Mitral Valve Prolapse of The Heart: Mod D BY Robyn Layne

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MITRAL VALVE PROLAPSE

OF THE
HEART
MOD D
BY
ROBYN LAYNE
Features Description

Saddle shaped, 4-6cm2


Annulus Salt shaped AML &C shaped
PML
Leaflets Anterolateral PM at 4 O Clock,
Papillary Posteromedial PM at 7 O Clock
position
Chordea Tendinae 120 in number
WHAT IS MITRAL
VALVE
PROLAPSE????

Mitral valve prolapse is also known


as click-murmur syndrome, and a
common heart disorder occurring
in approximately 4-18% of the
population. It comes when the
valve between your heart’s left
upper chamber and the left lower
chamber doesn’t close properly.
When the left ventricle contracts,
the valve’s leaflets bulge upward or
back into the atrium. What is the
mitral valve you say??? The mitral
valve is one of four heart valves,
which receives fresh, oxygenated
blood from the lungs, which
pumps the blood out the body.
HOW IS
MVP
DIAGNOSED?
Most often by your doctor when
listening to your heart with a
stethoscope and hearing an extra
click or murmer. It is confirmed
through echocardiogram-a non-
invasive test using sound waves to
“see” inside the heart, or by
ultrasound. Symptoms include
palpitations, shortness of breath on
exertion, chest pain that comes and
goes for no apparent reason, panic
attacks, unexplained fatigue and
migraine headaches.
BEFORE&AFTER
SURGERY
Mitral Valve
Prolapse:
Introduction
A variable clinical syndrome that
results from a diverse pathogenic
mechanisms of one or more positions
of mitral valve apparatus, valve
leafelts, chordae tendinae, papillary
muscle & valve annulus.

 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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picture
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