Cardio: Mitral Valve Prolapse

Question 1

Other names for MVP

Answer 1

Systolic click murmur syndrome
Barlow’s syndrome
Floppy valve syndrome
Billowing mitral leaflet syndrome

Question 2

MVP is caused by decrease in type ___ Collagen production

Answer 2

III

Question 3

Heritable disorders that might cause MVP (3)

Answer 3

Marfan
OI
Ehler Danlos

Question 4

Leaflet that’s most frequently affected with MVP

Answer 4

posterior leaflet

Question 5

mitral valve annulus is often

a. dilated
b. constricted

Answer 5

A

Question 6

What is the most common abnormality leading to primary mitral regurgitation

Answer 6

MVP

Question 7

MVP is more common in
A. men
B. women

Answer 7

B

Question 8

Most common age for mvp

Answer 8

15-30 yrs.

Question 9

In __ y.o. ___, MVP is more severe requires surgery

a. 50, men
b. 40, men
c. 50, women
d. 40, women

Answer 9

A

Question 10

Auscultation findings in MVP

Answer 10

Systolic click and mid to late systolic murmur

Question 11

T/F Most patients with MVP are asymptomatic forever

Answer 11

T

Question 12

Cause of palpitations and lightheadedness in MVP

Answer 12

AF

Question 13

True about MVP murmur EXCEPT

a. 0.14s or more after S1
b. mid to late systolic crescendo-decrescendo murmur
c. “whooping” or “hanking”
d. heard best at apex

Answer 13

A; this is for systolic click

Question 14

Strain / valsalva will _______ the click and murmur

a. intensify
b. decrease

Answer 14

A

Question 15

Squatting/ isometric exercise will _______ the click and murmur

a. intensify
b. decrease

Answer 15

B

Question 16

systolic displacement of the belly of the mitral valve leaflets by at least __mm into the L atrium superior to the plane of the mitral annulus

Answer 16

2

Question 17

Echocardiogram definition of MVP

Answer 17

systolic displacement of the belly of the mitral valve leaflets by at least 2mm into the L atrium superior to the plane of the mitral annulus

Question 18

Transesophageal echocardiogram is indicated when:

Answer 18

more accurate anatomic information is required and is performed routinely for intra-op guidance during valve repair

Question 19

EXERCISE TESTING indication

Answer 19

performed when there is uncertainty regarding functional capacity

Question 20

T/F

Invasive L ventriculogrpahy done at time of R and L heart catheterization is necessary

Answer 20

rarely necessary but can show prolapse

Question 21

Scoring system that estimate risk of ischemic stroke in px with non-rheumatic nonvalvular Atrial Fibrillation

Answer 21

CHA2DS2VASc Scoring

Question 22

What CHA2DS2VASc Score would signify likely to benefit from anticoagulation?

Answer 22

men: 1 or more
women: 2 or more

Question 23

meaning of CHA2DS2VASc and points

Answer 23

CHF/LV dysfunction
Hypertension
Age >75 y.o.
Diabetes Mellitus
Stroke/TIA/Thromboembolism
Vascular Disease
Age 65-74 y.o.
Sc Female Sex
1 point each except age >75 y.o. and Stroke; 2 points

Question 24

T of MVP tx EXCEPT
A. Infective endocarditis is indicated for patients with prior history of endocarditis
B. Mitral valve replacement is preferred over repair
C. For surgical planning, TEE imaging is helpful
D. Trancatheter edge-edge repair is done for treatment of symptomatic patient with high surgical risk.

Answer 24

B