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Mitral valve prolapse


Bulging, protrusion or reversing one or both of the leaflets of the mitral valve into the cavity of the left atrium during contraction of the left ventricle. It occurs in young adults (15-30 years), women in the 9-10 times more often than men. Occurrence prolapse is usually associated with a tendon elongation filaments and impaired movement of the valve leaflets, or damage to the so-called papillary muscles, or with decreasing size of the left ventricular cavity.
Symptoms and over:
There are complaints of pain in the heart, usually occurring on the background of emotional experiences not related to physical activity and do not take nitroglycerin. Pain is often permanent, accompanied by severe anxiety and palpitations. Possible disruptions feeling heart. When listening to the heart is determined at the top of a "click" in mid-systole (contraction of the heart), followed by the noise occurs. In 90% of patients with mitral valve prolapse, a benign, without causing damage to their health and ability to work.
Detection is performed based on data phonocardiography and echocardiography.
Treatment of small mitral valve prolapse, and no arrhythmias active treatment is required. In marked prolapse, accompanied by pain, arrhythmias, betaadrenoblokatory used (Inderal, obzidan).