
I Am 53 Yr Female And Have Mild Mitral Valve

I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that you are right about your reasoning.
It is rather unlikely that a mild regurgitation lead to decreased left ventricular EF.
Furthermore, with the progression of the mitral regurgiation, left ventricle appears to function more dynamically and a normal cardiac function is maintained for a long time.
Coming to your case, I could conclude that first of all it is necessary to clarify the precision of the echo findings, whether it is only a mild mitral valve regurgitation or there is something more. Are there any other structural abnormalities (other valvular dysfunctions, cardiomyopathy, etc.)?
Sometimes an inflammatory disorder such as myocarditis may lead to decreased cardiac function indipendently of a valvular disorder.
In addition frequent cardiac arrhythmia can lead to decreased cardiac function. If no other abnormality (as mentioned above) is detected, then we have to refocus on the mitral valve functional status.
In this regard, it would be necessary to undergo trans-esophageal cardiac ultrasound in order to study more precisely the degree of mitral valve regurgiation.
Another option would be cardiac magnetic resonance, which could provide very precise evaluations of the real cardiac function and valvular dysfunctions.
You should discuss with your doctor on the above issues.
Hope you will find this information helpful!
I remain at your disposal in case of any further questions!
Kind regards,
Dr. Ilir Sharka, Cardiologist

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