Mitral Valve Prolapse of The Heart: Mod D BY Robyn Layne
Mitral Valve Prolapse of The Heart: Mod D BY Robyn Layne
Mitral Valve Prolapse of The Heart: Mod D BY Robyn Layne
OF THE
HEART
MOD D
BY
ROBYN LAYNE
Features Description
Many names:
-Systolic click murmur syndrome
-Barlow syndrome
-Billowing mitral cusp syndrome
-Myxomatous mitral valve
syndrome
-Floppy Valve syndrome
-Redundant cusp syndrome
Click
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MVP can often be detected by a doctor during examination of
the heart. MVP can be confirmed with an echocardiogram. The
majority of patients with mitral valve prolapse have no
symptoms, no problems and, therefore, need no treatment
other than an annual or semi-annual follow-up exam.
However, those who have leaky prolapsing valves need
antibiotics to prevent infection of the valve (called encarditis)
during certain surgical or dental procedures likely to cause
bleeding. Typically, this involves one or two doses of an
antibiotic -- i.e., oral amoxicillin and erythromycin as well as
intramuscular or intravenous ampicillin, gentamycin, and
vancomycin -- at the time of the procedure. Patients with more
dramatic symptoms are sometimes given beta- blockers. such
as atenolol (Tenormin), metoprolol (Lopressor), and
propranolol (Inderal). Only in rare, serious cases is surgery
Clinical Diagnosis
o Symptoms
-Atypical chest pain
-Palpitations
-Dyspnea
-Fatigue
-Syncope
o Signs
-Asthenic, low body weight
-Normal blood pressure
-Orthostatic hypotension
-Straight back syndrome
Auscultation
Mid or late systolic
click, heard over apex
Pansystolic murmur
present if associated
with severemitral
regurgitation
Dynamic
auscultation
- Change in loudness as
well as the time of
occurrence of both
click & murmur are
diagnostic
Disease course
• General outcome is excellent,
large group remain
asymptomatic
• Serious complications occur in
1/100 patient years
• 4% died during 8yrs
• Most of the risk factors were
based on severity of MR,
ejection fraction (>40mm), age
(>50yrs)
• Risk of development of IE is
greater in men >50yrs
Echocardiography
-Confirmatory
-Prolapse of mitral leaflet into
left atrium
-Thickening of mitral valve
(>5mm)
Other diagnostic
test
-Stress scintigraphy
-Differentiate MVP with IHD
-Angiography