How is mitral valve regurgitation treated, and does it require medication?

In general, mitral regurgitation can be treated through conservative management, physical therapy, Western medicine, traditional Chinese medicine (TCM), and surgical treatment. Whether medication is needed depends on whether symptoms are present. The specific analysis is as follows:

1. Treatment Methods

1.1 Conservative Management: If symptoms of mitral regurgitation are mild, patients may not require special treatment. Regular follow-up examinations and maintaining a regular lifestyle are usually sufficient.

1.2 Physical Therapy: Mitral regurgitation causes blood to flow back into the left atrium, requiring the heart to work harder to pump blood into the systemic circulation. This may increase cardiac workload, leading to fatigue and reduced exercise tolerance. Patients can seek treatment at正规 medical institutions by consulting qualified physicians who may use acupuncture at specific acupoints such as Sishencong (EX-HN1), Yintang (EX-HN3), and Quanliao (SI18).

1.3 Western Medicine: Mitral regurgitation may disrupt the heart's normal rhythm, causing uncoordinated or irregular heartbeats, which may lead to palpitations and arrhythmias. Under medical supervision, patients may take medications such as furosemide tablets or enalapril maleate tablets.

1.4 Traditional Chinese Medicine (TCM): Increased cardiac workload may result in inadequate oxygen supply to body tissues and organs, potentially causing dyspnea, especially during physical activity or when lying flat. Under medical guidance, patients may use Chinese patent medicines such as Wenxin Granules or Tianmeng Capsules.

1.5 Surgical Treatment: In cases of mitral regurgitation, retrograde blood flow into the left atrium may elevate pressure in the left atrium and pulmonary circulation. This can lead to fluid accumulation in tissues, resulting in edema—particularly in the legs and ankles. Patients should visit正规 hospitals for surgical interventions such as mitral valve repair or valve replacement.

2. Whether Medication Is Needed

2.1 Required: Mitral regurgitation refers to the backward flow of part of the blood from the left ventricle into the left atrium during cardiac contraction. It may be caused by congenital valve malformations, degenerative valve disease, rheumatic heart disease, or other factors. If the regurgitation is mild and no symptoms are present, medication is generally not required.

2.2 Not Required: However, if the mitral regurgitation is moderate or severe and causes symptoms such as dyspnea, body edema, or arrhythmia, medication is typically necessary to prevent worsening of the condition.

If mitral valve regurgitation occurs, it is recommended to seek timely medical treatment to avoid adverse outcomes.