Mitral regurgitation 

Ohhhh the mitral valve… it has been a thorn for me since I was 14 (now 44) I had rheumatic fever and eventually the regurgitation became severe so I had the valve replaced at 22. At 32 I developed Afib….had 4 catheter ablations to date (2 in 2018, 2019, 2022). At 37 went into heart failure. At 41 had mitral valve replaced and ASD (that I never knew I had) repaired….now getting ready to have surgery to hopefully fix Afib. But thank God the valve is doing good. The heart is soooo fascinating ❤❤

Thank you, you are the only Doctor that explained the regurgitation problem that I completely understood and comprehended. Thank you.

A year later and the Energizer Bunny called Sanjay Gupta is still going! These videos are proof of Sanjay's genuis. They are priceless, eternal and a gift from this wonderful man. New recruits will come and go, all more informed because he gave. Thank you, Doc, and God bless you.

I just wanted, to give a big up to Dr. Gupta. I have completed 2 consultations with him. I learnt so much about LVH, and how to deal with this issue. Sanjay has a natural cheerfulness, which helps to make you feel at ease and relaxed. Thanks Sanjay for such professional care and empathy.

God truly does work in mysterious ways and that's why Dr. Gupta is doing these videos. He probably has his personal reasons but God is using him as a gift for so many people. He's very smart, absorbs information like a sponge, is a great communicator, and a warm and generous heart. There is no way he could NOT utilize himself and lucky for us. I hope God continues to use him and blesses him with a great life with lots of love.

This is the best explanation on this condition I have heard - very detailed and easily understood - Thank you 🙏

Thank you so much sir. I have diagnosed have mild mitral regurgitation. And now i feel much better..

Great information from a wonderfully kind Dr who teaches us to not be afraid of our bodies and to keep our hearts in shape.

I’m a cardiac nurse and I love all of your videos

Well your kindness to share your knowledge speaks volumes about what kind of person you are, Thank You

I'm so thankful for Dr. Gupta's wonderful informational videos! I have mitral valve prolapse and he is a godsend to everyone with cardiac concerns.

Thanks for this. I did end up having mitral valve surgery in Mexico. I was fortunate to meet the most amazing cardiologist and team. I work for/with him now. 🙂

Thank you for your dedication to helping us understand MVR. You did a great job.

I have watched numerous vids on MVR and this was by far the most informative. My MVR is moderate to severe. Another echo in about 3 weeks.

Thank you so much, this is just excellent. I've been dx with severe mitral regurgitation but no symptoms thus far so I'm in that limbo land of "what should I do?" Everyone has a different opinion on whether to operate now or later so your information is enormously helpful in putting it into perspective. Thanks again.

I enjoy your lectures. It is so simplified for easy understanding. Thank you

I love your videos Doc. You have the knack of relieving my tensions away. I have severe mitral regurgitation and regularly seeing my cardiologist. Hoping for the best.

Thank you for sharing your brilliant ideas on this topic. Actually, my 20 yo daughter has this condition. Right now she is taking meds and advised to loose weight. I hope my daughter will be fine. I am from Davao, Philippines God bless you

Love this it’s helped me understand what I’m going through. Had pace and ablate felt like new now mitral valve is getting worse. You are amazing how you manage to work in your job be a husband and a father and a son yet care enough to make these videos. Thank you from the bottom of my pacemaker ❤ I wish you health and happiness and take care of you. Jo

Thank you so much. I’m moderate, just turned 30 and it was dumped on me. I have MVP, posterior leaflet is elongated. They said I’ll need a repair to treat, and holding for severe. Echos right now every 6 months and scared. Thank you for the great explanation of how things work. I hop I can slow it down, and it’s 10 years out. I would love to hear data on how fast it progresses and the variables. I do know it’s patient dependent, so I’m doubtful there’s good data to look at for that

Thank you for the video. I now understand my severe mitral regurgitation and have a much better idea of what will happen!

Thank you for the clear and concise explanation of Mitral Valve Regurgitation! Very helpful for my MedSurg class in nursing school :)

Very informative and easy to understand. I may just stop panicking :)

Wonderful information Dr Gupta very valuable. My cardiologist diagnosed me with mild mitral regurgitation

My cardiologist is going to examine the mitral valve for either blockage or failure in a week. He will employ a mitraclip transcatheter repair if needed. Thanks for your many clear explanations of the mechanics as it has been very reassuring to me and my spouse. Knowledge is power.

Thank you for making it so easy to understand , I was recently diagnosed with mitral regurgitation moder. to sev. Starting to become symptomatic also I have CkD Dr keeps telling me not ready but I feel ready especially before I go into dialysis

Thank so much Dr sanjay . Excellent information. I have a phone call appointment tomorrow and thats the best they could do for me . I can't even see a Dr and I am nervous because I don't know how bad it is but I have my list of questions. God bless you❤

Thanks doc, you have made this more clear for me

Very good, informative, thank you.

This is amazingly helpful. Thanks so much!

Superb information god bless you Sir.

Respected Doc Sahib, Wonderful Information. We are obliged.

Dr. Gupta. My husband has been dxd with Mitral Valve regurgitation and has been found to have ruptured chordae tendinae. THey assume from heavy lifting. He has HTN and asthma, and mild ventricular HT, otherwise his heart is very healthy. He is active and very strong. We live in Alaska and his cardiologist recommended we go to the lower 48 for a surgeon who did more of the surgeries. He mentioned the Cleveland Clinic as a good choice. Alaska to Cleveland is a long way, and we really don't want to travel that far. Are there any West Coast hospitals/cardiology specialists that you would recommend?

Thank you so much for your time and clear explanation. ❤ I just got a letter in the post told me I have mitral regurgitation, its made me fearful. I don't know the extent of the damage or what type. I will contact my dr to find out more.

Excellent Video. Very easy to understand.

Thank you so much for your videos, you explain things so well, I am learning a lot. Thanks again!

Thank so so very much, Dr. This was so helpful to me.

You have taught me so much. I am truly grateful.

I was born with it. I had bad pain episodes from it a lot when I was like 7- 19 years old. No one believed me. Bit when I was 24 there was a free heart clinic. I went and was diagnosed with this. I could obviously see it on the color ultrasound. I was so happy that the doctor believed me and told me no I'm not crazy. I'm 50 years old now. I havnt had pain for years. He was a smart doctor. He said just live your life ,stay in a good diet, and it usually gets better with age.Hes right.❤

Thank you for such a thorough explanation.

Thanks for very detailed information sir , As I understand we only use echo cardiogram and MR to find severity of regurgitation . I want to know if the CT can be used , if not what’s the problem

16:45 is there anything one can do to stop the mitral valve from further damage aside replacement or repair?

Thank You for the great talk!!

Dr Gupta, is Mitral Regurgitation synonymous to mitral valve prolapse?... thanks I think I got the answer from your subsequent sharing

Very informative and useful explanation 👍👍

I was diagnosed with mitral regurgitation many years ago, and my PA said that I will need a Valve replacement if it goes bad. And I actually saw the leak on meat ventricular valve during the echocardiogram test. Thank God I’m still doing okay and continue to exercise when I can. I due feel fatigue in the afternoon, but I’ve been taking magnesium and also help with my heart palpitations. Thank you Dr Sanjay.

Thank you for the informative video, please do a video on tricuspid reguritation if you have the time.

Thank you Dr. Gupta

thank you. this is more info than what my dr gave me

Wonderful. Ty

Can a panic attack during an echo make the results inaccurate to your normal resting state? Regarding regurgitation and insufficiency

Also mitral regurgitation can cause enlargement of the left atrium and eventual occurrence of atrial fibrillation which will greatly worsen the overall situation "trivial mitral regurgitation" might just be an error on an echocardiogram if there is no murmur of mitral regurgitation

I was diagnosed with severe MVR. I have no symptoms my Cardiologist has suggested to have surgery. My primary doctor tells to wait until i have symptoms. Not sure what to do.

Gary here. I’ve been diagnosed with mitral AND aortal valve regurgitation. It’s at a stage now where I am only required to get an EKG once a year. I would love to see one of your videos that addresses this situation. Also, do you believe there is any connection between my problems and magnesium deficiency? Thank you very much for publishing these excellent videos.

Thank you! You explained it very well!

I recently underwent mitral valve repair. My symptoms were mild, with the primary ones being that my heart would sometimes unexplainably race and had recently had some PVCs. The cardiologist that I had told me it was anxiety as well as others. However, I still felt something was off. I found a second cardiologist who properly diagnosed it. I can't help but wonder, had I stayed with the first, whether irreparable damage would have resulted.

How common is it for someone to have both Mitral valve and Aortic Valve regurgitation? I've recently been told I have both and I've had a heart murmur befor. In my twenties I was told then that i had out grown it. This is awesome information your giving. More then I've recieved but I'm a newly Dx as of Wed. 10/26. Next I have yo have a CT calcium score without IV. Had a EKG/Tred mill stress test and i was told no narrowing or blockages found but my doctor had to read it. The preliminary reading was done by another doctor cause mine was not there at the time. Thanks again for this helpful info.

Great d concise presentation ❤

How does this stretchiness and a connective tissue disorder effect each other, such as Marfan's or Ehlers-Danlo's Syndrome?

Doctor, could you also please discuss leaky Tricuspid Valve?

Excellent video. I just tweeted it!

Good afternoon, Dr. Gupta. I was diagnosed with this when I was about 14 years old. Family condition. When I was a child during a traffic accident operation. The doctor at the time said it was nothing to worry about. Completely forgot. Over COVID exercise has dropped to zero for me, two years later. I found it really hard to get back into it. The breathless-less you talked about it. I started to have trouble sleeping a long time, and headaches or migraines. Could those be restated? I’m now currently sitting in hospital waiting for operation for a replacement.

I have mitral valve prolapse and marfan syndrome as well as a leaky valve .my question is will i need surgery ?im also diabetic as well as high blood pressure .im seeing a heart doctor on the 4th of dec can u plz give me some advice on what to expect ?im really scared .ive had open heart surgery b4 but would like a different opinion on what might happen

I have mild aortic valve regurgitation, is it completely different to this? I’m very anxious about the diagnosis - I’m only 26. My cardiologist said I’m healthy right now and I just need monitoring throughout life. How common is it? It wasn’t detected on stethoscope by the cardiologist.

*Please* please can you or anyone tell me why they don't operate until it's *Severe* ..I was diagnosed with MV disease *Regurgitation & Stenosis* (mild-moderate) but 6 mnths later it's *Too Severe* to operate?! I'm on maximum heart meds, home oxygen, & my Cardiologist signed a *DNACPR* 2 mnths ago saying I can Cardiac Arrest at any time?! *Please help me to understand this?* There's *NO* help, advice or support anywhere?! - (No heart conditions in the family & I didn't have Rheumatic Fever as a child)

Have been watching all your really great and informative videos. I am a subscriber to them. When can I get my crash course certificate? 😁 lol

How do they operate on a moving heart? Seems like it would be very difficult.

Hello dr I have echocardiogram Friday 29.5.20. And the person who was scanning my heart told me he will immediately report the result to dr. And I will know the result Monday June frist , my question is is he found out some concern about the result , because when he was scanning my heart I saw some blue and red color he done pictures many times and he asked to breath in and hold, few seconds ?

Hi Doc, thank you for the video. just wondering if there are certain dietary foods/substance to avoid that would worsen the affects? Would drinking alcohol have an indirect adverse affect on the valve?

Thanks for your expert info!

Is that the same with trivial mitral and pulmonic regurgitration?

I have mitrial and tricuspid valve regulation both was grade /2 , in 2018,,Was finding when I had Ultrasound throughout the food pipe!,

i Like this DR.

Diffrence between prolapse and leak valve

Your videos usually have some mic noises but this one really is unbearable. Thank you for what you do, anyway. I was wondering why my ejection fraction is so "good." I think it's 65. Now I know that that's a bad thing. About 6:30. My cardiologist said that I have progressed past mvp to mitral valve disease. But still regurgitation is only mild to mild-moderate (has gone up and down I think). Is this why my lungs are large?

Thank you this was helpful. Do you have anything on the tricuspid valve as well? I was diagnosed with trivial mitral regurgitation and mild tricuspid valve regurgitation and would love to get an understanding of that as well

THANK YOU DOCTOR. i have been really anxious about my health. diagnosed with mvp with 15% (trivial regurgitation), my cardiologist said i could carry on with my usual workout routine except for heavy lifting. i am allowed to lift 15% of my body weight though (around 10kg). This video has taken so much weight on my shoulder. It's just that, considering that MVregurgitation is a progressive disease, i wonder how long will it take for a trivial rgtn to become severe? is it possible to regress? are there some ways that I can do to stop it from progressing? anybody here with the same diagnosis with me?

Hi doc. I have thickened mitral valve leaflets without restriction of motion, mild Mitral regurgitation and trivial Tricuspid regurgitation, is this ok?

Superb explanation

Mild mitral regurgitation what does it mean?

I experienced skipping heart beat that would come and go for months so I decided to have ECG then 2D Echo test. 2D Echo result below. -Normal left ventricular dimension w/adequate wall motion and contractility. -Normal right ventricular dimension w/adequate wall motion and contractility. -Normal left & right atrial diameter. -Thickened mitral valve leaflets without restriction of motion. -Structurally normal aortic valve, tricuspid valve & pulmonic valve with good opening & closing motion. -Normal main pulmonary artery and pulmonary artery systolic pressure. -Normal aortic root dimension. -No pericardial effusion. CFD: -Reversed mitral E/A ratio indicative of Grade 1 diastolic dysfunction. -Mitral regurgitation, mild. -Pulmonary regurgitation, mild I also had ECG and it says I have myocardial ischemia I'm pre-hypertensive and currently taking Nebivolol 5mg (but my doc asked me just to take 2.5 mg since my heart rate went down to 50-57 beats per minute when fully rested). I'm also taking statins since my LDL is high and low HDL. I have normal blood sugar and goiter test is normal. I'm taking Vit C, E, Bs and CoQ10 Any suggestion please so my condition will get better?

Dr. Gupta, I have a Lecky valve and an enlarged aortic root what would you suggest?

hi may i know what is the main cause of this kind of disease please..

Wonderful information. Thank you! My ex husband is in the severe stage now for at least 2 1/2 yrs. He's afraid to have the operation. My fear is that he will pass away before having the opportunity to possibly save his life by surgery. Do you have any suggestions?

Very Helpful. I had endocarditis almost two years ago. I continue to get better. Including my Heart. I'm starting to wonder if I now need open heart surgery? My surgery has been held up while I'm getting procedures for a Large Pancreas stone. So you have given me some ideas to think about. Thank You!

thank you very much

Thank for the explanations

Sir do smoking causes mitral regurgitation?

I have mild Mitral Regurgitation...is it ok to do heavy exercise ? I am 62 and bike regularly

Doctor can you tell me.mild mr can cure it self .my son has mild mr. Me and vife worry about it please tell something about it doctor pls..

So, whilst 70% of the population has it, my ussue is, 7 months ago I had an echo and had no regurgitation at all. 7 months later I have trace regurgitation in my mitral, tricuspid and pulmonary valves. Why? I didnt have it 7 months ago. My cardiologist is not taking it seriously and doesnt seem to understand my concerns. I will have another echo in 6 months time to see if its getting worse. The fact I have ventricular bigeminy lasting more than 10 weeks at a time is probably the cause. Another thing my cardiologist is brushing off.

Can people with mild mitral regurgitation do severe exercise and lose weight in the gym 🤔

Does it help your heart function if you have a pacemaker implanted.

This was great

Thank you !

Any insight into truscusid value insufficiency?

Thank you so much

Hello doc? what if I have thickened mitral valve leaflets? is that okay doc? I was diagnosed of mild mitral regurgitation and mild Tricuspid Regurgitation

Thank you ❤

thank you sir