How mitral regurgitation diagnosed?
Acute onset mitral regurgitation and acute wheezing and optionally water into the lungs. In chronic gradient experienced wheezing with light exertion, later at rest and at flat rent. It reduced pumping of blood may lead to general fatigue and lethargy.
The doctor may hear a murmur (sound not normally be present) when listening with the heart. The heart becomes larger, which is a heart failure character. Often, there is a flicker in the antechamber (disorganized electrical activity, antechamber withdraws not together) with irregular.
ECG, which represents the heart's electrical activity, may show the flicker in the antechamber and any signs of enlargement of the left atrium. Radiograph of the chest may show signs of fluid accumulation in the lungs, enlargement of the left ventricle and left atrium may. Kalk Impact of mitral valve may also appear. The diagnosis is made with certainty by ultrasound (echo-Doppler) of the heart. This procedure can be seen flaps and measure blood flow in the leakage area.
How are mitral regurgitation?
The goal of treatment is to prevent or reduce a possible enlargement of the left ventricle.
Symptoms treated with medication, but patients with symptoms of regular physical activity should be evaluated for possible surgery and the insertion of a mechanical heart valve. Both replacement and attempt to repair the valves may be proper. For moderate to severe mitral klaffs vikt it is appropriate that you limit your activity and avoid peak loads.
Pharmacotherapy
Heart failure can be treated with diuretics, digoxin (improves the heart's ability to contract), a beta blocker (lowers the heart rate, among others) and ACE inhibitor (lowers blood pressure and reduces the back flow of blood to the heart). Chronic flicker in the upper chambers must be treated with drugs that reduce blood clotting in terms of the risk of blood clots.
Preventive treatment
After insertion of the prosthesis is given drugs that inhibit blood clotting. Mechanical prosthetic requires lifelong treatment. Using the biological prosthesis (from another species) is not required to always lifelong treatment.
After surgery with artificial valve recommended preventive antibiotics by some surgical procedures that can lead to the huge outflow of bacteria into the blood. This includes surgical dentistry, or surgery of the inflamed tissue in the oral cavity or upper respiratory tract.
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