Presentation
In the present patient, flail tip of AML was not appreciated on 2D TTE apical 4-chamber view. [annals.in]
A patient with myxoma of the left atrium presented with… (More) Is this relevant? 1983 1983 The prevalence of ruptured chordae tendineae in the mitral valve prolapse syndrome. [semanticscholar.org]
In this case report, the authors present a patient with false tendon rupture that mimicked intraventricular chorda rupture. [unboundmedicine.com]
Occasionally, patients present with mitral regurgitation. Rarely, patients present with endocarditis (eg, fever, weight loss, thromboembolic phenomena) or stroke. [merckmanuals.com]
Clinical Presentation and Diagnosis Most cardiac injuries caused by stab wounds are logically based on the trajectory of the insult. [thoracickey.com]
Entire Body System
- Congestive Heart Failure
By permission from Knottenbelt DC, Pascoe RR, Diseases and Disorders of the Horse, Saunders, 2003 chorda tendineae rupture causes acute, massive, cardiac insufficiency leading to congestive heart failure and an early death; called also detachment. chorda [medical-dictionary.thefreedictionary.com]
Acute congestive heart failure due to ruptured mitral chordate tendineae in late pregnancy. J. Obstetric Gynaecology. Res 2013; 39(3):724-726. 4. Olivera DB, Dawkins KD, Kay PH, Paneth M. Chordal rupture. I: Aetiology and natural history. [jmscr.igmpublication.org]
But when it's severe, mitral valve regurgitation may lead to these complications : Congestive heart failure. In congestive heart failure, your heart is unable to pump sufficient blood to meet your body's needs. [knowyourdisease.com]
Major complications from chronic regurgitation include the following: Severe LV dysfunction Chronic congestive heart failure Atrial fibrillation and its complications (eg, left atrial thrombus with embolization and stroke) Sudden death, ruptured chordae [emedicine.medscape.com]
An inadequately repaired valve, if left untreated, results in continued myocardial dysfunction resulting in pulmonary edema, congestive heart failure, and systemic thromboemboli generation. [surgeryencyclopedia.com]
Respiratoric
- Dyspnea
The patients who had primary CTR were older (59.9 +/- 1.6 v 52.1 +/- 3.1 years, P = .029), had a higher prevalence of hypertension (56% v 30%, P = .018) and complained more often of dyspnea (82% v 53%, P = .003) than the patients in the secondary group [ncbi.nlm.nih.gov]
Although MVP is typically asymptomatic, symptoms (eg., palpitations, fatigue, dyspnea ) may arise, especially if associated with MR. A mitral prolapse click is a classic auscultatory finding MVP and diagnosis is made with echocardiography. [amboss.com]
Pulmonary edema will impair normal gas diffusion, and cause dyspnea and -if severe - may lead to death. The consequences of papillary muscle paralysis are quite similar. [hmphysiology.blogspot.com]
MVP is usually asymptomatic in the absence of significant regurgitation, although there are reports that some patients experience chest pain, dyspnea, dizziness, and palpitations. [merckmanuals.com]
Valvular stenosis and insufficiency can have serious cardiac consequences, and produce the following clinical symptoms: Shortness of breath ( dyspnea ) Fatigue Reduced exercise capacity Light headedness or fainting (syncope) Heart failure Pulmonary hypertension [cvphysiology.com]
Cardiovascular
- Heart Disease
[…] not elsewhere classified I51.4 Myocarditis, unspecified I51.5 Myocardial degeneration I51.8 Other ill-defined heart diseases I51.81 Takotsubo syndrome I51.89 Other ill-defined heart diseases I51.9 Heart disease, unspecified I52 Other heart disorders in [icd10data.com]
heart disease NOS diagnostic res30: Ischaemic heart disease G5yz.00 Read other heart disease nos diagnostic res30: Ischaemic heart disease G5z..00 Read heart disease nos diagnostic res30: Ischaemic heart disease Gyu3.00 Read [x]ischaemic heart diseases [clinicalcodes.rss.mhs.man.ac.uk]
Heart Diseases Also called: Cardiac diseases If you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. It is also a major cause of disability. [icdlist.com]
Previous significant underlying causes proved to be episodic if at all causative, e.g., blunt chest trauma, generalized connective tissue disorder, ischemic heart disease, and other heart and valvular diseases. [ncbi.nlm.nih.gov]
- Tachycardia
[…] paroxysmalis I47.1 Supraventricular tachycardia Latin: Tachycardia supraventricularis Paroxysmal tachycardia: · atrial · atrioventricular [AV] · junctional · nodal I47.2 Ventricular tachycardia Latin: Tachycardia ventricularis paroxysmalis I47.9 Paroxysmal [mkb-dijagnoza.blogspot.com]
The initial EKG shows sinus tachycardia with occasional premature ventricular complexes. The chest x-ray reveals no cardiomegaly, but bilateral alveolar infiltrates and hilar prominence are present. [usmleforum.com]
Department of Cardiovascular Surgery, Keio University School of Medicine Electrophysiological Characteristics of Localized Reentrant Atrial Tachycardia Occuring After Catheter Ablation of Long-Lasting Persistent Atrial Fibrillation Yoshihide Takahashi [j-circ.or.jp]
the most common, to supraventricular arrhythmias such as atrial flutter and atrial fibrillation, ventricular tachycardia, premature ventricular contractions, ventricular fibrillation, right bundle branch block with first-degree heart block or hemiblock [thoracickey.com]
In about one third of patients, emotional stress precipitates palpitations, which may be a symptom of benign arrhythmias (atrial premature beats, paroxysmal atrial tachycardia, ventricular premature beats, complex ventricular ectopy). [merckmanuals.com]
- Systolic Murmur
A systolic murmur is sometimes heard for the first time after an episode of myocardial ischemia or the occurrence of a myocardial infarction. [jamanetwork.com]
murmur that is best heard at the mitral region and may radiate to the axilla. [amboss.com]
The systolic click moves toward the first heart sound with upright posture and the systolic murmur becomes longer and often louder; a systolic murmur may be present only in the upright position. [karger.com]
On January 19 a, systolic thrill was felt over the base of the heart when the patient leaned forward, but this did not per&t. No other murmurs ever developed and the systolic murmur remained the same. [myslide.es]
On auscultation of the heart, an early, decrescendo, systolic murmur at the cardiac apex is heard; the murmur decreases with Valsalva maneuver, and increases with the grip maneuver, radiating to the axilla. [usmleforum.com]
- Heart Murmur
Overview In most cases MVP is completely asymptomatic and is discovered incidentally due to auscultation of a characteristic "Mid-systolic Click" followed by a late systolic heart murmur. [pathwaymedicine.org]
He or she listens to your heart sounds with a stethoscope. Mitral valve regurgitation produces a distinct heart murmur. The murmur is the sound of blood leaking backward through the mitral valve. [knowyourdisease.com]
The only other heart murmur that follows this pattern is the murmur of hypertrophic cardiomyopathy. [en.wikipedia.org]
This evaluation was significant for no history of angina, a normal pulse, and no heart murmur. [cdc.gov]
- Late Systolic Murmur
systolic murmur that is best heard at the mitral region and may radiate to the axilla. [amboss.com]
MVP with MR causes a click with a late-systolic MR murmur. [merckmanuals.com]
Barlow JB, Pocock WA, Marchand P, et al: The significance of late systolic murmurs. Am Heart J 1963;66:443-452. Criley JM, Kissel GL: Prolapse of the mitral valve: the click and late systolic murmur syndrome. Progr Cardiovasc Dis 1975;4:23-36. [karger.com]
Michael Criley. [3] Signs and symptoms [ edit ] Murmur [ edit ] Upon auscultation of an individual with mitral valve prolapse, a mid-systolic click, followed by a late systolic murmur heard best at the apex, is common. [en.wikipedia.org]
Workup
The authors include pertinent questions with each case to guide you through the case workup and treatments with in-depth answers for each case in the second half of the book. They provide a short list of pertinent references after most cases. [books.google.com]
Chest radiography is performed on hemodynamically stable patients, and a widened mediastinum signifies the need for further workup. [thoracickey.com]
Treatment
No specific treatment is needed unless severe, symptomatic MR is present, in which case mitral valve repair or replacement is required. Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Usually none Sometimes beta-blockers Mitral valve prolapse does not usually require treatment. [merckmanuals.com]
Patients with EF 60% on medical treatment. [revespcardiol.org]
Covers the hottest topics shaping today's practice, including the latest theory and surgical techniques for mitral valve disease, advances in the treatment of congenital heart disease, minimally invasive surgical approaches to the treatment of adult and [books.google.ro]
Treatment If you have a really mild case, you might need no treatments at all. Your doctor will still want to keep a watchful eye on you with regular checkups. [webmd.com]
Prognosis
The clinical manifestations, management strategies, and prognosis were investigated. Eighty-one (85%) patients were between 4 and 6 months (median, 5 months) of age. In 63 (66%) patients, rupture occurred during the spring or summer. [keio.pure.elsevier.com]
Ischemic MR carries a worse prognosis and the risk of surgery is higher. [revespcardiol.org]
The prognosis of these patients is good; however, sudden death, endocarditis, and progressive regurgitation occur rarely. [emedicine.medscape.com]
Prognosis is excellent in the absence of significant regurgitation, but chordal rupture and endocarditis may occur. No specific treatment is necessary unless significant mitral regurgitation is present. [merckmanuals.com]
What is the prognosis for Mitral Valve Prolapse? This condition is usually harmless and does not shorten life expectancy. Healthy lifestyle behaviors and regular exercise are encouraged. [hopkinsmedicine.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Pathogenesis Etiology Inflammatory and degenerative changes in the chordae. [vetstream.com]
Abstract To determine the causes of ruptured chordae tendineae and a suspected etiologic role for mitral valve prolapse (MVP), the mitral valve in 25 consecutive and surgically proved cases of chordal rupture were examined. [14a.corrode.us]
Epidemiology
Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified. Etiology Pathophysiology The most common underlying pathology in the case of mitral valve prolapse is myxomatous degeneration. [amboss.com]
78 Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
PMID 11728952. ^ "Pectus Excavatum: Epidemiology". Medscape. Retrieved 14 April 2016. ^ a b c d e f g h Playford, David; Weyman, Arthur (2001). "Mitral valve prolapse: time for a fresh look". Reviews in Cardiovascular Medicine. 2 (2): 73–81. [en.wikipedia.org]
Epidemiology Frequency United States Previously, chronic rheumatic heart disease was the most common cause of acquired mitral valve disease in the Western world. [emedicine.medscape.com]
Diabetes and cardiovascular disease: Epidemiology, biological mechanisms, treatment recommendations and future research. World J Diabetes 6:1246-1258. Lu KJ, Kearney LG, Ord M, et al. 2013. [journal.hsforum.com]
Pathophysiology
Etiology Pathophysiology The most common underlying pathology in the case of mitral valve prolapse is myxomatous degeneration. Mitral valve prolapse sets into motion a vicious cycle of events. [amboss.com]
Although often asymptomatic, MVP can lead to the development of the general pathophysiological phenomenon of mitral regurgitation (Do not confuse these two terms). [pathwaymedicine.org]
The severity of complications depends on the larger involvement of the chordae. ( More ruptured chordae causes more severe complications ) To explain the pathophysiological mechanism, lets consider that the ruptured chordae are those of the mitral valve [hmphysiology.blogspot.com]
We remain committed to the case method of instruction, and believe that there is no better method to learn medicine than to have an individual patient problem as the basis for study of pathophysiology, natural history, diagnosis and management. [books.google.com]
Pathophysiology Chordae anchor valve cusps to papillary muscles. Degenerative change → rupture → valvular incompetence → clinical signs of heart failure. Spontaneous rupture often occurs in horses with no obvious predisposing cause. [vetstream.com]
Prevention
The tendinous chords pull the flaps or cusps of the valves and prevent them from swinging back into the upper chamber of the heart. [knowyourbody.net]
The chordae tendineae prevent the eversion, prolapse, by becoming tense thus pulling the flaps, holding them in closed position. [1] Additional images [ edit ] Papillary muscles and chordae tendineae Ultrasound showing redundant chordae tendineae [2] [en.wikipedia.org]
The AV valves prevent regurgitation by covering the openings to the atria and forcing blood to exit the heart. [innerbody.com]
The chordae tendineae prevent the eversion, prolapse, by becoming tense thus pulling the flaps, holding them in closed position. [eng.ichacha.net]