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Wheeless' Textbook of Orthopaedics
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Mitral Valve Prolapse


- See Mitral Regurge - Autosomal Dominant Inheritance/ variable inheritance; - thin anxious young female, Chest Pain, fatigue, syncope - may present as TIA, stroke, MI; - Occasionally: Sudden Death, Progressive dyspnea, Fever (Endocarditis) - associatted w/ Marfan's, Ehlers-Danlos - listen for systolic click followed by Systolic murmur - murmur occurs earlier w/ standing & valsalva; - murmur occurs later w/ squatting or Propanolol; - ECHO: shows posterior displacement of Mitral Valve Leafets; - Propranolol useful for Chest Pain & Palpitations; - consider prophylaxis against Endocarditis - Prolapse may progress to severe Regurgitation (requiring surgery);



Original Text by Clifford R. Wheeless, III, MD.