{"id":1359,"date":"2021-01-08T11:55:28","date_gmt":"2021-01-08T09:55:28","guid":{"rendered":"https:\/\/www.drchalapas.gr\/pathiseis\/"},"modified":"2023-07-20T12:58:03","modified_gmt":"2023-07-20T09:58:03","slug":"heart-diseases","status":"publish","type":"page","link":"https:\/\/drchalapas.gr\/en\/heart-diseases\/","title":{"rendered":"HEART DISEASES\u200b"},"content":{"rendered":"\t\t
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HEART DISEASES<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Etiology and Symptoms<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Correct diagnosis -\nApplication
of the most appropriate treatment!\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Mitral Valve Regurgitation<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Is one of the most common heart valve disease<\/strong> occurring in almost 25% of the general population. It is estimated that almost the 7% of the general population above 75 years old have at least moderate degree of mitral regurgitation.<\/p>

The heart has four cardiac valves: aortic<\/strong>, mitral,<\/strong> tricuspid<\/strong> and pulmonary valve<\/strong>. All of them are responsible for the correct direction of the blood flow.<\/p>

Mitral valve regurgitation<\/strong> \u2014 also called mitral insufficiency<\/strong> is a condition in which your heart’s mitral valve doesn’t close tightly, allowing blood to flow backward in your heart. If the mitral valve regurgitation is significant, blood can’t move through your heart or to the rest of your body as efficiently, making you feel tired or out of breath.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tEtiology<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Mitral regurgitation is due to damage to any of the individual parts of the valvular or sub-valvular mechanism (organic-degenerative) and \/ or to dilatation of the heart chambers (left ventricle +\/- left atrium). In chronic situations the disease occurs progressively, while in acute is characterized by a sudden onset.<\/p>

The Mitral regurgitation arises from various causes such as: rheumatic fever (nowadays it is rarely seen due to improved of the general health conditions), coronary heart disease, poor congenital structure of one and \/ or both mitral valve leaflets and, finally, due to dilation of the left ventricle causing mitral annulus dilation.<\/p>

Sudden onset of mitral regurgitation is due to:<\/strong> myocardial infarction, infectious endocarditis, or injury.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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The disease is characterized by<\/strong> shortness of breath initially only on exercise, fatigue and palpitations (extra systoles). Patients are prone to atrial fibrillation due to the large atrial dilatation. As a rule, we have of varying severity heart failure symptoms depending on the degree of insufficiency and the degree of adaptation of cardiac chambers (left ventricle) to volume overload situation. In acute insufficiency, acute pulmonary edema is possible.<\/p>

Clinical and laboratory findings of chronic and acute mitral regurgitation<\/span><\/span><\/span><\/strong><\/p><\/td><\/tr>

\u00a0<\/p><\/td>

Chronic mitral regurgitation<\/strong><\/p><\/td>

Acute mitral regurgitation<\/strong><\/p><\/td><\/tr>

Symptoms<\/strong><\/p><\/td>

  • Initially asymptomatic<\/li>
  • Worsening of the deficiency<\/li>
  • Chronic weakness and easy fatigue<\/li>
  • Dyspnoea on exertion<\/li>
  • Less commonly hemoptysis<\/li><\/ul><\/td>
  • Acute onset of severe shortness of breath, worsening to orthopnea<\/span><\/span> <\/span><\/li>
  • Pink sputum on acute pulmonary edema<\/span><\/span><\/span><\/li><\/ul><\/td><\/tr>

Objective findings<\/strong><\/p><\/td>

  • Complete arrhythmia (frequent atrial fibrillation)<\/li>
  • Rarely rose<\/li>
  • Hyperdynamic cardiac thrust displaced down and out<\/li>
  • Whole-systolic murmur of constant intensity (in less severe AF the murmur may be end-systolic or mid-end-systolic)<\/li>
  • S3<\/li><\/ul><\/td>
  • Rhythmic pulse, tachycardia, possibly hypotension<\/li>
  • Quite often a rhizome is palpated<\/li>
  • So normal or overpowered in its normal position<\/li>
  • Systolic murmur, either constant volume or rhomboid<\/li>
  • S3, often and\/or S4<\/li><\/ul><\/td><\/tr>

Laboratory and paraclinical tests<\/strong><\/p><\/td>

  • Left atrial enlargement<\/span><\/span> <\/span><\/li>
  • Combination of left ventricular hypertrophy and dilatation<\/span><\/span> <\/span><\/li>
  • Normal lung fields<\/span><\/span><\/span><\/li><\/ul><\/td>