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Mitral Valve Prolapse

Praneeth Katrapati, MD, Brandon Coons, MD and Prashanth Katrapati, MD, FACC Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Mitral valve prolapse (MVP) is a systolic billowing of one or both mitral leaflets into the left atrium (LA) during systole ± mitral regurgitation (MR).

  • More specifically, MVP is a si...

DIAGNOSIS

Physical exam and echocardiography 

HISTORY

  • Most patients are asymptomatic.

  • The most frequent symptom is palpitations.

  • Symptoms related to autonomic dysfunction

    • Anxiety and panic attacks

    • Arrhyth...

TREATMENT

GENERAL MEASURES

Treat MVP with orthostatic symptoms by liberalizing fluid and salt intake. If severe, mineralocorticoids may rarely be used. Support stockings may also be beneficial. In the ...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

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

  • Patients who are symptomatic or have high-risk features on i...

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–...

ADDITIONAL READING

Otto CM, Bonow RO, eds. Valvular Heart Disease: A Companion to Braunwald’s Heart Disease. 4th ed. Philadelphia, PA: Elsevier; 2014. 

CODES

ICD10

I34.1 Nonrheumatic mitral (valve) prolapse 

ICD9

424.0 Mitral valve disorders 

SNOMED

  • 409712001 mitral valve prolapse (disorder)

  • 250989005 Mitral cusp prolapse (disorder)

  • 703359009 Degenerative m...

CLINICAL PEARLS

  • MVP patients may have orthostatic hypotension and tachycardia.

  • Asymptomatic MVP patients with no significant MR can be followed clinically every 3 to 5 years. Patients who are symptomat...

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