Mvp Flashcards

1
Q

What is MVP ?

A

Systolic movement of one or both MV leaflets into the LA

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2
Q

MVP is sometimes linked to _____ _____ diseases and is may be _____

A

Connective tissue
Progressive

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3
Q

In what population is MVP common in? What percentage?

A

Young women. 5-10%

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4
Q

What 4 diseases is MVP associated with?

A

-Marfans
-WPW
-Ehler-danlos
- Secundum ASD’s

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5
Q

True or false- MVP may be caused by myxomatous degeneration?

A

True

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6
Q

What percentage of people with MVP will have TV prolapse ?

A

23%

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7
Q

True or false - wolf Parkinson’s white syndrome is associated with MVP?

A

True

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8
Q

With Marfans syndrome why do aortic dissection and MVP occur?

A

Decreased fibrillin

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9
Q

Marfans is what kind of disorder?

A

Congenial connective tissue disorder with decreased fibrillin

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10
Q

What 5 things occur in the heart with Marfans?

A

-AR
-MVP
-aortic dissections
-MR
-aortic dilation

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11
Q

What 4 things to people with Marfans present with?

A
  • Hyper joint extensibility
  • Thin for their height ( gracile habitus)
  • optic lens dislocation
  • high arched palate
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12
Q

What is gracile habitus?

A

Thin for someone’s height. Often associated with Marfans

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13
Q

What are 2 pathophysiolgcal effects of MVP?

A

-MR
-LAE

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14
Q

True or false- myxomatous valves or regurgitation valves are NOT at risk for endocarditis?

A

False. They are at risk.

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15
Q

True or false- MVP is usually symptomatic

A

False

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16
Q

What are 5 potential symptoms of MVP?

A
  • Angina
    -Anxiety
    -Dyspena
  • palpitations/ arrhythmias
  • fatigue
17
Q

What’s the murmur associated with MVP?

A

Mid systolic click with or with systolic murmur

18
Q

What is Pectus excavatum?

A

Breastbone sinks into chest

19
Q

True or false- skeletal abnormalities occur can be a physical sign of someone with MVP

A

True

20
Q

What 3 things will m-mode show with MVP?

A
  1. Thickened leaflets
    2.mid to late holosystolic posterior movement
  2. 1 or both leaflets bowing back on m-mode
21
Q

Displacement of the MV should be > ____ mm from the ____ to ____ points on m- mode

A

2-3mm
C to D

22
Q

If given a AP4 view should you diagnose MVP?

A

No. Best view in PLAX.

23
Q

True or false- you should still diagnose MVP if patient has a large pericardial effusion?

A

False

24
Q

One the exam. If given a AP4 view always choose MVP if it’s _____. UNLESS, they say don’t choose MVP.

A

Obvious

25
Q

With MVP. If the PMVL was a prolapsed which way will the jet be directed?

A

Anterior jet

26
Q

With MVP. If the AMVL was a prolapsed which way will the jet be directed?

A

Posterior jet

27
Q

Why should you not diagnose MVP when there’s a large PE?

A

It will cause a pseudo MVP due to the pressure of the PE

28
Q

Is MVP usually symptomatic or asymptomatic?

A

Asymptomatic