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Medicine

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Cardiology

Question
10 out of 30
 

True about MVP? (AIPG 2010)



A Late systolic murmur
B Non ejection click

C Embolic phenomena
D All of the above

Ans. D

All of the above

Mitral valve prolapsed

It is the commonest valvular lesion in the world. It is seen in 5-7% Q of the young girls.

Occurs alone or with: ASD, PDA, cardiomyopathy, Turner's syndrome. Marfan's syndrome Q osteogenesis imperfecta, pseudoxanthoma elasticum, WPW syndrome

Symptoms:

1. Asymptomatic

2. Atypical chest pain

3. Palpitations.

4. Embolic phenomena

Signs:

1. Non ejection Mid-systolic click Q

2. A late systolic murmurQ. (Intensity of the murmur increases on standing and Valsalva Q)

Complications

1. Mitral regurgitation

2. Cerebral emboli

3. Arrhythmias

4. Sudden death Q

Tests: Echocardiography is diagnostic. ECG may show inferior T wave inversion

Treatment: B blockers may help palpitations and chest pain. Give endocarditis prophylaxis if co-existing mitral regurgitation.

Cardiology Flashcard List

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