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Mitral valve prolapse in the elderly.

D D Tresch, R Sigel, M H Keelan

    Journal of the American Geriatrics Society
    |September 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

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    Elderly patients with mitral valve prolapse (MVP) often lack awareness of their condition. This cardiac disorder can lead to serious complications like congestive heart failure (CHF) and endocarditis in older adults.

    Area of Science:

    • Cardiology
    • Geriatric Medicine

    Background:

    • Mitral valve prolapse (MVP) is a common cardiac condition.
    • Awareness and management of MVP in elderly patients require attention.

    Purpose of the Study:

    • To investigate the clinical presentation and outcomes of mitral valve prolapse in patients over 60.
    • To highlight potential complications of MVP in the elderly population.

    Main Methods:

    • Retrospective study of 40 patients aged over 60 with echocardiographic diagnosis of MVP.
    • Analysis of clinical manifestations, symptoms, and treatment outcomes.

    Main Results:

    • Most elderly patients with MVP were unaware of their cardiac condition.
    • Congestive heart failure (CHF) occurred in 25% of patients.

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  • Endocarditis was present in 10% of patients, with no prior antibiotic prophylaxis.
  • Surgical mitral valve replacement was required for 5 patients (4 with CHF, 1 with endocarditis).

    • Conclusions:

    • Mitral valve prolapse may present with severe complications in elderly individuals.
    • Physician awareness is crucial for timely diagnosis and management of MVP in older patients.
    • Prophylactic antibiotic use should be considered in at-risk patients to prevent endocarditis.