Mitral Valve Prolapse

Question 1

What is the most common valve disease?

Answer 1

Mitral valve prolapse

Question 2

What causes mitral valve prolapse?

Answer 2

Many causes

Connective tissue disease, especially Marfan’s

Question 3

Which cause of mitral valve prolapse is more symptomatic?

Answer 3

Connective tissue disease variant

Question 4

Can mitral valve prolapse be benign and asymptomatic?

Answer 4

Yes

Question 5

What sign is common with mitral valve prolapse?

Answer 5

PVCs

Question 6

What sign is possible with mitral valve prolapse?

Answer 6

Possible V-tach

Question 7

What is the medical management of mitral valve prolapse?

Answer 7

BB

Question 8

What is the pathophysiology of mitral valve prolapse?

Answer 8

Abnormal valve support allows leaflets to prolapse into the LA during systole

Question 9

Does mitral valve prolapse have MR?

Answer 9

MR may or may not be present

Question 10

What worsens prolapse? (2)

Answer 10

Increased contractility
-so if SVR is decreased, contractility increases
Decreased preload

Question 11

Anesthetic goals for mitral valve prolapse (3)

Answer 11

Avoid increases in contractility
Maintain preload
Maintain SVR