L2: Valvular Heart Diseases - MVP

Question 1

Def of MVP

Answer 1

Is the structural abnormality of the mitral valve leaflets and the pupillary muscles or chorade that

• Allows the leaflets to prolapse or back into the left atrium during systole.

Question 2

Incidence of MVP

Answer 2

MVP is the most common of valvular heart disease in the united states

Question 3

Etiology of MVP

Answer 3

Question 3

Etiology of MVP

• Direct Causes

Answer 3

• Idiopathic
• May be familial

Question 4

Etiology of MVP

• Conditions Assotiated with MVP

Answer 4

1. Floppy valve syndrome
2. Ischemic heart disease
3. Hyperophic cardiomyopathy
4. Atrial septal defect
5. Marfan’s syndrome
6. Pseudoxanthoma elasticum

Question 5

CP of MVP

Answer 5

Question 6

CP of MVP

• Symptoms

Answer 6

Question 7

CP of MVP

• Signs

Answer 7

Question 8

Complications of MVP

Answer 8

1. Infective endocaritis
2. Systemic embolism from non infective platelet thrombi
3. Ventricular ectopic beats rarely ventricular tachycardia
4. Progress to MR

Question 9

INVx for MVP

Answer 9

Question 10

INVx for MVP

• ECG

Answer 10

• May show ST depression and
• T wave inversion in inferior and may be in lateral leads

Question 11

INVx for MVP

• ECHO

Answer 11

Question 12

ECHO for MVP

• 2D Echo

Answer 12

• Showed cephalade (basal) deviation of one or both mitral leaflets during ventricular systole

Question 13

ECHO for MVP

• M-Mode

Answer 13

• Posterior movement of mitral leaflets in mid systole
• In pan systolic prolapse, it showed a hammode shaped configurat

Question 14

TTT of MVP

Answer 14

Question 15

TTT of MVP

• Medical

Answer 15

Question 16

TTT of MVP

• Surgical

Answer 16