Mitral Valve Prolapse Flashcards

1
Q

What’s another name for mitral valve prolapse?

A

Barlow’s Syndrome

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2
Q

What can cause Barlow’s?

A
  • Marfan’s
  • Grave’s
  • Rheumatic Heart Disease
  • Ischaemic heart disease, HOCM, Dilated cardiomyopathy
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3
Q

How might Barlow’s present?

A
  • Palpatations
  • Fatigue
  • Dyspnoea
  • Nausea and Migraines
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4
Q

What murmur may be heard?

A
  • Late systolic murmur, progressing to holosystolic murmur as mitral regurgitation progresses
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5
Q

What imaging is used for the diagnosis?

A

ECHO

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6
Q

How are asymptomatic patients treated?

A
  • Reassurance of excellent prognosis
  • Encourage exercise and healthy lifestyle
  • Possibly aspirin or warfarin for stroke risk
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7
Q

How are symptomatic patients treated?

A

Lifestyle- avoid stimulants, alcohol and exercise regularly

Medicine- beta-blocker for symptom control e.g. palpations

Surgery- mitral repair is preferred over replacement due to its lower mortality

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8
Q

How does Barlow’s differ from MR?

A

MVP/Barlow’s is not MR. MVP is the leading cause of MR in the US, but itself describes the floppy nature of the valves

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