Mitral valve prolapse: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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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== | ||
Revision as of 22:31, 9 November 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 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
- Assoc. with pes excavatum, scoliosis, low body weight, Marfanoid
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.