Mitral valve prolapse: Difference between revisions
(Created page with "==Background== *1 or more mitral valve leaflets bow into left atrium during systole *Most common valve disease in industrial countries (2.4% of pop.) *Myxomatous degeneration...") |
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*1 or more mitral valve leaflets bow into left atrium during systole | *1 or more mitral valve leaflets bow into left atrium during systole | ||
*Most common valve disease in industrial countries (2.4% of pop.) | *Most common valve disease in industrial countries (2.4% of pop.) | ||
*Myxomatous degeneration from connective tissue | *Myxomatous degeneration from [[connective tissue disorder]] | ||
==Symptoms== | ==Symptoms== | ||
| Line 12: | Line 12: | ||
*Mid-systolic click | *Mid-systolic click | ||
*Late systolic murmur, crescendo into S2 | *Late systolic murmur, crescendo into S2 | ||
* | *May have associated physical features: | ||
**Pectus excavatum | |||
**Scoliosis | |||
**Low body weight | |||
**Marfanoid habitus | |||
== | ==Evaluation== | ||
*Echocardiogram | *Echocardiogram | ||
*ECG | *[[ECG]] can show nonspecific changes or arrhythmias | ||
*[[CXR]] usually normal | |||
== | ==Differential Diagnosis== | ||
{{Valvular emergencies DDX}} | |||
== | ==Management== | ||
*Aymptomatic | *Aymptomatic | ||
**None | **None | ||
*Symptoms of autonomic | *Symptoms of autonomic dysfunction | ||
**Beta-blocker | **[[Beta-blocker]] | ||
*Signs of progression to MR | *Signs of progression to MR | ||
**Early surgical repair | **Early surgical repair | ||
*Neuro sequelae | *Neuro sequelae | ||
** | **Rule out [[a-fib]]/ left atrial thrombus, then [[aspirin]] daily | ||
*Click / Murmur | *Click / Murmur | ||
**Consider endocarditis | **Consider [[endocarditis]] | ||
==Complications== | |||
*[[Stroke (Main)|Stroke]] | |||
*[[Endocarditis]] | |||
*[[Arrhythmia]] | |||
*[[Mitral regurgitation]] | |||
==References== | |||
<references/> | |||
*Thakar, B. Mitral Valve Prolapse. Medscape 2015. | *Thakar, B. Mitral Valve Prolapse. Medscape 2015. | ||
[[Category:Cardiology]] | |||
Revision as of 22:01, 12 March 2019
Background
- 1 or more mitral valve leaflets bow into left atrium during systole
- Most common valve disease in industrial countries (2.4% of pop.)
- Myxomatous degeneration from connective tissue disorder
Symptoms
- Studies failed to demonstrate that chest pain, anxiety, or palpitations are associated with MVP
- Symptoms related to autonomic dysfunction: fatigue, anxiety, exercise intolerance
- If progresses to MR, CHF symptoms
Physical exam
- Mid-systolic click
- Late systolic murmur, crescendo into S2
- May have associated physical features:
- Pectus excavatum
- Scoliosis
- Low body weight
- Marfanoid habitus
Evaluation
Differential Diagnosis
Valvular Emergencies
Management
- Aymptomatic
- None
- Symptoms of autonomic dysfunction
- Signs of progression to MR
- Early surgical repair
- Neuro sequelae
- Click / Murmur
- Consider endocarditis
Complications
References
- Thakar, B. Mitral Valve Prolapse. Medscape 2015.