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Medical Health Encyclopedia
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Heart, section through the middle
Heart, section through the middle
Heart, front view
Heart, front view


Mitral regurgitation - chronic

Alternative Names:
Chronic mitral valve regurgitation; Mitral valve insufficiency

Symptoms:
Additional symptoms that may be associated with this disease: Note: Often no symptoms are present. When symptoms occur, they often develop gradually.

Signs and tests:
Text Continues Below



Palpation may show thrill (vibration) over the heart. A stethoscope examination of the heart reveals a distinctive murmur. Rales (a crackly sound) or other abnormal breath sounds may be heard on lung examination. Ankle swelling, enlarged liver, distended neck veins, and other signs consistent with right-sided heart failure may be present.

An enlarged left atrium with a thickened or deformed mitral valve, and regurgitation of blood may be seen on:

  • echocardiogram (an ultrasound examination of the heart)
  • transesophageal echocardiogram (TEE)
  • cardiac color-Doppler study
  • magnetic resonance imaging (MRI)
  • cardiac catheterization
A chest X-ray may show an enlarged left atrium. An ECG often suggests left atrial enlargement. Enlargement of the left ventricle is also a frequent finding. Other tests may include radionuclide scans or a CT scan of the chest.

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