Mitral Valve Prolapse, Emergency Medicine

Liudvikas Jagminas Reviewed 06/2017
 


Basics

Description

  • Bulging of 1 or both of the mitral valve leaflets into the left atrium during systole

  • Occurs when the leaflet edges of the mitral valve do not coapt

  • Commonly due to abnormal stretching...

Diagnosis

Signs and Symptoms

Separated into 3 categories: 
  • Symptoms related to autonomic dysfunction

  • Symptoms related to the progression of MR

  • Symptoms that occur as a result of an associated complication...

Treatment

Pre-Hospital

  • ABCs

  • IV access

  • Supplemental oxygen

  • Cardiac monitoring

  • Pulse oximetry

Initial Stabilization/Therapy

  • Cardiac monitoring

  • Supplemental oxygen

  • IV catheter placement

Ed Treatment/Procedures

  • Medi...

Follow-Up

Disposition

Admission Criteria

  • Severe MR

  • Severe chest pain with ischemic symptoms

  • Syncope or near syncope

  • Life-threatening dysrhythmias

  • Cerebral ischemic events, including transient ischemic attac...

Pearls and Pitfalls

  • The diagnosis of MVP should not be an excuse to terminate further diagnostic evaluation of patients with symptoms of chest pain, palpitations, dyspnea, or syncope.

  • MVP is the 3rd mo...

Additional Reading

  • Avierinos  JF. Risk, determinants, and outcome implications of progression of mitral regurgitation after diagnosis of mitral valve prolapse in a single community. Am J Cardiol. ...

Codes

ICD9

424.0 Mitral valve disorders 

ICD10

I34.1 Nonrheumatic mitral (valve) prolapse 

SNOMED

  • 409712001 mitral valve prolapse (disorder)

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