Mitral regurgitation Symptoms
Under normal circumstances, from the rheumatic carditis to obvious symptoms of mitral regurgitation is spanning 20 years; once heart failure, is progressing rapidly. Mild mitral insufficiency may be no obvious symptoms or only mild discomfort. Severe symptoms of mitral insufficiency include: breathing difficulties, fatigue, a significant drop in endurance activities. Hemoptysis and embolism is less common. The later, can occur right heart failure, hepatomegaly, congestion of liver, and tenderness, ankle edema, pleural effusion or ascites. May soon occur in acute left heart failure or acute pulmonary edema.
Signs of Mitral regurgitation (mitral insufficiency)
1. Cardiac auscultation, apical systolic area will be hair-like noise, loudness in the 3/6 grade, more spread to left armpit, inspiratory weakened back to a high pitch-hour traffic, noise from rough valve thickening. Mainly of the former leaf damage, the left armpit noises or left subscapular conduction; mainly posterior lobe damage, the noise at the bottom of conduction to the heart. Tremor may be accompanied by systolic. Apical first heart sound weakened area, or cover up the noise. Period could be shortened as a result of left ventricular ejection, aortic valve closure in advance, resulting in split second heart sound. Severe mitral insufficiency may appear low-key third heart sound. Kai-Wen and mitral valve combined with mitral stenosis sound prompts, but you can not except for mitral insufficiency. Serious in patients with mitral insufficiency, due to diastolic blood through, leading to relative mitral stenosis, the apical zone could be heard and a low profile, short mid-diastolic murmur. Pulmonary hypertension, the pulmonary valve area Hypersplenism second heart sound.
2. Other signs: normal arterial blood pressure and pulse smaller. Sector under the expansion of the left heart, apical area at the moment kind of touch on the limitations of pulsatile systolic lift on left ventricular hypertrophy and expanded. When pulmonary hypertension and right heart failure, patient may have distension of jugular vein, liver enlargement, lower limbs edema.