Mitral and Aortic Valve Regurgitation: Symptoms and Management

Chest pain and valve insufficiency issues?

Hello Doctor, about a year ago, I experienced shortness of breath and a slight stabbing pain in my left chest, so I went to the hospital for a cardiac ultrasound and an electrocardiogram.
After the examination, I was diagnosed with "mitral valve and aortic valve regurgitation" at a level between mild and moderate.
However, the doctor believed that my symptoms were mainly due to autonomic nervous system dysfunction caused by stress before exams, so he only prescribed medication for me, advising that I could take it if I felt uncomfortable, and did not recommend regular check-ups.
Last night, after taking a shower, I lay on my bed for about 30 minutes and suddenly felt some pain in my left chest, but it disappeared after about 3 seconds.
Therefore, I would like to ask the doctor: 1.
What does this sudden pain indicate, and should I seek immediate examination? 2.
For mild to moderate mitral and aortic valve regurgitation, is daily medication necessary, or can I just take it when I feel uncomfortable? 3.
Is there a need for regular follow-up? Thank you, Doctor.

Niming, 10~19 year old female. Ask Date: 2021/02/04

Dr. Wu Xueming reply Cardiology

1.
Due to your young age and absence of chronic diseases, your risk of developing heart disease is low, so there is no need for concern.
2.
Mild to moderate mitral and aortic regurgitation does not require daily medication.
It is recommended to adjust your lifestyle and engage in regular exercise.
3.
You can have a follow-up echocardiogram once a year.

Reply Date: 2021/02/04

More Info

Understanding mitral and aortic valve regurgitation is crucial for managing symptoms and determining the appropriate treatment. Based on your description, you have been diagnosed with mild to moderate regurgitation of both the mitral and aortic valves. Let's address your questions one by one.

1. Sudden Chest Pain: The sudden left chest pain you experienced after lying on your stomach could be concerning, especially given your history of valve regurgitation. While it may have resolved quickly, any new or unusual chest pain warrants further investigation, particularly in the context of known heart conditions. It's essential to differentiate between musculoskeletal pain and cardiac-related symptoms. If the pain recurs, worsens, or is accompanied by other symptoms such as shortness of breath, dizziness, or palpitations, you should seek immediate medical attention. A healthcare provider may recommend further evaluation, such as an electrocardiogram (ECG) or echocardiogram, to rule out any significant cardiac issues.

2. Medication Management: For mild to moderate mitral and aortic regurgitation, the need for daily medication depends on your symptoms and overall heart function. If you are asymptomatic and your heart function is stable, you may not require daily medication. However, if you experience symptoms such as shortness of breath, fatigue, or palpitations, your doctor may prescribe medications to help manage these symptoms. Common medications include diuretics to reduce fluid overload, ACE inhibitors to lower blood pressure, or beta-blockers to manage heart rate. It's crucial to follow your doctor's advice regarding medication use and to take them as prescribed, especially if you have symptoms.

3. Regular Follow-Up: Regular follow-up with your cardiologist is essential for monitoring your condition. Even if you feel well, valve regurgitation can progress over time, and periodic echocardiograms can help assess any changes in the severity of regurgitation or heart function. Typically, patients with mild regurgitation may be seen every 1-2 years, while those with moderate regurgitation may require more frequent evaluations, such as every 6-12 months. Your cardiologist will tailor the follow-up schedule based on your specific situation, symptoms, and any changes in your condition.

In summary, while mild to moderate mitral and aortic regurgitation can often be managed conservatively, it is essential to remain vigilant about any new symptoms. Regular follow-ups and open communication with your healthcare provider are key components of effective management. If you experience any concerning symptoms, do not hesitate to seek medical advice. Your health and well-being are paramount, and proactive management can help prevent complications associated with valve regurgitation.

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