WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Ali Jasim Mohammed*

ABSTRACT

Background: Mitral regurgitation (MR) is a common valvular heart condition seen in clinical practice and on echocardiography. Proper morphologic evaluation is crucial for successful valve reconstruction surgery. Transthoracic echocardiography can identify the cause and location of mitral valve issues by assessing the affected leaflets and segments. Objectives: To assess the causes of mitral valve regurgitation among a sample of Iraqi patients at Mosul general Hospital in Mosul/ Iraq. Methods: This is a descriptive cross-sectional study conducted at Mosul General Hospital from January 2023 to March 2025. The study includes 500 patients selected in systematically randomized manner from those who were seen in inpatient or outpatient departments of the hospital. Exclusion criteria included patients over 85 years old or under 15 years old, as well as those who had received prior valve interventions or replacement. All patients did a standard transthoracic echocardiogram. The questionnaire consisted from 2 parts. Part one for sociodemographic information and part two for echocardiography findings. Results: The study includes 500 patients distributed equally between males and females. Mitral valve regurgitation was prevalent in 169 (33.8%) patients of them. Among these 169 patients; 99 (58.5%) were females and 70 (41.5%) were males with male to female ratio of 1:1.41. Moreover; mitral valve regurgitation was prevalent among 99 out of 250 (39.6%) patients of females versus in male it was prevalent among 70 out of 250 (28%) patients. Primary causes of mitral valve regurgitation were prevalent among 122 (72.9%) of the study patients, while secondary causes of it were prevalent among 47 (27.1%) patients. Among those with primary causes of mitral valve regurgitation. Degenerative cause was the most prevalent cause, while among those with secondary causes, ischemic cause was the most prevalent cause. The majority of patients had mild severity, followed by trace severity. While the least common was severe mitral valve severity. Conclusion: Mitral regurgitation is prevalent in the Iraqi population. The common cause is the primary cardiac defect. The majority of patients had mild mitral regurgitation, whereas only eight percent had severe mitral regurgitation.