Mitral Valve Prolapse (MVP)

It is a condition characterized by retrograde blood flow into the left atrium during systole due to posterior bulging of anterior and posterior mitral leaflets into left atrium

Clinical presentation (4ps)

• Pain (atypical chest pain) - is the most common symptom.
• Palpitations
• Panic attacks
• High - Pitched. Mid - systolic click - is the most common sign.

Investigations

Echocardiography is investigation of choice. Mitral valve prolapse is often associated with aortic root disease, and any evidence for a dilated aorta by chest radiography should prompt either CT or MRI angiography.

Management

• Atypical chest pain and palpitations - beta blockers
• MVP + MR + AF- anticoagulation
• MVP + Severe MR - surgical repair (due to risk of sudden death).