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mitral prolpse and regutition.pptx
- 2. Mitral PROLABSE •The mitral valve prolapse (MVP) syndrome ather names, including the systolic click- murmur syndrome, Barlow syndrome, billowing mitral cusp syndrome, myxomatous mitral valve, floppy valve syndrome, and redundant cusp syndrome
- 3. • Mitral valves apparatus include • Valve leaflets • Chordae tendinea • Papillar muscle • Valves annulus • If any structure of this occur damage can couse BY Mitral prolapse
- 4. Causes of mitral prolapse • Myxomatus degeneration • Very large leaflets • Large or loss annulus • Long of chordae tendinea • Papillary muscle dysfuction
- 5. *Mitral prolapse are related patiants have *marfan syndrome this patient have connective tissue disorder because mitral leaflet are formed by two connective tissue one is sona fibrosa other is sona spongenousum thus the patient have marfan syndrome have defect of fibrose defect is cause mitral prolapse` *rheumatic heart diseas *congenital atrium defect *T3 and T4 hyperthyrodism *ischemic heart diseas
- 6. Symptoms of mitral prolapse Most patient are Asymtomatic but some patient have atypical chest pain also palpitation also may have sudden death • When left ventricle are contract leaflet of one part are normal then other part occur prolapse then they produce murmer sound called mid systolic click
- 7. Diagnosis of mitral prolapse •Chest x ray •E.C.G non specific change ST. wave •Best use is echocardiography
- 8. Management of patiant •Give beta blocker it reduce left ventrical contraction •Valvular replacement • valvular reparing
- 9. Mitral regurgitation(mr) •Mr is defined as any abnormal reversal of blood flow from the left ventricle to the left atrium . • It caused by distruption in any part of mitral valve apparatus
- 10. Most common couses of mitral regurgitation • Mitral valve prolapse • Rheumatic heart diseas • Ischemic heart diseas • Dilated cardiomyopathy • Hypertention • Infection endocarditis
- 11. •Rheumatic diseas the chordae tendinae are inflamed and fibrosis then mitral valve does not close then cause mitral regurgitation •Ischemic heart diseas cause mitral regurgitation by combination of ischemic in papillary muscle dysfuction and dilated left ventricle is present in ischemic heart diseas with sub sequence displacement of papillary muscle and dilated mitral valve annulus then caus mitral regurgitation
- 12. Clinical feature •Palpitation •Apex beat •Pan systolic murmur •Pulmonary edema
- 13. Diagnosis • X.ray sean • Left ventricle enlargement • Left atrium enlargement • Pulmonary venous congestion
- 14. • ECG.’ •Left atrium enlargement p.mitrale •Atrium fibrillation •Echo is diagnostic and commonly used to confirm the diagnosis of mintral regurgitation
- 15. Treatment • Diuretics to manage pulmonary edema • Anticougulant to prevent thrombo empolisum • Beta blockers for primary treated left ventricle dysfuction in fuctional mitral regurgitation • Antibiotic
- 17. END