured you that the condition is mild and manageable, additional testing may not be necessary. However, if you have concerns about your heart health or the implications of your condition on insurance or other aspects of your life, it may be beneficial to consult with a cardiologist for a second opinion. They can provide a more detailed assessment, possibly including echocardiography or other imaging studies, to evaluate the severity of the regurgitation and its potential impact on your overall heart function.

In summary, mild heart regurgitation is often a benign condition, especially if you are not experiencing any symptoms. While your current healthcare provider has indicated that no further action is needed, if you feel uncertain or if the insurance issue continues to be a concern, seeking a second opinion could provide clarity and reassurance. Regular monitoring may not be necessary, but staying informed about your heart health is always a good practice. If any new symptoms arise, such as shortness of breath, fatigue, or chest discomfort, it is essential to seek medical attention promptly.

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