MITRAL VALVE PROLAPSE

Question 1

Cause

Answer 1

• Due to myxomatous degeneration caused by Marfan syndrome

Question 2

Pathology

Answer 2

One of the mitral valve leaflets prolapses back into the LA causing mitral regurgitation in some cases

Question 3

Presentation (3)

Answer 3

• Atypical chest pain
• Palpitations
• O/E mid-systolic click followed by later systolic murmur
  -From stand to squat: murmur will decrease in intensity and click will increase
  
  • From squat to stand: murmur will increase in intensity and click will decrease

Question 4

Diagnosis

Answer 4

Echo

Question 5

Treatment (2)

Answer 5

• Beta blockers for chest pain and palpitations
• Anticoagulants to prevent thromboembolism