BotMed
Calculator
DDX
Topics
Conditions
Conditions by Topic
Cases
About
Log in
Condition Info
ConditionName
Mitral valve prolapse
ConditionDescription
Symptoms
Atypical chest pain; NOT ON EXERTION; varies in location and intensity; palpitation; anxiety; nonexceptional pain of short duration; Panic attack; Syncope
PhysicalFindings
Arrhythmia; possible midsystolic click heard over apex; heard best while patient is in sitting or squatting position; Valsalva and standing worsen; Squatting and handgrip improve;
ClinicalTests
ECG; echocardiogram
RiskFactors
Marfan syndrome Ehlers-Danlos
IsRedFlag
IsNPLEX
Consequence
Arrhythmia Sudden death CHF Bacterial endocarditis
ProgressionFromCondition
Very common Normal for 2-5%, mostly female, young with no risk factors Often asymptomatic
TreatmentOptions
No treatment most of the time; BB – when symptomatic; Prophylaxis for endocarditis when with murmur, not only click;
PharmOptions
WebLink
https://www.merckmanuals.com/en-ca/professional/cardiovascular-disorders/valvular-disorders/mitral-valve-prolapse-mvp
Back to Conditions