Heart Valve Changes: Is Improvement Possible? - Cardiology

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It is unbelievable to me?


Hello Doctor, in January of this year, I went to the emergency room at a hospital due to discomfort after drinking alcohol.
Later, I had a Doppler echocardiogram at the cardiology outpatient clinic, and the report indicated that I had mild mitral regurgitation, mild tricuspid regurgitation, and mild to moderate pulmonary valve regurgitation, along with signs of cardiac enlargement.
The doctor then prescribed medication (Bokey).
When I underwent another echocardiogram in June, the report showed that my mitral regurgitation had improved to very mild, tricuspid regurgitation had improved to mild, and the pulmonary valve was normal, with no signs of cardiac enlargement.
Doctor, is this kind of improvement possible? Thank you for your response.

Zeng, 20~29 year old female. Ask Date: 2004/07/08

Dr. Zhong Yuxun reply Cardiology


Hello Mr.
Zeng: This situation indicates that your heart should not have significant issues.
The heart enlargement may fall within the range of normal to slightly enlarged, and there could be slight measurement errors by the operator.
However, if the heart does not continue to enlarge, there should be no problems.
Dr.
Zhong Yuxuan

Reply Date: 2004/07/08

More Info


It's great to hear that you've been proactive about your heart health and have sought medical attention for your concerns. Based on your description, it seems that you have experienced some changes in your heart valves, specifically mitral regurgitation, tricuspid regurgitation, and pulmonary valve regurgitation, which were initially assessed as mild to moderate. However, after a period of medication, your follow-up echocardiogram showed improvement, with the mitral regurgitation now classified as very mild, tricuspid regurgitation as mild, and the pulmonary valve regurgitation as normal, along with no signs of heart enlargement.

To answer your question about whether such improvements are possible: Yes, it is indeed possible for heart valve conditions to improve over time, especially with appropriate medical management. In your case, the medication you were prescribed (likely a diuretic or another type of heart medication) may have helped reduce the workload on your heart and improved the function of your heart valves.
Heart valve regurgitation can sometimes be a result of transient conditions, such as volume overload or changes in blood pressure, which can be managed effectively with medication. Additionally, lifestyle changes, such as maintaining a healthy diet, regular exercise, and avoiding alcohol and smoking, can also contribute to improved heart health and function.
It's important to note that while some patients may experience improvement in their valve function, others may not see significant changes. The degree of improvement can depend on various factors, including the underlying cause of the valve dysfunction, the patient's overall health, and adherence to treatment recommendations.
In your case, the fact that your heart size has returned to normal and that there are no signs of enlargement is a positive indicator of your heart's health. Regular follow-ups with your cardiologist are essential to monitor your condition and make any necessary adjustments to your treatment plan.

If you have any ongoing symptoms, such as shortness of breath, chest pain, or palpitations, it's crucial to communicate these to your healthcare provider. They may recommend further testing or adjustments to your medication to ensure your heart remains healthy.

In summary, improvements in heart valve function are possible, especially with appropriate medical management and lifestyle changes. It's essential to continue monitoring your heart health through regular check-ups and to maintain open communication with your healthcare provider regarding any concerns or symptoms you may experience.

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