Mitral Valve Prolapsed
Degenerative disease of mitral valve (myxomatous) .
prolapsed of mitral valve cusps into left atrium (mostly post
leaflet).
C/P
Young female
Atypical chest pain
Recurrent arryhmia
Palpitation
Diagnosis
Mid systolic click.
Late systolic murmur.
Echo.
Treatment
Inderal (prophylaxis against arrythmia).
Valve replacement (if severe).
Prophylaxis against endocarditis with significant M.I.

N.B
.
Mild mitral valve prolapse is so common that it should be regarded as a normal variant.
MVP sometimes associated with marfans and thyrotoxicosis.

Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)