Protocol · Cardiovascular Health
Ischemic Mitral Regurgitation Supportive Care Protocol
Coenzyme Q10 and Omega-3 Fatty Acids are the core of this stack, with 5 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Ischemic Mitral Regurgitation Supportive Care.
We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.
The stack
7 supplements · none graded yet
| Grade | Supplement | Amount listed | Why it’s in the stack | Evidence on file | Shop |
|---|---|---|---|---|---|
| Primary stackThe core of this protocol | |||||
| Coenzyme Q10 | Amount listed: 100–300 mg daily | Supports mitochondrial energy production in heart muscle; may improve cardiac function | Not graded yet | ||
| Omega-3 Fatty Acids | Amount listed: 2–4 g EPA+DHA daily | Anti-inflammatory; supports cardiac health; may reduce cardiac remodeling | Not graded yet | ||
| Supporting stackListed as additions to the core | |||||
| Magnesium | Amount listed: 200–400 mg daily | Essential for cardiac rhythm and function; deficiency common in heart disease | Not graded yet | ||
| Vitamin D | Amount listed: 2,000–4,000 IU daily | Deficiency associated with heart failure; may support cardiac function | Not graded yet | ||
| L-Carnitine | Amount listed: 1–2 g daily | Supports fatty acid metabolism in heart muscle; may improve exercise tolerance | Not graded yet | ||
| Thiamine (Vitamin B1) | Amount listed: 100–200 mg daily | Essential for cardiac energy metabolism; deficiency common with diuretic use | Not graded yet | ||
| Hawthorn | Amount listed: 160–900 mg standardized extract daily | Traditional herb for cardiac support; may have mild inotropic effects | Not graded yet | ||
Shop the evidence-backed picks
Support alongside medical care. These supplements are not a treatment for Ischemic Mitral Regurgitation. If you are being treated for it, talk to your clinician before adding one: supplements can interact with medicines.
The collection holds the supplements we grade A or B for its theme, in third-party tested products where the catalog has them. It opens in our Fullscript store. You can look through it without signing in; Fullscript asks for a free account to order.
Or shop one supplement
Each opens third-party tested products, matched to the dose above where we can.
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How this protocol works
In plain language
Ischemic mitral regurgitation (IMR) occurs when blood leaks backward through the mitral valve due to damage from coronary artery disease or heart attack. Unlike primary mitral valve disease, the valve itself may be structurally normal - the leak happens because the heart muscle supporting the valve is damaged.
HOW IT DEVELOPS:
- Heart attack damages the heart wall
- The papillary muscles that hold the valve closed are affected
- The left ventricle enlarges (remodeling)
- The valve ring (annulus) stretches
- Result: the valve leaflets don't close properly
SYMPTOMS:
- Shortness of breath (especially with exertion or lying flat)
- Fatigue
- Heart palpitations
- Swelling in legs or feet
- Reduced exercise tolerance
- May be asymptomatic if mild
SEVERITY GRADING:
- Mild: Usually monitored
- Moderate: May need intervention
- Severe: Often requires surgery
CRITICAL: IMR requires comprehensive cardiac care. This protocol is SUPPORTIVE ONLY and does not replace standard treatment.
STANDARD TREATMENT:
- Optimize medical therapy for heart failure (ACE inhibitors, beta-blockers, diuretics)
- Treat underlying coronary artery disease
- Consider revascularization (bypass, stenting)
- Valve repair or replacement for severe cases
- CRT (cardiac resynchronization therapy) may help some patients
CoQ10* supports energy production in heart muscle cells.
Omega-3s* may help reduce cardiac inflammation and remodeling.
Magnesium* supports heart rhythm and is often depleted with diuretics.
Expected timeline: Chronic condition requiring ongoing management. Medical and surgical treatments focus on preventing progression and managing symptoms.