Mitral valve prolapse: Difference between revisions
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==Source== | ==Source== | ||
*Thakar, B. Mitral Valve Prolapse. Medscape 2015. | *Thakar, B. Mitral Valve Prolapse. Medscape 2015. | ||
[[Category:Cardiology]] | [[Category:Cardiology]] |
Revision as of 21:15, 25 June 2016
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 disorders
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
- Assoc. with pes excavatum, scoliosis, low body weight, Marfanoid
Diagnosis
Differential Diagnosis
Valvular Emergencies
Treatment
- Aymptomatic
- None
- Symptoms of autonomic dysfunction
- Signs of progression to MR
- Early surgical repair
- Neuro sequelae
- Click / Murmur
- Consider endocarditis
Complications
Source
- Thakar, B. Mitral Valve Prolapse. Medscape 2015.