MITRAL VALVE PROLAPSE Flashcards
4 other terms for MVP
a. Systolic click-murmur syndrome
b. Barlow’s syndrome
c. Floppy-valve syndrome
d. Billowing mitral leaflet syndrome
Most common abnormality leading to primary MR
MVP
One of the causes of MVP is the peduction of production of what type of collagen?
III
MVP is a frequent finding in patients with heritable disorders of connective tissue, such as: (3)
a. Marfan syndrome
b. Osteogenesis imperfecta
c. Ehlers-Danlos syndrome
Which mitral leaflet is mostly affected in MVP
Posterior mitral leaflet
MVP is more common in what population (gender and age group)?
a. Women
b. Ages of 15 and 30 years
In older (>50 years) patients, MVP is more common in what gender?
Men
Mid- or late-(nonejection) systolic click is seen in what valvular abnormality?
MVP
Systolic click followed by a high-pitched, mid-late systolic crescendo–decrescendo murmur is a feature of
MVP
Leaflet involved in MVP when the radiation of the murmur is to the base of the heart
Posterior leaflet prolapse (Jet of MR is directed anteriorly)
Leaflet involved in MVP when the radiation of the murmur is to the axilla and the back
Anterior leaflet prolapse (Jet of MR is directed posteriorly)
Earlier with standing, MVP murmur is increased or decreased?
Increased
During the train phase of the Valsalva maneuver, MVP murmur is increased or decreased?
Increased
During any intervention that decreases LV volume (preload), MVP murmur is increased or decreased?
Increased
During squatting, MVP murmur is increased or decreased?
Decreased
During isometric exercises, MVP murmur is increased or decreased?
Decreased
Indications for MVP repair (5):
a. Symptomatic severe MR
b. LV systolic dysfunction
c. Pulmonary artery hypertension
d. Recent onset AF
e. Flail mitral leaflet
Can be considered for treatment of symptomatic patients at high surgical risk with severe primary MR due to MVP
Transcatheter edge-to-edge repair
