{"id":2494,"date":"2026-03-13T11:55:10","date_gmt":"2026-03-13T08:55:10","guid":{"rendered":"https:\/\/kadriyekilickesmez.com\/?p=2494"},"modified":"2026-05-05T14:03:09","modified_gmt":"2026-05-05T11:03:09","slug":"mitral-valve-disease-types-symptoms-and-treatment","status":"publish","type":"post","link":"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/","title":{"rendered":"Mitral Valve Disease: Types, Symptoms, and Treatment"},"content":{"rendered":"<p>Mitral valve disease is a cardiological disease that occurs when blood flow is disrupted due to structural abnormality or loss of function of the mitral valve located between the left atrium and the left ventricle of the heart. The development of narrowing or insufficiency in the valve reduces the pumping efficiency of the heart and directly affects the circulatory system.<\/p>\n<p>The types of mitral valve disease are mainly classified as mitral stenosis and mitral regurgitation. In mitral stenosis, the valve opening narrows and the passage of blood into the left ventricle becomes difficult. In mitral regurgitation, the valve cannot close completely and some of the blood leaks back into the left atrium, causing volume overload in the heart.<\/p>\n<p>Symptoms of mitral valve disease usually develop depending on the degree of disease progression. Shortness of breath, easy fatigue, palpitations, chest discomfort, and decreased exercise capacity are common clinical findings. In advanced stages, fluid accumulation in the lungs and rhythm disorders may occur.<\/p>\n<p>Treatment of mitral valve disease is planned according to the type and severity of the disease and the patient\u2019s general health condition. While medication therapy may provide symptom control, surgical interventions such as mitral valve repair or valve replacement may be applied in advanced cases, and preservation of heart function is aimed.<\/p>\n<table>\n<tbody>\n<tr>\n<td>What You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>What Is Mitral Valve Disease<\/td>\n<td>These are structural or functional disorders of the mitral valve located between the left atrium and the left ventricle of the heart. It prevents proper blood flow and reduces the efficiency of the heart.<\/td>\n<\/tr>\n<tr>\n<td>Main Types<\/td>\n<td>1. Mitral Regurgitation: Blood leaking back into the left atrium as a result of the valve not closing completely.2. Mitral Stenosis: Insufficient blood passage from the left atrium to the ventricle due to narrowing of the valve.3. Mitral Valve Prolapse: The valve leaflets balloon and sag toward the left atrium.<\/td>\n<\/tr>\n<tr>\n<td>Causes<\/td>\n<td>Rheumatic fever, degenerative valve diseases, congenital anomalies, infective endocarditis, aging, structural disorders that develop after a heart attack.<\/td>\n<\/tr>\n<tr>\n<td>Common Symptoms<\/td>\n<td>Shortness of breath (especially with exertion), palpitations, weakness, swelling in the legs, chest pain, feeling of fainting, cough (especially at night), rhythm disorders.<\/td>\n<\/tr>\n<tr>\n<td>Diagnostic Methods<\/td>\n<td>Physical examination (hearing a murmur), ECG, chest X-ray, transthoracic or transesophageal echocardiography, cardiac MRI, cardiac catheterization.<\/td>\n<\/tr>\n<tr>\n<td>Treatment Options<\/td>\n<td>&#8211; Medical Treatment: Diuretics, ACE inhibitors, beta blockers, antiarrhythmic drugs.- Interventional Methods: Balloon valvuloplasty (for stenosis).- Surgical Intervention: Valve repair or valve replacement (with bioprosthetic or mechanical valve).<\/td>\n<\/tr>\n<tr>\n<td>Advantages of Surgical Repair<\/td>\n<td>Preservation of the patient\u2019s own valve, lower risk of infection, reduced need for blood thinners. However, it may not be possible in every patient.<\/td>\n<\/tr>\n<tr>\n<td>Preference in Valve Replacement<\/td>\n<td>&#8211; Mechanical Valve: Long-lasting, but lifelong use of blood thinners is required.- Biological Valve: Shorter-lasting, but generally does not require blood thinner use.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Heart failure, rhythm disorders (especially atrial fibrillation), thromboembolism, stroke, pulmonary hypertension, infective endocarditis.<\/td>\n<\/tr>\n<tr>\n<td>Follow-up and Lifestyle<\/td>\n<td>Regular cardiology check-ups, salt restriction, fluid balance monitoring, protection from infections, appropriate exercise plan, regular use of medications.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#What_Is_Mitral_Valve_Disease_and_Why_Is_It_Important\" >What Is Mitral Valve Disease and Why Is It Important?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Types_of_Mitral_Valve_Disease\" >Types of Mitral Valve Disease<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Symptoms_of_Mitral_Valve_Disease\" >Symptoms of Mitral Valve Disease<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Causes_of_Mitral_Valve_Disease\" >Causes of Mitral Valve Disease<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Diagnosis_of_Mitral_Valve_Disease\" >Diagnosis of Mitral Valve Disease<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Treatment_of_Mitral_Valve_Disease\" >Treatment of Mitral Valve Disease<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Lifestyle_Changes_and_Medication_Therapy\" >Lifestyle Changes and Medication Therapy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Surgical_Treatment_Options\" >Surgical Treatment Options<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Minimally_Invasive_Methods\" >Minimally Invasive Methods<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Transcatheter_Mitral_Valve_Repair_TMVR\" >Transcatheter Mitral Valve Repair (TMVR)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#How_do_the_types_of_mitral_valve_disease_affect_blood_flow_in_the_heart\" >How do the types of mitral valve disease affect blood flow in the heart?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Why_do_symptoms_of_mitral_valve_disease_increase_during_exercise\" >Why do symptoms of mitral valve disease increase during exercise?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#In_which_age_groups_is_mitral_valve_disease_more_common\" >In which age groups is mitral valve disease more common?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#What_complications_may_develop_when_mitral_valve_disease_progresses\" >What complications may develop when mitral valve disease progresses?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Why_is_mitral_valve_disease_carefully_monitored_during_pregnancy\" >Why is mitral valve disease carefully monitored during pregnancy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Which_tests_definitively_diagnose_mitral_valve_disease\" >Which tests definitively diagnose mitral valve disease?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#When_is_surgery_required_in_the_treatment_of_mitral_valve_disease\" >When is surgery required in the treatment of mitral valve disease?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#How_can_mitral_valve_disease_be_controlled_with_lifestyle_changes\" >How can mitral valve disease be controlled with lifestyle changes?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#How_long_does_recovery_take_after_mitral_valve_disease_surgery\" >How long does recovery take after mitral valve disease surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/kadriyekilickesmez.com\/en\/mitral-valve-disease-types-symptoms-and-treatment\/#Why_can_psychological_effects_be_seen_in_people_with_mitral_valve_disease\" >Why can psychological effects be seen in people with mitral valve disease?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Mitral_Valve_Disease_and_Why_Is_It_Important\"><\/span>What Is Mitral Valve Disease and Why Is It Important?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mitral valve disease describes a condition in which the mitral valve located between the two chambers on the left side of your heart, which ensures that blood flows in one direction, does not function properly. The mitral valve prevents oxygen-rich blood pumped from the left atrium to the left ventricle from leaking back into the atrium when the ventricle contracts. Any problem occurring in this valve disrupts this delicate balance, increasing the workload of the heart and potentially leading to serious health problems over time.<\/p>\n<p>The importance of this disease comes from the central role of the heart in the overall circulatory system. The mitral valve regulates the flow of clean blood coming from the lungs into the left ventricle, which distributes it to the body. When there is a problem with this valve, blood either cannot be fully transmitted (stenosis) or leaks backward (regurgitation). Both conditions cause the heart to work harder. The heart may enlarge to compensate for this extra effort and may weaken over time, which can lead to more serious consequences such as heart failure. In addition, mitral valve diseases may increase the risk of clot formation and trigger life-threatening conditions such as stroke. Therefore, early diagnosis and management of mitral valve disease are vitally important for patients to live a long and healthy life.<\/p>\n<p>Understanding mitral valve disease is not only a medical necessity but also a part of personal health responsibility. Recognizing symptoms, knowing risk factors, and attending regular doctor check-ups play a key role in minimizing the effects of this disease. The impact of this condition on public health is too great to ignore; early intervention both improves quality of life at the individual level and reduces the burden on the healthcare system. A conscious approach is the strongest weapon in managing this complex disease.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Types_of_Mitral_Valve_Disease\"><\/span>Types of Mitral Valve Disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mitral valve disease is divided into two main categories according to the type of valve dysfunction: mitral stenosis and mitral regurgitation. These two conditions arise from changes in the structure of the valve and may cause different symptoms and outcomes. Both conditions negatively affect heart function and lead to various health problems.<\/p>\n<ul>\n<li>Mitral Stenosis<\/li>\n<\/ul>\n<p>Mitral stenosis is the condition in which the mitral valve cannot open fully. This narrowing makes blood flow from the left atrium to the left ventricle difficult. The valve leaflets thicken, harden, or stick together, leaving a narrow pathway for blood to pass through. As a result, some of the blood in the left atrium accumulates there instead of flowing into the left ventricle. This causes the left atrium to enlarge and the pressure inside it to increase. Increased pressure causes blood to back up into the lungs, leading to serious problems such as shortness of breath and pulmonary edema.<\/p>\n<p>The most common cause of mitral stenosis is a history of rheumatic fever. This infection may cause inflammation in the heart valves and permanent damage over time. Aging, calcium accumulation, and some other rare conditions may also contribute to the development of stenosis. The severity of stenosis directly affects how prominent the symptoms are. Mild stenosis may not cause symptoms for many years, while severe narrowing may cause complaints such as shortness of breath, fatigue, and palpitations in the early period. Treatment is determined according to the degree of narrowing and the patient\u2019s general health condition.<\/p>\n<ul>\n<li>Mitral Regurgitation<\/li>\n<\/ul>\n<p>Mitral regurgitation is the condition in which the mitral valve cannot close completely and blood leaks back into the left atrium when the left ventricle contracts. The valve leaflets may tear, sag, or the fibers holding the valve (chordae) may rupture. This backward leakage causes less blood to be pumped to the body with each heartbeat, while the amount of blood returning to the left atrium increases. Over time, the left atrium enlarges and the left ventricle also has to work harder to compensate for the increased volume. This condition may lead to enlargement of both the left atrium and left ventricle, weakening of the heart muscle, and eventually heart failure.<\/p>\n<p>There are various causes of mitral regurgitation. These include mitral valve prolapse (sagging of the valve leaflets toward the atrium), damage after a heart attack, infective endocarditis (heart valve infection), rheumatic heart disease, high blood pressure, and congenital heart defects. The severity of regurgitation determines the severity of symptoms. Mild leakage usually does not cause significant discomfort, while severe leakage may cause symptoms such as shortness of breath, fatigue, palpitations, and even chest pain. Treatment may involve medication therapy or surgical intervention depending on the cause and severity of the leakage and the patient\u2019s symptoms.<\/p>\n<ul>\n<li>Mitral Valve Prolapse<\/li>\n<\/ul>\n<p>Mitral valve prolapse is the condition in which one or both of the mitral valve leaflets sag from their normal position toward the left atrium when the left ventricle contracts. This condition is usually associated with looseness or thickening of the valve tissue. For most people, mitral valve prolapse is harmless and does not cause any symptoms. However, in some cases, prolapse may lead to mitral regurgitation (valve leakage).<\/p>\n<p>Mitral valve prolapse usually shows a genetic predisposition and is more common in women. It may also be associated with some connective tissue diseases (for example, Marfan syndrome). People with mild prolapse usually do not need special treatment. However, if regurgitation develops or symptoms such as palpitations, chest pain, or shortness of breath occur, close follow-up by doctors and, in some cases, medication therapy or surgery may be recommended. Mitral valve prolapse may be an underlying cause of mitral valve disease, and therefore regular cardiological evaluation is important.<\/p>\n<ul>\n<li>Mitral Valve Insufficiency<\/li>\n<\/ul>\n<p>Mitral valve insufficiency means that a significant amount of blood leaks back into the left atrium because the valve does not close adequately. This condition significantly increases the workload on the heart. With each beat, the left ventricle has to both pump blood to the body and push the leaking blood forward again. This constant extra effort causes the left ventricle to enlarge (dilation) and its walls to thicken (hypertrophy) over time.<\/p>\n<p>The most important consequence of mitral valve insufficiency is heart failure. When the heart can no longer carry this extra load, it cannot pump enough oxygenated blood needed by the body. This leads to symptoms such as fatigue, shortness of breath, and swelling in the feet and legs. In addition, blood accumulation and enlargement in the left atrium increase the risk of atrial fibrillation (irregular heart rhythm) and clot formation, which may cause dangerous complications such as stroke. Treatment of mitral valve insufficiency is determined according to the cause and severity of the leakage and the patient\u2019s symptoms. While medication therapy may be sufficient in some cases, surgical intervention (repair or replacement) may be required in severe insufficiency.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Symptoms_of_Mitral_Valve_Disease\"><\/span>Symptoms of Mitral Valve Disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Symptoms of mitral valve disease may vary greatly depending on the type of disease (stenosis or regurgitation), its severity, and the patient\u2019s general health condition. Some patients, especially in the early stages or mild forms of the disease, may not experience any symptoms. However, as the disease progresses or becomes more severe, various complaints may appear. Early recognition of these symptoms is critically important for timely diagnosis and treatment. Think of your heart as a warning system; these symptoms are the signals sent by that system.<\/p>\n<ul>\n<li>Shortness of Breath<\/li>\n<\/ul>\n<p>Shortness of breath is one of the most common and most disturbing symptoms of mitral valve disease. In mitral stenosis, increased pressure in the left atrium causes blood to be pushed back into the lungs. This condition leads to fluid accumulation in the lungs (pulmonary congestion), making breathing difficult. In cases where mitral regurgitation is severe, fluid accumulation in the lungs may occur as a result of the heart\u2019s inability to pump enough blood to the body. Shortness of breath usually begins during physical activity and decreases with rest. However, as the disease progresses, shortness of breath may be felt even at rest. Shortness of breath that increases especially at night while lying down (orthopnea) and shortness of breath that suddenly wakes a person from sleep (paroxysmal nocturnal dyspnea) may indicate a serious condition.<\/p>\n<ul>\n<li>Fatigue and Weakness<\/li>\n<\/ul>\n<p>Insufficient oxygenated blood reaching the body\u2019s tissues causes a general feeling of fatigue and weakness. Since mitral valve disease prevents the heart from working efficiently, body cells cannot receive the oxygen they need. This condition becomes more noticeable especially during physical activities. Even doing daily tasks may become difficult. In mitral stenosis, blood returning to the left atrium reduces the amount of blood going to systemic circulation. In regurgitation, because some of the blood pumped with each heartbeat leaks back, the amount of fresh blood going to the body decreases. This lack of energy may seriously reduce the patient\u2019s quality of life.<\/p>\n<ul>\n<li>Palpitations<\/li>\n<\/ul>\n<p>Palpitations mean feeling that your heart is beating rapidly, strongly, or irregularly. Mitral valve disease may disrupt the electrical activity of the heart or increase the burden on the heart, leading to rhythm disorders. Irregular heart rhythms such as atrial fibrillation are especially common in patients with mitral valve disease. Atrial fibrillation causes the atria to contract irregularly and rapidly, reducing the amount of blood pumped to the body and causing a feeling of palpitations. Sometimes, progression of heart failure may also cause the heart to try to compensate by beating faster, and this may be perceived as palpitations.<\/p>\n<ul>\n<li>Chest Pain (Angina)<\/li>\n<\/ul>\n<p>Chest pain is a less common but serious symptom of mitral valve disease. It usually occurs when the heart muscle cannot receive enough oxygen (ischemia). In mitral stenosis, high pressure in the lungs may strain the right side of the heart, which may lead to right heart failure and related chest pain. In cases where mitral regurgitation is severe, overworking of the left ventricle may increase the oxygen demand of the heart muscle, and chest pain may occur due to insufficient blood flow. Chest pain usually occurs with exertion, is felt as pressure or tightness, and may sometimes spread to the arm, neck, or jaw.<\/p>\n<ul>\n<li>Swelling in the Feet and Legs (Edema)<\/li>\n<\/ul>\n<p>Fluid accumulation (edema) in the lower parts of the body, especially the ankles and legs, is usually a sign of right heart failure. Mitral valve disease may affect the left side in particular and strain the right heart over time. In mitral stenosis, high pressure in the lungs increases the workload of the right ventricle. In severe mitral regurgitation, decreased overall pumping capacity of the heart causes blood to pool in the body. This condition causes blood to leak from the vessels into the tissues, leading to edema. Edema is usually more prominent later in the day and may decrease slightly when lying down.<\/p>\n<ul>\n<li>Dizziness and Fainting (Syncope)<\/li>\n<\/ul>\n<p>Dizziness or fainting (syncope) may occur when sufficient oxygenated blood does not reach the brain. In mitral valve disease, blood flow to the brain may be temporarily interrupted due to reduced pumping power of the heart or irregular heart rhythms. This condition may occur especially when standing up suddenly (orthostatic hypotension) or during severe exertion. In mitral stenosis, the inability of blood accumulating in the left atrium to adequately mix into the circulation going to the brain may also increase this risk. Fainting episodes may be a sign of a serious underlying problem and must be evaluated by a doctor.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Causes_of_Mitral_Valve_Disease\"><\/span>Causes of Mitral Valve Disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mitral valve disease may result from various factors that disrupt the structure and function of the valve. These causes may be congenital or acquired. Determining the underlying cause of the disease is a critical step in establishing the correct diagnosis and treatment plan. Heart valves are one of the body\u2019s complex engineering marvels; there may be many factors that disrupt this marvel.<\/p>\n<ul>\n<li>Rheumatic Fever<\/li>\n<\/ul>\n<p>Rheumatic fever is an inflammatory disease that may develop after a bacterial infection called streptococcus, usually a throat infection. This disease causes the body\u2019s immune system to attack its own tissues and may lead to permanent damage in the heart valves. The mitral valve is the valve most commonly affected by rheumatic fever. Damage due to rheumatic fever usually appears years later and may manifest as narrowing (stenosis) or insufficiency (regurgitation) in the mitral valve. It is a common cause especially in developing countries and regions where hygiene conditions are inadequate.<\/p>\n<ul>\n<li>Mitral Valve Prolapse<\/li>\n<\/ul>\n<p>As mentioned earlier, mitral valve prolapse is the condition in which the valve leaflets sag. This condition is usually a structural problem and results from weak or loose valve tissue. Prolapse may not pose a serious problem on its own, but in some cases it may prevent the valve from closing completely and lead to mitral regurgitation. Genetic predisposition, connective tissue diseases, and aging may increase the risk of prolapse.<\/p>\n<ul>\n<li>Infective Endocarditis<\/li>\n<\/ul>\n<p>Infective endocarditis is an infection of the heart valves. Bacteria or other microorganisms may reach the heart through the bloodstream, settle on the valves, and cause inflammation there. This infection may cause damage, tearing, or perforation in the valve tissue, leading to both stenosis and insufficiency. The risk is higher especially in people who already have heart valve disease or artificial valves. Rapid diagnosis and antibiotic treatment are vitally important to stop the progression of the disease.<\/p>\n<ul>\n<li>Heart Attack (Myocardial Infarction)<\/li>\n<\/ul>\n<p>A heart attack is the sudden interruption of blood flow to the heart muscle. If the heart attack affects the muscles or fibers (chordae) supporting the mitral valve, this condition may prevent the valve from functioning properly. In particular, death or weakening of part of the left ventricular wall as a result of infarction may make it difficult for the mitral valve to close and cause severe mitral regurgitation. This condition may lead to serious complications such as sudden shortness of breath and low blood pressure after a heart attack.<\/p>\n<ul>\n<li>High Blood Pressure (Hypertension)<\/li>\n<\/ul>\n<p>Long-term and uncontrolled high blood pressure increases the workload of the heart. The heart has to exert more force to pump blood to the body. This condition may cause the walls of the left ventricle to thicken (hypertrophy) and enlarge (dilation) over time. These changes may prevent the edges of the mitral valve from making full contact and lead to mitral regurgitation. High blood pressure is both a cause of mitral valve disease and a factor that contributes to the worsening of an existing condition.<\/p>\n<ul>\n<li>Aging and Degenerative Changes<\/li>\n<\/ul>\n<p>As age advances, some degenerative changes may naturally occur in the heart valves. Valve tissue may harden, thicken, or calcify over time. These changes may prevent the mitral valve from opening or closing completely, leading to both stenosis and insufficiency. Degenerative valve disease related to aging is an important cause of mitral valve problems, especially in the elderly population.<\/p>\n<ul>\n<li>Congenital Heart Defects<\/li>\n<\/ul>\n<p>Some people may be born with congenital heart valve abnormalities. Congenital defects related to the mitral valve may include abnormal development of the valve leaflets, incomplete formation of the valve, or defects in valve-related structures such as papillary muscles. Such defects may cause mitral valve disease from birth or later in life.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnosis_of_Mitral_Valve_Disease\"><\/span>Diagnosis of Mitral Valve Disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Accurate diagnosis of mitral valve disease is the basic step in determining an appropriate treatment plan. The diagnostic process includes taking the patient\u2019s medical history, physical examination, and various imaging and testing methods. Your doctor will carefully evaluate your symptoms and risk factors to determine the type, severity, and cause of the disease. This process is like a detective combining clues to solve a mystery.<\/p>\n<ul>\n<li>Medical History and Physical Examination<\/li>\n<\/ul>\n<p>Your doctor will first conduct a detailed interview with you. They will ask questions about your symptoms (shortness of breath, fatigue, palpitations, etc.), when they started, when they increased, and how they affect your quality of life. They will also ask about family history of heart disease, past infections such as rheumatic fever, or other known medical conditions. During the physical examination, the doctor will listen to your heart using a stethoscope. They may hear murmurs specific to mitral valve disease (abnormal sounds other than normal heart sounds) or other abnormal heart sounds. In addition, they will measure your blood pressure, check your pulse, and evaluate whether there is fluid accumulation (edema) in your body.<\/p>\n<ul>\n<li>Echocardiography (ECHO)<\/li>\n<\/ul>\n<p>Echocardiography is the most important imaging method used in the diagnosis of mitral valve disease. This test uses ultrasound waves to show the structure, size, movement, and function of your heart valves in detail. Through echocardiography, how well the mitral valve opens and closes, how much blood leaks back (amount of regurgitation), or how much the valve is narrowed (degree of stenosis) can be clearly seen. In addition, it provides valuable information about the sizes of the heart chambers, the thickness of the walls, and overall pumping function. Transthoracic echocardiography (performed through the chest wall) is usually used, but in some cases transesophageal echocardiography (performed through the esophagus) may be required for more detailed imaging.<\/p>\n<ul>\n<li>Electrocardiography (ECG)<\/li>\n<\/ul>\n<p>Electrocardiography (ECG) is a test that records the electrical activity of the heart. ECG may show abnormalities in heart rhythm (for example, atrial fibrillation), heart muscle damage, or strain on the heart. Rhythm disorders or signs of heart failure that develop due to mitral valve disease may be seen on ECG. ECG is a fast, painless, and non-invasive test and plays an important role in the diagnostic process, but it does not directly show the structure of the valve or blood flow.<\/p>\n<ul>\n<li>Chest X-Ray<\/li>\n<\/ul>\n<p>Chest X-ray is used to evaluate the size and shape of the heart, as well as whether there is fluid accumulation in the lungs. Due to mitral valve disease, the heart may enlarge (cardiomegaly) or congestion (fluid accumulation) may be seen in the lungs. These findings may provide additional information about the severity of the disease and the complications it causes. However, chest X-ray does not show the valve itself in detail.<\/p>\n<ul>\n<li>Cardiac Catheterization (Angiography)<\/li>\n<\/ul>\n<p>Cardiac catheterization is an invasive procedure usually used when other tests do not provide sufficient information or when surgical treatment is being planned. During this procedure, a thin tube (catheter) is advanced to the heart through a blood vessel. Through the catheter, pressures inside the heart can be measured and contrast material can be injected to check whether there is blockage in the coronary arteries (heart vessels) (angiography). In mitral valve disease, catheterization can more precisely determine the degree of stenosis by measuring pressures at the level of the mitral valve, or it can evaluate the presence and severity of regurgitation.<\/p>\n<ul>\n<li>Stress Test<\/li>\n<\/ul>\n<p>A stress test (exercise test) is performed to evaluate how the heart works during physical activity. In this test, the patient\u2019s heart rate, blood pressure, and ECG are monitored while walking on a treadmill or riding a stationary bicycle. In people with mitral valve disease, whether symptoms such as shortness of breath or chest pain occur during the stress test, or how severe they are, is observed. This test helps evaluate exertion-related symptoms of the disease and determine the patient\u2019s physical activity capacity.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Treatment_of_Mitral_Valve_Disease\"><\/span>Treatment of Mitral Valve Disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Treatment of mitral valve disease is planned individually according to the type of disease (stenosis or regurgitation), its severity, the patient\u2019s symptoms, age, and general health condition. The main goal of treatment is to reduce the burden on the heart, relieve symptoms, improve quality of life, and prevent complications. Treatment options include lifestyle changes, medication therapy, and surgical intervention. Treatment is like running a marathon; it requires patience, the right strategy, and continuous follow-up.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Lifestyle_Changes_and_Medication_Therapy\"><\/span>Lifestyle Changes and Medication Therapy<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>For patients with mild mitral valve disease and no significant symptoms, lifestyle changes and regular doctor follow-up may usually be sufficient. These include:<\/p>\n<ul>\n<li aria-level=\"1\">Healthy Nutrition: Reducing salt intake may help prevent edema formation.<\/li>\n<li aria-level=\"1\">Regular Exercise: Mild and moderate exercise to the extent recommended by the doctor may support heart health. However, severe exertion should be avoided.<\/li>\n<li aria-level=\"1\">Avoiding Smoking and Alcohol Consumption: These habits negatively affect heart health.<\/li>\n<li aria-level=\"1\">Weight Control: Maintaining ideal weight reduces the burden on the heart.<\/li>\n<\/ul>\n<p>Medication therapy may be applied to manage certain symptoms or control disease progression. The medications used may include:<\/p>\n<ul>\n<li aria-level=\"1\">Diuretics: They help remove excess fluid from the body and reduce shortness of breath and edema.<\/li>\n<li aria-level=\"1\">Beta Blockers and Calcium Channel Blockers: They may reduce the workload of the heart by slowing heart rate and lowering blood pressure. They are also used in the treatment of rhythm disorders.<\/li>\n<li aria-level=\"1\">ACE Inhibitors and Angiotensin Receptor Blockers (ARBs): They dilate blood vessels, lower blood pressure, and help the heart pump blood more easily.<\/li>\n<li aria-level=\"1\">Anticoagulants (Blood Thinners): They are used to reduce the risk of clot formation, especially in the presence of atrial fibrillation.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Surgical_Treatment_Options\"><\/span>Surgical Treatment Options<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If mitral valve disease is severe, causes symptoms, or carries a risk of causing permanent damage to the heart, surgical treatment may be required. The aim of surgical intervention is to repair or replace the damaged mitral valve.<\/p>\n<p>Mitral Valve Repair (Plasty)<\/p>\n<p>Mitral valve repair is a surgical procedure in which the damaged valve is repaired using its original tissues. This procedure may be performed by correcting sagging of the valve leaflets, repairing torn chordae, or narrowing the valve ring. Valve repair is preferred over valve replacement whenever possible because preserving the patient\u2019s own valve may eliminate the need for blood-thinning medication and allow the heart to function better. The success of repair depends on the surgeon\u2019s experience and the degree of damage.<\/p>\n<p>Mitral Valve Replacement<\/p>\n<p>If the mitral valve is too damaged to be repaired, the valve is replaced. In this procedure, the damaged natural valve is removed and replaced with an artificial valve (mechanical or biological).<\/p>\n<ul>\n<li aria-level=\"1\">Mechanical Valves: They are made from metal alloys and are very long-lasting. However, because these valves may cause blood clotting, patients must use blood-thinning medication (for example, Warfarin) for life.<\/li>\n<li aria-level=\"1\">Biological Valves: They are made from pig, cattle, or human tissue. When these valves are used, blood-thinning medication is generally not required, but they may wear out over time and may require repeat surgical intervention. The lifespan of biological valves is generally around 10\u201315 years.<\/li>\n<\/ul>\n<p>Which type of valve will be used is determined according to the patient\u2019s age, lifestyle, other medical conditions, and the surgeon\u2019s recommendation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Minimally_Invasive_Methods\"><\/span>Minimally Invasive Methods<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In addition to traditional open-heart surgery, minimally invasive surgical techniques are also increasingly used in the treatment of mitral valve disease. In these methods, the operation is performed using smaller incisions or robotic surgical systems. Minimally invasive methods may offer advantages such as less pain, faster recovery time, and smaller scars.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Transcatheter_Mitral_Valve_Repair_TMVR\"><\/span>Transcatheter Mitral Valve Repair (TMVR)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Transcatheter mitral valve repair (TMVR) is a newer treatment option developed for patients with high surgical risk or who cannot undergo surgery. In this method, a new mitral valve or devices used to repair the existing valve are delivered to the heart through a catheter from the groin artery or another vessel. This procedure usually does not require general anesthesia, and the patient\u2019s hospital stay is shorter. TMVR is a promising treatment option especially for patients with severe mitral regurgitation who are not suitable for surgery. However, this technology is still developing and may not be suitable for every patient.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"How_do_the_types_of_mitral_valve_disease_affect_blood_flow_in_the_heart\"><\/span>How do the types of mitral valve disease affect blood flow in the heart?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Mitral valve diseases are seen in two main types: mitral stenosis and mitral regurgitation. In stenosis, the valve does not open sufficiently and blood flow becomes difficult; in regurgitation, the valve does not close completely and blood leaks backward. This condition increases the burden on the heart and may lead to heart enlargement over time.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_do_symptoms_of_mitral_valve_disease_increase_during_exercise\"><\/span>Why do symptoms of mitral valve disease increase during exercise?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>During exercise, the heart has to pump more blood, so shortness of breath, palpitations, and rapid fatigue may become more pronounced in people with mitral valve problems. When valve function is impaired, the heart creates pressure toward the lungs, and this condition is felt more during exertion.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"In_which_age_groups_is_mitral_valve_disease_more_common\"><\/span>In which age groups is mitral valve disease more common?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Although mitral valve disease can be seen at any age, some types are more common in different age groups. Mitral stenosis due to rheumatic fever may occur in young adults, while valve degeneration due to aging is more common in older people.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_complications_may_develop_when_mitral_valve_disease_progresses\"><\/span>What complications may develop when mitral valve disease progresses?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If left untreated, mitral valve disease may lead to serious complications such as heart failure, rhythm disorders, and increased lung pressure. In addition, pooling of blood in the heart may increase the risk of clot formation, and this may cause problems such as stroke.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_is_mitral_valve_disease_carefully_monitored_during_pregnancy\"><\/span>Why is mitral valve disease carefully monitored during pregnancy?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Because blood volume and the amount of blood pumped by the heart increase during pregnancy, symptoms may worsen in people with mitral valve disease. Therefore, it is important for cardiology and obstetrics specialists to follow the pregnancy together for the health of the mother and baby.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Which_tests_definitively_diagnose_mitral_valve_disease\"><\/span>Which tests definitively diagnose mitral valve disease?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The most important method in the diagnosis of mitral valve disease is echocardiography. This ultrasound-like imaging shows the structure of the heart valves and blood flow in detail. When necessary, ECG, chest X-ray, and advanced cardiac imaging tests may also be used.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"When_is_surgery_required_in_the_treatment_of_mitral_valve_disease\"><\/span>When is surgery required in the treatment of mitral valve disease?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Surgical intervention may be required when medication therapy is not sufficient to control symptoms or when there is severe deterioration in the valve structure. Valve repair or valve replacement surgeries aim to correct heart function and improve the patient\u2019s quality of life.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_can_mitral_valve_disease_be_controlled_with_lifestyle_changes\"><\/span>How can mitral valve disease be controlled with lifestyle changes?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Reducing salt consumption, exercising regularly, avoiding smoking, and maintaining weight control may reduce the burden on the heart. In addition, regular doctor check-ups and correct use of recommended medications help slow disease progression.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_long_does_recovery_take_after_mitral_valve_disease_surgery\"><\/span>How long does recovery take after mitral valve disease surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The recovery period after mitral valve surgery varies depending on the method applied. Recovery may take several weeks after open-heart surgery, while this period may be shorter in some minimally invasive procedures. Rehabilitation and check-ups are important in recovery.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_can_psychological_effects_be_seen_in_people_with_mitral_valve_disease\"><\/span>Why can psychological effects be seen in people with mitral valve disease?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Being diagnosed with heart disease may create anxiety, stress, and concerns about quality of life in some people. The need for continuous monitoring and physical limitations may also create a psychological burden. Therefore, psychological support may also be important alongside medical treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mitral valve disease is a cardiological disease that occurs when blood flow is disrupted due to structural abnormality or loss of function of the mitral valve located between the left atrium and the left ventricle of the heart. The development of narrowing or insufficiency in the valve reduces the pumping efficiency of the heart and [&#8230;]\n","protected":false},"author":1,"featured_media":2493,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[79],"tags":[],"class_list":["post-2494","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/posts\/2494","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/comments?post=2494"}],"version-history":[{"count":2,"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/posts\/2494\/revisions"}],"predecessor-version":[{"id":2496,"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/posts\/2494\/revisions\/2496"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/media\/2493"}],"wp:attachment":[{"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/media?parent=2494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/categories?post=2494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kadriyekilickesmez.com\/en\/wp-json\/wp\/v2\/tags?post=2494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}