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Mitral Valve Prolapse

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Pathophysiology Worksheet Expected Lab Ranges (WNL):

Disease Process: MITRAL VALVE PROLAPSE

Pathophysiology
instead of the flaps of the valves remaining closed during ventricular systole, one or both valves bulge
backwards into the left atrium (can lead to MVR if the bulging flaps do not fit together) *this increase
pressure on the papillary muscles leads to further mitral dysfunction.
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Risk Factors
hereditary disorders, infection that damages the mitral valve such as endocarditis, cardiomyopathy *it
is the most common VHD and occurs mostly in women between 15-30, who and thin and have slight
chest abnormalities

Expected Findings
Usually no symptoms and have a good prognosis – severity can range from a murmur heard at the
apex, mid-systolic to chordae tendinea rupture, which can lead to MVR– may include chest pain not
related to exertion, dysrhythmias, palpitations, syncope, fatigue, dyspnea, or anxiety

Diagnostics/Laboratory Data
Auscultating for a clicking sound by the stress on chordae tendinea or leaflets when they prolapse or a
murmur if blood is leaking into the LA – ECG (although is it usually normal – you may see inverted T
waves, indicating ischemia) – echocardiogram with doppler can identify MVP, coronary angiogram
can show visualization of bulging flaps.

Nursing Care/Interdisciplinary Care


Unless severe, it requires no treatment. Nursing care if symptomatic could include dangling before
standing to prevent orthostatic hypotension or syncope, if having SOB, place them in high-fowlers,
administer o2 as ordered, assist c ADL’s if easily fatigued. Maintain fall precautions if pt is having signs
of dizziness and fatigue, BSC would be beneficial.

May have valvuloplasty or valve replacement


*nursing diagnoses for someone c MVP: activity intolerance or decreased cardiac o/p

Client Education
Stress that a healthy lifestyle including a good diet, exercise, stress management, and avoidance of
stimulants such as caffeine can be very important in preventing symptoms

Complications
Emboli (rare)
Infective Endocarditis (rare)

Meds
Depending on severity they may be prescribed BBs (ie. Atenolol), antidysrhythmics (IV classes – Na+
channel blockers, K+ channel blockers, Ca channel blockers, beta blockers) Amiodarone is commonly
prescribed.

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