Mitral valve prolapse - Revision history

Blsimpso at 02:37, 2 July 2021

2021-07-02T02:37:15Z

← Older revision		Revision as of 02:37, 2 July 2021
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	==See Also==		==See Also==

			==External Links==
			*[https://emedicine.medscape.com/article/759004-overview#showall Medscape - Mitral Valve Prolapse in Emergency Medicine]

	==References==		==References==

Elcatracho: /* Physical exam */

2021-02-10T02:40:49Z

Physical exam

← Older revision		Revision as of 02:40, 10 February 2021
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	*Mid-systolic click		*Mid-systolic click
	*Late systolic [[murmur]], crescendo into S2		*Late systolic [[murmur]], crescendo into S2
			**Increasing preload decreases murmur while decreasing preload increases murmur
	*May have associated physical features:		*May have associated physical features:
	**Pectus excavatum		**Pectus excavatum

ClaireLewis at 15:44, 25 September 2019

2019-09-25T15:44:32Z

← Older revision		Revision as of 15:44, 25 September 2019
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	==Clinical Features==		==Clinical Features==
	===Symptoms===		===Symptoms===
	*Studies failed to demonstrate that chest pain, anxiety, or palpitations are associated with MVP		*Studies failed to demonstrate that [[chest pain]], [[anxiety]], or [[palpitations]] are associated with MVP
	*Symptoms related to autonomic dysfunction: fatigue, anxiety, exercise intolerance		*Symptoms related to autonomic dysfunction: fatigue, anxiety, exercise intolerance
	*If progresses to MR, CHF symptoms		*If progresses to MR, [[CHF]] symptoms

	===Physical exam===		===Physical exam===
	*Mid-systolic click		*Mid-systolic click
	*Late systolic murmur, crescendo into S2		*Late systolic [[murmur]], crescendo into S2
	*May have associated physical features:		*May have associated physical features:
	**Pectus excavatum		**Pectus excavatum
	**Scoliosis		**Scoliosis
	**Low body weight		**Low body weight
	**Marfanoid habitus		**[[Marfan syndrome\|Marfanoid]] habitus

	==Differential Diagnosis==		==Differential Diagnosis==
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	*[[ECG]] can show nonspecific changes or arrhythmias		*[[ECG]] can show nonspecific changes or arrhythmias
	*[[CXR]] usually normal		*[[CXR]] usually normal
	*~~Echocardiogram~~		*[[Echocardiography]]

	===Diagnosis===		===Diagnosis===
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	==Management==		==Management==
	*~~Aymptomatic~~		*Asymptomatic
	**None		**None
	*Symptoms of autonomic dysfunction		*Symptoms of autonomic dysfunction

Rossdonaldson1: /* Evaluation */

2019-04-06T12:43:57Z

Evaluation

← Older revision		Revision as of 12:43, 6 April 2019
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	===Diagnosis===		===Diagnosis===
			[[File:Mitralinsuff TEE.jpg\|thumb\|Transesophageal echocardiogram of mitral valve prolapse]]
			*Echocardiogram is gold standard

	==Management==		==Management==

Rossdonaldson1 at 12:42, 6 April 2019

2019-04-06T12:42:01Z

← Older revision		Revision as of 12:42, 6 April 2019
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	*Myxomatous degeneration from [[connective tissue disorder]]		*Myxomatous degeneration from [[connective tissue disorder]]

	==Symptoms==		==Clinical Features==
			===Symptoms===
	*Studies failed to demonstrate that chest pain, anxiety, or palpitations are associated with MVP		*Studies failed to demonstrate that chest pain, anxiety, or palpitations are associated with MVP
	*Symptoms related to autonomic dysfunction: fatigue, anxiety, exercise intolerance		*Symptoms related to autonomic dysfunction: fatigue, anxiety, exercise intolerance
	*If progresses to MR, CHF symptoms		*If progresses to MR, CHF symptoms

	==Physical exam==		===Physical exam===
	*Mid-systolic click		*Mid-systolic click
	*Late systolic murmur, crescendo into S2		*Late systolic murmur, crescendo into S2
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	**Low body weight		**Low body weight
	**Marfanoid habitus		**Marfanoid habitus

			==Differential Diagnosis==
			{{Valvular emergencies DDX}}

	==Evaluation==		==Evaluation==
	*Echocardiogram		===Workup===
	*[[ECG]] can show nonspecific changes or arrhythmias		*[[ECG]] can show nonspecific changes or arrhythmias
	*[[CXR]] usually normal		*[[CXR]] usually normal
			*Echocardiogram

	==~~Differential~~ Diagnosis==		===Diagnosis===
	~~{{Valvular emergencies DDX}}~~

	==Management==		==Management==
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	*[[Arrhythmia]]		*[[Arrhythmia]]
	*[[Mitral regurgitation]]		*[[Mitral regurgitation]]

			==See Also==

	==References==		==References==
	<references/>		<references/>

	*Thakar, B. Mitral Valve Prolapse. Medscape 2015.

	[[Category:Cardiology]]		[[Category:Cardiology]]

SLuckettG: /* Management */

2019-03-12T22:01:37Z

Management

← Older revision		Revision as of 22:01, 12 March 2019
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	**Early surgical repair		**Early surgical repair
	*Neuro sequelae		*Neuro sequelae
	**Rule out [[a-fib]]/ left atrial thrombus, then [[aspirin]] ~~qday~~		**Rule out [[a-fib]]/ left atrial thrombus, then [[aspirin]] daily
	*Click / Murmur		*Click / Murmur
	**Consider [[endocarditis]]		**Consider [[endocarditis]]

SLuckettG: /* Physical exam */

2019-03-12T22:00:55Z

Physical exam

← Older revision		Revision as of 22:00, 12 March 2019
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	*Mid-systolic click		*Mid-systolic click
	*Late systolic murmur, crescendo into S2		*Late systolic murmur, crescendo into S2
	*~~Assoc. with pes~~ excavatum~~, scoliosis, low~~ body weight, Marfanoid		*May have associated physical features:
			**Pectus excavatum
			**Scoliosis
			**Low body weight
			**Marfanoid habitus

	==Evaluation==		==Evaluation==

ClaireLewis: /* Background */

2016-11-09T22:31:17Z

Background

← Older revision		Revision as of 22:31, 9 November 2016
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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 ~~disorders~~		*Myxomatous degeneration from [[connective tissue disorder]]

	==Symptoms==		==Symptoms==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T14:45:24Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 14:45, 22 July 2016
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	*Assoc. with pes excavatum, scoliosis, low body weight, Marfanoid		*Assoc. with pes excavatum, scoliosis, low body weight, Marfanoid

	==~~Diagnosis~~==		==Evaluation==
	*Echocardiogram		*Echocardiogram
	*[[ECG]] can show nonspecific changes or arrhythmias		*[[ECG]] can show nonspecific changes or arrhythmias

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T16:47:44Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 16:47, 7 July 2016
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	{{Valvular emergencies DDX}}		{{Valvular emergencies DDX}}

	==~~Treatment~~==		==Management==
	*Aymptomatic		*Aymptomatic
	**None		**None