Mitral valve prolapse: an overview

T O Cheng1

  • 1George Washington University School of Medicine and Health Sciences, Washington, D.C. 20037.

Journal of Cardiology. Supplement
|January 1, 1989
PubMed

Insights

Mitral valve prolapse (MVP) is a common heart condition, often affecting women and younger individuals. While generally having an excellent prognosis, potential complications like heart valve issues and stroke require monitoring.

Area of Science:

  • Cardiology
  • Valvular Heart Disease
  • Clinical Medicine

Background:

  • Mitral valve prolapse (MVP) is a prevalent global heart condition, recognized for over 25 years.
  • It disproportionately affects women, thinner individuals, and younger populations.
  • A valvular-ventricular disproportion concept unifies various MVP presentations.

Purpose of the Study:

  • To review the epidemiology, etiology, diagnosis, and prognosis of mitral valve prolapse.
  • To discuss the multifactorial causes of chest pain in MVP patients.
  • To highlight surgical preferences for MVP complications.

Main Methods:

  • Clinical auscultation is the primary diagnostic method for MVP.
  • Echocardiography, angiocardiography, and radionuclide ventriculography serve as valuable diagnostic adjuncts.
  • Review of existing literature on MVP etiology, symptoms, and outcomes.

Main Results:

  • Chest pain is the most frequent presenting symptom, with multifactorial etiology.
  • Prognosis is typically excellent, barring complications such as progressive mitral regurgitation, infective endocarditis, cerebral ischemia, or sudden death.
  • Surgical repair is favored over replacement for mitral valve surgery.

Conclusions:

  • Mitral valve prolapse is a common condition with a generally favorable prognosis.
  • Early diagnosis through auscultation and imaging is crucial.
  • Management focuses on monitoring for complications and preferring valve repair during surgery.

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