If you think you have mitral valve regurgitation, make an appointment to see your doctor. Here's some information to help you prepare for your appointment.
What you can do
- Be aware of pre-appointment restrictions. When you make the appointment, ask if there's anything you need to do beforehand.
- Write down your symptoms, including any that seem unrelated to mitral valve regurgitation.
- Write down key personal information, including a family history of heart disease, heart defects, genetic disorders, stroke, high blood pressure or diabetes, and any major stresses or recent life changes.
- Make a list of all medications, vitamins and supplements you take.
- Take a family member or friend along, if possible. Someone who accompanies you can help you remember information you receive.
- Be prepared to discuss your diet and exercise habits. If you don't already eat well and exercise, be ready to talk to your doctor about challenges you might face in getting started.
- Write down questions to ask your doctor.
For mitral valve regurgitation, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- What are other possible causes for my symptoms or condition?
- What tests will I need?
- What's the best treatment?
- What are the alternatives to the primary approach you're suggesting?
- I have other health conditions. How can I best manage them together?
- Are there restrictions I need to follow?
- Should I see a specialist?
- If I need surgery, which surgeon do you recommend for mitral valve repair?
- Is there a generic alternative to the medicine you're prescribing?
- Are there brochures or other printed material I can take with me? What websites do you recommend?
Don't hesitate to ask other questions you have.
What to expect from your doctor
Your doctor is likely to ask you a number of questions, including:
- When did your symptoms begin?
- Have your symptoms been continuous or occasional?
- How severe are your symptoms?
- What, if anything, seems to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
March 22, 2016
- Heart valve disease. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hvd/hvd_all.html. Accessed Dec. 9, 2014.
- Roles of your four heart valves. American Heart Association. http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/Roles-of-Your-Four-Heart-Valves_UCM_450344_Article.jsp. Accessed Dec. 9, 2014.
- Otto CM. Etiology, clinical features, and evaluation of chronic mitral regurgitation. http://www.uptodate.com/home. Accessed Dec. 8, 2014.
- What is pulmonary hypertension? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/pah/. Accessed Dec. 9, 2014.
- Gaasch WH. Overview of the management of chronic mitral regurgitation. http://www.uptodate.com/home. Accessed Dec. 8, 2014.
- Schiller NB, et al. Echocardiographic evaluation of the mitral valve. http://www.uptodate.com/home. Accessed Dec. 8, 2014.
- Maganti K, et al. Valvular heart disease: Diagnosis and management. Mayo Clinic Proceedings. 2010;85:483.
- Gaasch WH. Surgical procedures in severe chronic mitral valve regurgitation. http://www.uptodate.com/home. Accessed Dec. 9, 2014.
- Nishimura RA, et al. 2014 ACC/AHA valve guidelines: Earlier intervention for chronic mitral regurgitation. Heart. 2014;100:905.
- Aldea GS. Minimally invasive aortic and mitral valve surgery. http://www.uptodate.com/home. Accessed Dec. 8, 2014.
- Otto CM. Acute mitral regurgitation in adults. http://www.uptodate.com/home. Accessed June 6, 2014.
- Gaasch WH, et al. Valvular heart disease induced by drugs. http://www.uptodate.com/home. Accessed Dec. 9, 2014.
- Nishimura RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: Executive summary. Journal of the American College of Cardiology. 2014;63:2438.
- What is atrial fibrillation? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/af. Accessed Dec. 9, 2014.
- Rehfeldt KH, et al. Robot-assisted mitral valve repair. Journal of Cardiothoracic and Vascular Anesthesia. 2011;25:721.
- Suri RM, et al. Minimally invasive heart surgery: How and why in 2012. Current Cardiology Reports. 2012;14:171.
- Bhamra-Ariza P, et al. The MitraClip experience and future percutaneous mitral valve therapies. Heart, Lung & Circulation. 2014;23:1009.
- Cullen MW, et al. Transvenous, antegrade Melody valve-in-valve implantation for bioprosthetic mitral and tricuspid valve dysfunction: A case series in children and adults. JACC: Cardiovascular Interventions. 2013;6:598.
- What causes cardiomyopathy? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/cm/causes. Accessed Dec. 10, 2014.
- What cause an arrhythmia? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/arr/causes. Accessed Dec. 10, 2014.
- Rihal CS, et al. Principles of percutaneous paravalvular leak closure. JACC: Cardiovascular Interventions. 2012;5:121.
- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. Dec. 11, 2014.
- Suri RM (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 30, 2014.
- Nkomo VT (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 2, 2015.
- Suri RM, et al. Survival advantage and improved durability of mitral repair for leaflet prolapse subsets in the current era. The Annals of Thoracic Surgery. 2006;82:819.
- Suri RM, et al. Robotic mitral valve repair for all categories of leaflet prolapse: Improving patient appeal and advancing standard of care. Mayo Clinic Proceedings. 2011;86:838.
- Suri RM, et al. Improving affordability through innovation in the surgical treatment of mitral valve disease. Mayo Clinic Proceedings. 2013:88:1075.
- U.S. News Best Hospitals 2014-15. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings. Accessed Dec. 29, 2014.
- Suri RM, et al. Association between early surgical intervention vs watchful waiting and outcomes for mitral regurgitation due to flail mitral valve leaflets. Journal of the American Medical Association. 2013;310:609.
- Suri RM, et al. Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: Establishing the benchmark against which percutaneous interventions should be judged. The Journal of Thoracic and Cardiovascular Surgery. 2011;142:970.
- Suri RM, et al. Recurrent mitral regurgitation after repair: Should the mitral valve be re-repaired? The Journal of Thoracic and Cardiovascular Surgery. 2006;132:1390.
- Constans DM. Echo Report Yearly Volumes. Mayo Clinic, Rochester, Minn. Accessed Jan. 12, 2015.
- Algarni KD, et al. Robotic-assisted mitral valve repair: Surgical technique. Multimedia Manual of Cardiothoracic Surgery. 2014;2014:e1. http://mmcts.oxfordjournals.org/content/2014/mmu022.full?sid=f176f3ea-c51d-42cc-871f-9c7d8b10c943. Accessed Jan. 9, 2015.
- Suri RM, et al. Quality of life after early mitral valve repair using conventional and robotic approaches. The Annals of Thoracic Surgery. 2012;93:761.
- Sorajja R, et al. The learning curve in percutaneous repair of paravalvuloar prosthetic regurgitation: An analysis of 200 cases. Journal of the American College of Cardiology. 2014;7:521.
- Miller HL. Decision Support System. Mayo Clinic, Rochester, Minn. Accessed Dec. 29, 2014.
- Severson RM. Society of Thoracic Surgeons National Database. Accessed Jan. 15, 2015.
Mitral valve regurgitation