Mitral valve repair is the ideal option for almost every patient with a leaking mitral valve and for several with a slender (stenotic) mitral valve.
Compared to valve replacement, mitral valve repair offers better long-term security, better maintenance of heart function, reduced risk of complications, and generally eliminates the requirement for long-term facilitation of blood thinners (anticoagulants).
Other advantages include:
Reduced chance of stroke and infection (endocarditis)
Elimination of the requirement of any blood thinners
Patients generally did not find any symptom after mitral valve replacement. The artificial valves, particularly mechanical, are fit for a lifetime. The two primary disadvantages of mitral valve replacement are infection and the requirement to offer patient blood thinners for lifetime. Both can lead to life-threatening complications; hence regular follow up is mandatory after the surgery. Tissue valves can work better in place of mechanical valves but it requires a donor. Again the disadvantage is it may not last more than 10 to 15 years.
Digoxin is suggested for mitral valve regurgitation when atrial fibrillation is present or when the left ventricle stops to pump well. High doses of digoxin may lead to cause confusion, loss of appetite, nausea, and visual impairments. This condition is termed as digoxin toxicity. Reduced heart rates (bradycardias) or fast heart rates (tachycardias) can be witnessed in people who may be relying on too much of the medicine or in individual who are also relying on diuretic drugs that may cut down the potassium or magnesium levels. Regular blood tests to track digoxin levels may be required to inhibit poisoning.
In addition ACE inhibitors are also suggested. As the ACE inhibitors can adversely affect kidney function and enhance the potassium level, kidney function and potassium levels are checked during the first several weeks of therapy and then at intervals. Although it is rare, ACE inhibitors may generate a sudden swelling of the face, lips, and cheek areas due to allergic reaction that may be the resultant of therapy which may occur at any time.
Angiotensin Receptor Blockers: Rarely, ARBs may also interfere with kidney function or worsen kidney function.
Digoxin: Unless the blood levels of digoxin shoots too high, no remarkable side effects are produced by using digoxin.
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