How is mild regurgitation of aortic and mitral valve treated?

Problem Analysis: Hello. First of all, mild regurgitation of the aortic and mitral valves is not uncommon even in normal people, it is not a serious disease state, therefore, there is no need for special **, and you do not have to worry about this slight regurgitation.

It is worth noting that the patient's chest tightness has worsened in the past 2 months, combined with the coronary CT report, should be highly vigilant for the development of coronary artery lesions, leading to angina**. Now that it has been 2 years since the bypass surgery, if the patient's recent symptoms are significantly more frequent and aggravated than in the early postoperative period, it is recommended to re-examine the coronary angiography as soon as possible to determine the location and extent of the coronary artery lesion, and then decide on further options, such as drugs, intervention (i.e., stents), or coronary artery bypass surgery. At that time, the imaging report can be posted online in order to put forward more targeted opinions.

Hello. The coronary angiogram results you uploaded have been viewed. Judging from the screenshot, the left anterior descending coronary artery seems to be 100% occluded, and the left circumflex branch is fine; The graft to the right coronary artery is still not clearly visible, and if it is confirmed to be patency in the report, it should not be a big problem.

I wonder if the previous surgery was a bypass for the left anterior descending artery? If not, now the left anterior descending artery is completely occluded, which is a red flag. The left anterior descending artery is the most important of the coronary branches, and if it is completely occluded, early opening should be considered to restore blood circulation.

Coronary artery bypass surgery is still the preferred method of opening. Please post the transcript of the previous surgery and the report of the coronary angiography online so that further treatment can be determined.

Western medicine** can go to Anzhen and Fuwai (changing the valve is a bit expensive).

TCM** can go to Beijing Baoren Hospital (according to the length of treatment).

Mild reflux is not serious, it is still possible to use traditional Chinese medicine for conditioning, it is not expensive, and it is not a Western medicine, according to the course of treatment. No matter how much others say, it's useless, you have to see for yourself.

There are many causes of valvular regurgitation, such as valve prolapse, valve sclerosis in the elderly, rheumatic valvular disease in adolescents and young adults, infectious inflammation of valves, and heart enlargement.

The aortic valve ensures blood flow from the left atrium to the left ventricle. When regurgitation occurs, blood flow can regurgitate back into the left atrium. Most healthy people have a small amount of valvular regurgitation, but it usually doesn't cause problems. Some patients have a lot of regurgitation, which gets worse over time.

If there is a small amount of aortic regurgitation, you may not need any**. But even with a lot of regurgitation, you probably don't need to. Your doctor may observe your condition and monitor its progression before deciding if it is needed**.

For those patients who need to, options include:

Valve repair or replacement.

Medications or surgery to correct arrhythmias, which are common with aortic valve disease, lowers blood pressure and makes the heart work more easily.

Drugs to prevent blood clots (sometimes people with aortic regurgitation are more likely to form blood clots).

Mild reflux generally does not interfere with normal life, and if it continues to develop and significantly affect normal activities, surgery is required**.

Instead of a full thoracotomy in the past, this type of surgery is now performed endoscopic minimally invasive surgery, as long as the fibrous adhesions on the aortic valve and mitral valve are eliminated**.

However, after the operation, it is necessary to continue **rheumatism, which is the root cause of the treatment and can avoid the recurrence of ** in the future.

Arteriosclerosis is a non-inflammatory lesion of the arteries that thickens and stiffens the walls of the arteries, loses their elasticity, and narrows the lumen. Arteriosclerosis is a vascular disease that occurs with age, and its pattern usually occurs in adolescence and worsens and develops in middle and old age. Aortic sclerosis is a common type of arteriosclerosis.

There are three main types of arteriosclerosis: arteriosclerosis; medial arteriosclerosis; Atherosclerosis. The disease mainly affects the aorta, coronary arteries, cerebral arteries and renal arteries, which can cause narrowing or even occlusion of the lumen of the above arteries, resulting in aortic dissection and abdominal aneurysm; Causes the blood supply disorder of the organs where it is located, leading to ischemic pathological changes in these organs.

Hello, according to your description, generally mild reflux is not present with any symptoms. Therefore, in cases of vertigo like this, it is possible to consider whether there is a cervical spine problem or an intracranial nervous system disorder. It is recommended to go to the hospital for further examination of brain CT and cervical spine X-ray, and then carry out ** after a clear diagnosis.

Hello, if there is arteriosclerosis, it is not advisable to lower blood pressure too low, otherwise it may cause uncomfortable symptoms. However, it is not recommended to participate in hypertension, and you can consider adjusting your blood pressure observation.

Aortic regurgitation is caused by aortic regurgitation, mostly because of structural changes in the inner edge of the valve leaflet accompanied by atrophy, so that the aortic valve cannot be closed, resulting in the phenomenon of blood regurgitation from the aortic to the ventricle through the aortic valve orifice during cardiac systole. Therefore, aortic regurgitation is also called aortic regurgitation.

The ** of aortic regurgitation can be divided into congenital and acquired. Congenital is very rare, and most of them are due to a two-petal malformation of the aortic valve, which prevents it from closing. Acquired aortic regurgitation is most common in rheumatic heart disease or bacterial endocarditis, and less often in syphilitis or degenerative changes such as cystic necrosis of the middle layer of the blood vessels or due to aortic sclerosis.

The male-to-female ratio is 3:1About 10% of patients have mitral valve disease.

Mild and moderate aortic regurgitation, which can survive for many years without myocardial impairment or be asymptomatic for a long time. However, many patients complain of palpitation, neck discomfort, and pressure due to increased ejection due to regurgitation. Because of the enlarged heart, patients may feel pressure on the left side of the chest when they want to lie on the left side at night.

In left ventricular insufficiency, shortness of breath after exertion may be seen, and in advanced patients, shortness of breath may be felt even at rest, in addition to vertigo and varying degrees of angina. The patient's head can also be seen swinging forward in response to the heart's beat.

Its internal medicine is not effective, diuretics are used when there is heart failure, and digitalis drugs such as digoxin are used when there is atrial fibrillation, which can sometimes improve the symptoms, but fundamentally speaking, it has no effect on the onset of the disease. Western medicine** mainly relies on surgery, such as valve replacement and balloon dilation.

Non-professionals will not understand what causes a small amount of mitral valve regurgitation, in fact, the small amount of mitral valve regurgitation is also a complication of mitral valve regurgitation. A small amount of mitral regurgitation indicates that the mitral valve of the heart is not closed. If chronic, mitral regurgitation due to mitral valve prolapse and mild regurgitation is generally mild.

Only atypical chest pain, palpitations, weakness, dizziness. If acute, there will be mild dyspnea on exertion. Mitral valve prolapse syndrome refers to a series of clinical manifestations of mitral valve regurgitation due to various causes that cause mitral valve leaflets and heart to contract to the left atrium, resulting in mitral valve insufficiency.

It used to be called systolic click-murmur syndrome, Barlow syndrome, valvular relaxation syndrome, etc. Most patients have no obvious symptoms, and symptoms are intermittent, recurrent, and transient. Common symptoms are:

1.Chest pain occurs in 60% to 70% of cases, is located in the precordial area, may be dull, sharp, or knife-like, usually mild, lasts minutes to hours, is not related to exertion or psychiatric factors, and is not relieved by nitroglycerin. 2.

Palpitations occur in 50% of patients with unknown causes. May be associated with arrhythmias such as frequent premature ventricular contractions, paroxysmal supraventricular tachycardia, or ventricular tachycardia, but Holter monitoring and atrioventricular beam imaging have found a low correlation between palpitations and arrhythmias in some patients.