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Mitral Valve Prolapse

Justin T Ertle, MD and Timothy A Scully, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Mitral valve prolapse (MVP) is the billowing of one or both mitral valve leaflets into the left atrium (LA) during ventricular systole.

  • MVP can be classified in different ways, includ...

DIAGNOSIS

HISTORY

  • Most patients with MVP are asymptomatic.

  • If patients are symptomatic, the most commonly associated symptom is palpitations.

  • Symptoms may be related to MVP itself, to mitral regurgitatio...

TREATMENT

GENERAL MEASURES

  • Reassurance is appropriate for patients with milder forms of prolapse and low symptom burden; normal lifestyle and regular exercise is encouraged (3)[C].  

  • If MVP is associat...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Asymptomatic MVP patients with no significant MR can be followed clinically every 3 to 5 years (3)[C].

  • Periodic monitoring with TTE is recommended in asymptomatic...

REFERENCES

1
Delling FN, Vasan RS. Epidemiology and pathophysiology of mitral valve prolapse: new insights into disease progression, genetics, and molecular basis. Circulation. 2014;129(21):2158–2170.
...

CODES

ICD10

  • I34.1 Nonrheumatic mitral (valve) prolapse

  • I05.8 Other rheumatic mitral valve diseases

SNOMED

  • 409712001 Mitral valve prolapse

  • 286021000119108 Non-rheumatic mitral valve prolapse

  • 8074002 Mitral v...

CLINICAL PEARLS

  • Mitral valve prolapse (MVP) is the billowing of one or both mitral valve leaflets into the left atrium (LA) during ventricular systole.

  • The principal auscultatory finding is a midsystol...

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