Mitral valve prolapse (MVP) is a common, usually benign heart disorder. The mitral valve controls blood flow between the upper and lower chambers on the left side of the heart. Normally, blood should only flow from the upper chamber into the lower chamber. In MVP, the valve flaps don’t work properly. Part of the valve balloons into the atrium, which may be associated with blood flowing in the wrong direction or leaking back into the lower chamber.
Prolapsed Mitral Valve
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In most cases, the cause of MVP is unknown. In some cases, it appears to be an inherited genetic condition.
MVP is more common in women, and most often appears between the ages of 14 and 30 years old. Other factors that may increase your chance of MVP include:
People with mitral valve prolapse often do not have symptoms. If symptoms do occur, they may include one or more of the following:
Mitral valve prolapse can be heard through a stethoscope. A small blood leakage will sound like a murmur. When the mitral valve balloons backward, it may produce a clicking sound. Both murmurs and clicks are signs of MVP. An echocardiogram can confirm the diagnosis. You may also be asked to wear a Holter monitor for a day or two to record the electrical activity of your heart.
In most cases, no treatment is necessary. Although no longer routinely recommended, you may need to take antibiotics prior to some dental and medical procedures. This is to prevent heart infections. Ask your doctor if you will need to take antibiotics.
If symptoms include chest pain, anxiety, or panic attacks, a beta-blocker medication can be prescribed. Ask your doctor whether you may continue to participate in your usual physical activities.
In very rare cases, the blood leakage may become severe. In these few cases, the mitral valve may need to be surgically repaired or replaced.
American Heart Association
National Heart, Lung, and Blood Institute
Canadian Cardiovascular Society
The College of Family Physicians of Canada
Infective endocarditis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T113919/Infective-endocarditis. Updated April 20, 2016. Accessed September 26, 2016.
Mitral valve prolapse. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115929/Mitral-valve-prolapse-MVP. Updated October 20, 2014. Accessed September 26, 2016.
Premedication (antibiotics). Mouth Healthy—American Dental Association website. Available at: http://www.mouthhealthy.org/en/az-topics/p/Premedication-or-Antibiotics.aspx. Accessed August 20, 2014.
Shipton B and Wahba H. Valvular heart disease: review and update. Am Fam Physician. 2001;63:2201-2208.
Last reviewed September 2016 by Michael J. Fucci, DO, FACC
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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