Mitral valve prolapse: Difference between revisions

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'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
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{{Infobox_Disease
  | Name          = Mitral valve prolapse  
  | Name          = Mitral valve prolapse  
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{{Mitral valve prolapse}}
{{Mitral valve prolapse}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}


'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}


==Mitral valve prolapse syndrome==
{{SK}} Barlow syndrome; floppy mitral valve; systolic click—murmur syndrome; redundant cusp syndrome; billowing mitral valve syndrome
'''Mitral valve prolapse syndrome''' ('''MVP Syndrome'''), also referred to as '''mitral valve prolapse dysautonomia''', is thought to represent an imbalance of the [[autonomic nervous system]] in association with mitral valve prolapse.  The underlying etiology that causes both autonomic dysregulation and the structural abnormalities present in mitral valve prolapse is unknown.  Most patients who suffer from mitral valve prolapse syndrome may have an underlying [[dysautonomia]] as the cause of their symptoms.  In particular, supraventricular arrhythmias such as those observed with MVP syndrome are associated with increased parasympathetic tone.<ref name="Terechtchenko-2003">{{cite journal | author=Terechtchenko L, Doronina SA, Pochinok EM, Riftine A. | title=Autonomic tone in patients with supraventricular arrhythmia associated with mitral valve prolapse in young men. | journal=Pacing Clin Electrophysiol | year=2003 | volume=26 | issue=1 Pt 2 | pages=444-6 | pmid=12687863}}</ref>
 
Symptoms generally attributed to MVP syndrome include [[palpitations]], [[shortness of breath]], and [[fainting|syncope]].  Because of the low specificity of these symptoms, and the fact that there is significant overlap in the causes of these symptoms with sequelae of significant [[mitral regurgitation]] often seen with mitral valve prolapse, MVP syndrome is most likely over-diagnosed.<ref name=Fogoros>{{cite web
  | last = Fogoros
  | first = Richard N.
  | title = Mitral Valve Prolapse (MVP)
  | url=http://heartdisease.about.com/library/weekly/aa073100b.htm
  | work=Heart Disease
  | publisher=About.com
  | accessdate = 2007-07-11}}</ref>  The uncertainty regarding the frequency of this syndrome may in part be due to the fact that there is no consensus criteria to diagnose MVP syndrome.


== [[Mitral valve prolapse overview|Overview]] ==
== [[Mitral valve prolapse overview|Overview]] ==
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== [[Mitral valve prolapse causes|Causes]] ==
== [[Mitral valve prolapse causes|Causes]] ==
== [[Mitral valve prolapse differential diagnosis|Differentiating Mitral valve prolapse from other Diseases]] ==


== [[Mitral valve prolapse epidemiology and demographics|Epidemiology and Demographics]] ==
== [[Mitral valve prolapse epidemiology and demographics|Epidemiology and Demographics]] ==
== [[Mitral valve prolapse risk factors|Risk Factors]] ==
== [[Mitral valve prolapse screening|Screening]] ==


== [[Mitral valve prolapse natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==
== [[Mitral valve prolapse natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==
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== Diagnosis ==
== Diagnosis ==


[[Mitral valve prolapse history and symptoms|History and Symptoms]] |  [[Mitral valve prolapse physical examination|Physical Examination]] | [[Mitral valve prolapse laboratory findings|Laboratory Findings]] | [[Mitral valve prolapse electrocardiogram|Electrocardiogram]] | [[Mitral valve prolapse chest x ray|Chest X Ray]] | [[Mitral valve prolapse CT|CT]] | [[Mitral valve prolapse MRI|MRI]] | [[Mitral valve prolapse echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Mitral valve prolapse other imaging findings|Other Imaging Findings]] | [[Mitral valve prolapse other diagnostic studies|Other Diagnostic Studies]]  
[[Mitral valve prolapse history and symptoms|History and Symptoms]] |  [[Mitral valve prolapse physical examination|Physical Examination]] | [[Mitral valve prolapse chest x-ray|Chest X ray]] | [[Mitral valve prolapse CT|CT]] | [[Mitral valve prolapse MRI|MRI]] | [[Mitral valve prolapse echocardiography|Echocardiography]] | [[Mitral valve prolapse left ventriculography|Left ventriculography]]


== Treatment ==
== Treatment ==


[[Mitral valve prolapse medical therapy|Medical Therapy]] | [[Mitral valve prolapse surgery|Surgery]] | [[Mitral valve prolapse primary prevention|Primary Prevention]] | [[Mitral valve prolapse secondary prevention|Secondary Prevention]] | [[Mitral valve prolapse cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Mitral valve prolapse future or investigational therapies|Future or Investigational Therapies]]
[[Mitral valve prolapse medical therapy|Medical Therapy]] | [[Mitral valve prolapse surgery|Surgery]] | [[Mitral valve prolapse tertiary prevention|Tertiary Prevention]]
 
== References ==
{{Reflist|2}}


== External links ==
== External links ==
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* [http://circ.ahajournals.org/cgi/content/full/106/11/1305 Mitral Valve Prolapse Prevalence and Complications]
* [http://circ.ahajournals.org/cgi/content/full/106/11/1305 Mitral Valve Prolapse Prevalence and Complications]
* [http://www.tmc.edu/thi/mvp.html Mitral Valve Prolapse - Texas Heart Institute Information Center]
 
* [http://www.mitral.com/mitral-valve-prolapse.shtml Mitral Valve Prolapse - Florida Institute of Cardiovascular Care]
* [http://www.echocardiology.org/mitralvalveprolapse.htm Mitral Valve Prolapse - Echocardiographic features]
* [http://www.mitralvalverepair.org/ Mitral Valve Repair at The Mount Sinai Hospital]


{{Circulatory system pathology}}
{{Circulatory system pathology}}

Latest revision as of 14:50, 29 August 2012

Mitral valve prolapse
Mitral Valve Prolapse: Gross natural color view from left atrium showing prolapsed anterior leaflet into atrium Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology
ICD-10 I34.1
ICD-9 394.0, 424.0
OMIM 157700
DiseasesDB 8303
MedlinePlus 000180
MeSH D008945

Mitral valve prolapse Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Synonyms and keywords: Barlow syndrome; floppy mitral valve; systolic click—murmur syndrome; redundant cusp syndrome; billowing mitral valve syndrome

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Chest X ray | CT | MRI | Echocardiography | Left ventriculography

Treatment

Medical Therapy | Surgery | Tertiary Prevention

External links


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