Mitral Regurgitation

Mitral regurgitation or mitral insufficiency or mitral incompetence is a condition where the mitral valve of the heart does not close properly, which makes the blood flow backward in the heart. The symptoms include heart murmur, dyspnea, tiredness, heart palpitations, and swollen ankles.

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Is surgery necessary for mitral valve leak?

Query: Hi doctor, My mom is 46 years old. She recently had her routine physical examinations and they found out her mitral valve could not close fully, but very light degree. The doctor there thinks that she does not need a surgery and he did not mention anything else. So, I really want a second opinion on...  Read Full »

Dr. Mandurke Vivek Maroti

Answer: Hi, Welcome to From your short descriptions, I understood that there is a leak in the mitral valve. Yes, mild to moderate leak can be managed with medicine, but if severe leak is there, then at some stage operation is required. I can guide you more if you send echo report and more hist...  Read Full »

What are the causes of fast heartbeats?

Query: Hi doctor, I am 26 years old. I have noticed that sometimes I wake up with my heart beating too fast and can feel my heart. This first happened when I woke up and took a look at my little child and thought my child was not breathing. That time my heart rate increased strongly. After this, sometimes ...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Please follow exercise and diet to reduce weight. Trivial MR - mitral regurgitation can progress and cause atrial fibrillation (irregular fast heart beat). So, for now check your thyroid functions (T3, T4 and TSH - thyroid-stimulating hormone), ECG (electrocardiogram), ...  Read Full »

My echo reports shows MVP with slight MR. Please evaluate my reports and provide suggestions.

Query: Hi doctor, I had an ECG, echo, TMT, and blood tests, and all results were normal. The echo shows MVP with mild MR. Please review my reports and tell me your opinion. I am experiencing anxiety, fatigue, and unusual chest discomfort and have shed five kilograms. I have had a cough with mucus for two d...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hello, Welcome to I understand your concern. I have gone through your reports (attachment removed to protect the patient's identity). Although you have mitral valve prolapse, there is no mitral regurgitation. But your chest CT (computed tomography) scan shows mild bronchiectasis, cau...  Read Full »

Are my symptoms of chest pain, cyanosis, fatigue, and dizziness due to a history of mitral regurgitation?

Query: Hello doctor, I am a 19-year-old and have symptoms like chest pain, cyanosis, fatigue, and dizziness. I used to be a candidate for rheumatic heart disease because I had mitral regurgitation, but it was trivial. I really do not know what I have. Kindly help.  Read Full »

Dr. Y. Siva Roja

Answer: Hello, Welcome to As mentioned that you used to be a candidate for rheumatic heart disease with trivial mitral regurgitation. Can I know when you had this? As the symptoms present can be due to the increased severity of mitral regurgitation. Rheumatic heart disease can be a process of...  Read Full »

Troponin-T, MR and TR levels are high after first heart attack. Please help.

Query: Hello doctor, Actually, my father has just had the first attack of heart and his troponin-T test value is 1.76 ng/ml. Also, his echo test reports are showing the TR and MR results in higher. He is planning to have angiography but I do not think that he should stop there. So please guide him. I need ...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to So basically after a heart attack, best possible treatment is angiography followed by angioplasty or bypass surgery. So he should have angiography done and further management will depend on angiography report. Till the time, he should continue medicines which will pr...  Read Full »

My doctor suggested 2D echo and TMT after reviewing my son's ECG. Is there any problem?

Query: Hello doctor, My 18-year-old son got an ECG and blood tests last month as a requirement for medical screening. He jogs every night for 30 minutes. He looks healthy. We consulted our cardiologist early this month and he requested for 2D Echo and treadmill stress test. Unfortunately, we were schedul...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to Could you upload his ECG (electrocardiogram) if it has been taken and also his echo and treadmill results?  Read Full »

Does a mild mitral valve prolapse require a surgery?

Query: Hi doctor, I am 21 years old. I had been diagnosed with a mild mitral valve prolapse four years ago. I have been prescribed beta-blockers for the same. Last year when an echo was performed, it showed that the prolapse had reduced. But, in the last few months, due to an increased amount of activity a...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to If you have only MVP (mitral valve prolapse), and no other complication such as valve leakage, there is nothing much to worry about. Have you ever had a stroke? I want to see your current ECG (electrocardiogram) and echocardiography report to guide you properly. Rega...  Read Full »

My maid has a heart problem from birth. How to manage her issue?

Query: Hi doctor, My maid has a heart problem since her birth. She complains of pain in heart, a sudden increase in heartbeat, feels hot and leg pain. Now, she feels very weak. Her echo was done recently and I have attached that here.  Read Full »

Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to Her echocardiogram (attachment removed to protect patient identity) shows three heart valves have been affected, mitral regurgitation (MR), tricuspid valve regurgitation (TR) and aortic valve regurgitation (AR). Her LVEF is 38% (left ventricular ejection fraction). ...  Read Full »

Kindly interpret my echocardiogram report.

Query: Hello doctor, Echo report shows: Physiologic pericardial effusion Eustachian valve remnant at right atrium Rvsp=30mmhg Inferior vena cava not dilated Mild mitral, tricuspid valve regurgitation. Does this report show a normal result?  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have worked through your query and understand your health issues. I assure you not worry as you have consulted the appropriate expert physician who will take care of all of your medical concerns. I will simplify the things for your understanding and will go through ...  Read Full »

Is mitral valve prolapse a reversible condition?

Query: Hello doctor, I was recommended by my cardiologist for heart valve replacement surgery as my latest echocardiogram results, both transthoracic (TTE) and transesophageal (TEE), revealed that my mitral valve prolapse had worsened. The diagnosis was severe eccentric MR. However, during the latest TTE s...  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to First of all, the severity of MR (mitral regurgitation) will be correctly deciphered by your cardiologist. An eccentric type of MR is actually a grade higher than it looks. Like your radiologist may think it is moderate but it is severe, but because of its eccentric ...  Read Full »

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