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Can mitral regurgitation cause symptoms like chest pain, cyanosis, fatigue, and dizziness?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 19-year-old and have symptoms like chest pain, cyanosis, fatigue, and dizziness. I used to be a candidate for rheumatic heart disease because I had mitral regurgitation, but it was trivial. I really do not know what I have. Kindly help.

Hello,

Welcome to icliniq.com.

As mentioned that you used to be a candidate for rheumatic heart disease with trivial mitral regurgitation. Can I know when you had this? As the symptoms present can be due to the increased severity of mitral regurgitation. Rheumatic heart disease can be a process of ongoing destruction and damage to valves for a certain period until it reaches a plateau.

1. Are you using any infective endocarditis prophylaxis with Penicillin injection once a month or every 21 days?

2. Have you been recently diagnosed with anemia or thyrotoxicosis or any infection with fever? This can also exacerbate your symptoms due to mitral regurgitation.

3. I suggest you get an ECG (electrocardiogram) and 2D ECHO (echocardiography) done and also hemoglobin levels and review with reports. I hope I have cleared all your doubts.

Thank you.

Answered byDr. Y. Siva Roja

Medically reviewed byiCliniq medical review team

Published At April 5, 2023
Reviewed AtNovember 17, 2025

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