Echo Mvp By Sr

Front 1

Define MVP.

Back 1

Displacement of any portion of the MV leaflets beyond the MV annular plane during systole

Front 2

Causes of MVP

Back 2

Flail MV leaflets
Marfans Syndrome
Flail Chordae or pap muscle dysfunction
Infective endocarditis
Myxomato changes (thickening/fibrin deposits)
Mitral annular dilation
Familial/Non-familial connective tissue disease

Front 3

Symptoms of MVP:

Back 3

Most are asymptomatic
Palpitations (most common)
Chest pain (atypical, non-exertional)
Dyspnea, fatigue, exercise intolerance
Anxiety / Panic attacks
Murmur – mid-systolic click or med to high pitched late systolic murmur if MR present

Front 4

Complications of MVP:
CHF if there is severe MR – leading to pulmonary hypertension
Increased risk of endocarditis
Increased risk for embolic events

Back 4

CHF if there is severe MR – leading to pulmonary hypertension
Increased risk of endocarditis
Increased risk for embolic events

Front 5

In what time (s) of the cardiac cycle can MVP occur?

Back 5

Mid-systolic or holo-systolic

Front 6

Best views for assessing MVP.
M-Mode:

Back 6

posterior decent of lines of closure of MV in systole
Can see in mid-systole or holosystole
LAE if MR

Front 7

Best views for assessing MVP
2D:

Back 7

Use PLA and A4C
Find annulus and draw a mental line across the annulus. If >2mm past line then MVP
Thickened valvular or sub-valvular apparatus (redundant)

Front 8

Best views for assessing MVP
Color Flow

Back 8

Color Flow can reveal location and extent of MR. MR jet usually eccentric

Front 9

Doppler

Back 9

Doppler to assess degree of MR using CW/PW

Front 10

Other Characteristics

Back 10

Can involve one or both leaflets
MR may or may not result from MvP
TV prolapsed occurs up to 50%