Women with mitral valve insufficiency are difficult to control after long-term medication

Mitral valve insufficiency in women is difficult to control after long-term medication

Mitral valve insufficiency should be repaired surgically as soon as possible

A 55-year-old woman, 6 years old She began to have difficulty breathing, especially when she was sleeping or lying down or exercising. During the medical examination, she was diagnosed with severe mitral valve insufficiency. However, considering the risks of surgery, the woman chose medication to control it. However, it has not improved in six years. Instead, she has Exacerbating the phenomenon; Dr. Hu Youning, a cardiovascular surgeon at National Cheng Kung University Hospital, pointed out that due to the severity of the symptoms, the woman was finally willing to undergo surgery. Through mitral valve repair, the symptoms were successfully improved after surgery.

Long-term mitral valve insufficiency can damage the heart.

The patient has been undergoing cardiac ultrasound tracking for six years, but the mitral valve insufficiency has become increasingly serious, and the pulmonary artery pressure has gradually increased. It is even as high as peripheral arterial blood pressure. Chest X-ray also reveals that the heart is enlarged and the pulmonary arteries are bulging. Dr. Hu Youning said that most mitral atresia cannot be cured by drug treatment. If severe mitral atresia is delayed for too long, , may cause problems such as damage to heart function, and even cause tricuspid valve insufficiency.

Mitral valve insufficiency can be treated through repair surgery

To treat mitral valve insufficiency, mitral valve repair is currently the trend, American Heart Association The association put forward international recommendations in 2014. Compared with mitral valve replacement, mitral valve repair surgery has lower risks, can preserve better left ventricular function, and can also allow patients to avoid the side effects of artificial valve replacement; Dr. Hu Youning pointed out, but Currently, approximately 25 patients at National Cheng Kung University Hospital undergo mitral valve repair surgery every year, accounting for only 60% of all patients with mitral valve insufficiency.

Patients undergoing mitral valve repair surgery should be evaluated

As for valve replacement, it is more difficult for patients aged 50 to 60 years old, mainly because the average lifespan of pig heart valves is between 10 and 10 years old. In 15 years, if it is a bovine heart valve that requires more than 60,000 to 100,000 yuan to make up for the difference in health insurance, the life span is only 15 to 20 years. Dr. Hu Youning pointed out that even if it is a metal valve that will be used for life, you cannot stop taking anticoagulants. However, not all patients can undergo valve repair surgery. Therefore, if you are informed that you have severe mitral valve insufficiency, you should be examined, evaluated and treated as soon as possible. Join and pay attention to your health every day! LINE@ ID: @ Subscribe to the Healthy Love Live video and audio channel and read health knowledge more easily: /supply/article/35060 Keywords: dyspnea, severe mitral atresia, Chengda Hospital, cardiovascular surgery, Hu Youning, mitral valve Valve repair