Talk:Mitral valve prolapse

Formerly diagnosed in up to 38% of teenage males or females?

The beginning of the article states that MVP was formerly diagnosed in up to 38% of teenage males, but in another part of the article, states 38% of females. Which is it? —Preceding unsigned comment added by 76.10.168.247 (talk) 03:35, 11 June 2009 (UTC)

The abstract of "Prevalence of mitral valve prolapse in normal children" (currently reference 6) says "There was no statistically significant difference between male and female children at any age." So I'm changing this to say just "teenagers" in both places. --David-Sarah Hopwood ⚥ (talk) 02:32, 18 August 2010 (UTC)

Article is incorrect

As per the review article I just added to the references section of this article, a lot of the information in this article is incorrect. Not the fault of the authors -- Mitral valve prolapse was an over-diagnosed entity that a lot of symptoms were related to, that haven't held up under closer scrutiny. Ksheka 02:30, Apr 23, 2004 (UTC)

Duly noted. I've rewritten this article from scratch with the provided review article as a foundation. Your comments are always welcome! --Diberri | Talk 19:30, May 18, 2004 (UTC)

Lower BMI?

Can anybody find sources for this: For unknown reasons, MVP patients tend to have a low body mass index (BMI) and are typically leaner than individuals without MVP.?--AAAAA 01:37, 29 December 2005 (UTC)

This is from the "Time for a fresh look" review referenced at the end of this article. --David Iberri (talk) 17:16, 9 April 2006 (UTC)

People with collagen disorders such as Marfan's and Ehlers-Danlos may have some or all of the characteristics described in this section. People with Marfan's, in particular, may have pectus excavatum, ED people commonly have hypermobility. Marfan's and Vascular Type ED are both associated with significant potential cardiac risks. MVP is a collagen issue, so it's not particularly mysterious that it shows up in people with other symptoms of collagen disorders. Because I have Ehlers-Danlos (including a very low BMI, long arms and legs, scoliosis and hypermobility),I get an echocardiogram every two years to keep tabs on my MVP and to check for aortic dissection.Ninquerinquar 23:45, 15 April 2007 (UTC)

I was diagnosed with MVP in 1989, I was having heart palpitations and panic attacks. Up until ~2000, I was 105lb and 5'7", all that stress kept me thin. In 2002, I was diagnosed with Asperger's syndrome - people with Asperger's are typically very anxious...liable to panic attacks and are often (surprise surprise) double jointed; hypermobility may be one of the reasons why people with AS are often clumsy.[1] I'm double jointed. Also, interestingly, the cardiologist who diagnosed me with MVP commented that oddly, people with MVP tended to have the same "nervous personality". Yes, there seems to be a connection with personality, low BMI, hypermobility and MVP. Diamonddavej 03:31, 17 August 2007 (UTC)

External link to add

I'd like to add this external link which provides information written at the appropriate level for the general public.

External Link

I would like to add an external link to http://www.mitralvalverepair.org. A site with extensive information on disorders of the mitral valve, as well as treatment options. Gsims01 20:03, 15 November 2006 (UTC)

Go for it, it looks like an excellent link. -- Mwanner | Talk 02:49, 16 November 2006 (UTC)

Would you have a look at http://www.touchcardiology.com/mitral_valve_prolapse.cfm and see if this site could be added as an external link. It aims to inform physicians and patients about the latest in MVP treatments and procedures. Mergneed 14:20, 16 February 2007 (UTC)

External Link Recommendation

I would like to include the following link: http://www.mitral.com/mvpcenter.htm The site is run by leading cardiologists in Florida and contains a wealth of information.

Measurement of hypertension?

I understand this is done via an echocardiogram. How it's done could be explained in the article. I don't think it would be complete without it.

Also, how is regurgitation measured? This would also be a worthwhile addition which would help round out the article. Brian Pearson 04:04, 2 December 2006 (UTC)

The echocardiogram has a Doppler mode that measures the speed of the blood moving through the heart. The display is quite impressive in real time. http://mykentuckyheart.com/services/Echocardiogram.htm Dreadfullyboring (talk) 02:56, 23 June 2010 (UTC) June 22, 2010

Familial, X linked and familial, autosomal dominant MVP

These are now redirects here (better than nothing) can some information be added relating to these types of MVP? Thanks, Rich Farmbrough, 10:49 14 December 2006 (GMT).

Mitral valve prolapse syndrome

I merged MVP syndrome into this article and trimmed it down into stuff that is relevant. That didn't leave much. :-) The problem is, there isn't much in the modern literature, and some of it is contradictory. Ksheka 02:50, 10 July 2007 (UTC)

I don't think you should have merged the two articles. MVPS is a chemical imbalance of the ANS which doesn't always occur with MVP. Also MVPS can occur on it's own without MVPS. They are two different things that aren't always related. They should remain seperate articles. 219.122.97.2 02:13, 1 November 2007 (UTC)

References

This edit removed the main reference I used in writing the article. It's probably my fault for not making it clear that the article was based on that reference. Anyhow, I'd feel better about using that article as the primary reference rather than using the about.com, yahoo.com, and .org references that have since been added. I'm leaning towards reverting the article to this version. Thoughts? --David Iberri (talk) 17:45, 13 July 2007 (UTC)

I don't see any need for the reversion. Although the article was based on a good reference, it wasn't attributed to any specific data, which leads to an overwhelming amount of 'fact' tags. I satisfied these tags, using reliable sources. The references, even though found on about.com, are published by professionals in the medical community, and pass RS. If you look at the reversion you are proposing, you are deleting more than just references. I have removed misinformation, rewritten sections to satisfy references, and have done general editing. IMO, the article is more correct than before. Reverting all of my edit seems silly. In all fairness, having multiple independent sources seems to be favorable to basing an article on one primary source. The reason the source was removed, is because the other sources I provided covered all the information provided by the primary. I'm going to re-add the primary source, but I urge editors to take a look at all the edits I have made, instead of reversion by the fact I used an about.com ref (which as written by an MD, is a reliable source.) the_undertow ^talk 19:01, 13 July 2007 (UTC)

Sorry if my note above sounded a bit draconian. I didn't have the time to go through each of your edits, but from the summaries, it looked like you were mostly adding references. And of those references, at least four were of lesser quality than the original Playford reference that you removed. I agree that we should aim to reference specific claims, as you've done; but peer-referenced journal articles, textbooks, etc., are typically much preferred over about.com and yahoo.com claims. The claims you referenced could have just as easily used the Playford article. As for misinformation you removed, I'd have to look through your edits. I'll have time to do that in the next few days hopefully. Cheers, David Iberri (talk) 21:21, 13 July 2007 (UTC)

Any reference that I provided, that can be adequately replaced by the Playford reference, is fair game. I agree that Playford is preferred to yahoo/about (although I don't think it makes them less credible). I'll go over the Playford in reference to the sources I provided. I'd be happy to work with you and any other editors who wish to use Playford to back up specific data. C Ya. the_undertow ^talk 21:46, 13 July 2007 (UTC)

Mitral Valve symptoms help!

Hello, I realize this isn't a forum or anything but I have a question regarding Mitral valve prolapse and I am unsure where I can find any particular help (as my doctors aren't doing anything about it). Well, I'm having some symptoms that are not listed on this page and I am not quite sure if it is linked with MVP (though I have been diagnosed for MVP). Near my heart, I have severe pain and throbbing. Sometimes I will feel bubbles going through my blood and through my chest and it is intense. I get very dizzy and get horrible headaches. The strangest symptom of all is how my muscles and organs will start to jump as though they have been jolted by electricity...I've already have my one thumb start hurting for no reason, my neck, and virtually everywhere else on my body jump or have electricity shoot through it. MVP is linked with dysautonomia...so could this be just the nerve-related aspects? Thanks for your help, I really appreciate it. To respond, please feel free to post on my user board User: j.l.barthel Thanks and good luck to everyone else that may have the condition!

(Inappropriate medical advice removed. --David Iberri (talk) 21:31, 11 June 2009 (UTC))

risks of prescribing antibiotics outweigh the benefits of antibiotic prophylaxis

Could this [2] be clarified in the article without going to the source? Brian Pearson 00:28, 29 July 2007 (UTC)

You want a rewrite for clarification? (I'm not quite sure I understand). I could make it more clear if you prefer. People with MVP traditionally pre-medicate with antibiotics before surgeries and dental exams in an effort to thwart infection. Now they may not have to. I don't think that is really clear in the paragraph. the_undertow ^talk 01:05, 29 July 2007 (UTC)

I had to go back and reread the entire article in order to figure out what I was talking about, myself. The article link should have been to 'Prevention of infective endocarditis'. From my own sources (which are more reader-friendly), I can see how the section would be more informative if it said that the heart was already exposed to bacteria from activities such as brushing and flossing. [3] and that there is the risk of adverse reaction to antibiotics to some people. Brian Pearson 01:10, 6 August 2007 (UTC)

Unnessary use of Redirect Pages

Diberri:

The link for "infective endocarditis" doesn't have to go to a redirect page. All that page does is send the user to the article on Endocarditis. Why not go directly to the Endocarditis article? —Preceding unsigned comment added by 206.53.197.12 (talk) 02:22, 10 February 2008 (UTC)

Broadly there are two types of endocarditis, infective and non-infective. Prolapsed mitral valves are particularly susceptible to infective endocarditis, which is why I linked to that article. This is why redirects exist, after all. --David Iberri (talk) 12:36, 21 June 2008 (UTC)

NEJM review 2009

I was just reading the New England Journal of Medicine review article, Mitral-valve repair for mitral-valve prolapse, S Verma and TG Mesana, 361:2261, 3 December 2009.

I haven't compared it to the Lancet, but there have been a few articles published since then reviewing surgery vs. watchful waiting.

Most obvious difference in the NEJM article is that it doesn't refer to "classical" and "nonclassical" mitral valve prolapse, and didn't discuss thickness of leaflets. They paid more attention to Doppler assessment of regurgitant volume, regurgitant fraction, regurgitant orfice, left ventricular dysfunction, etc.

The guidelines of the American societies are a little more aggressive in recommending surgery for asymptomatic patients than the European Society of Cardiology.

I don't have any objection to British/European usage or recommendations, but if they're different, or they leave Americans puzzled, we should make the distinction clear. --Nbauman (talk) 19:39, 8 December 2009 (UTC)

Cause of the murmur

As a medical student I feel less confident in my rights to alter the article and less confident in my knowledge that I'd like to add, so I'll put something here and hope a cardiologist stumbles upon it. I think it would be best if it were made clear that the murmur that takes place following the mid-systolic click is only due to regurgitation into the LA. I know that MVP can occur without regurgitation, and so it would seem important to make this kind of distinction. Since MVP does not always present with regurgitation, I was confused as to why many of the sources I could find neglected to mention that this is why a murmur may not always follow the mid-systolic click. Bobsagat (talk) 20:07, 9 May 2011 (UTC)

Hey, as a medical student (I once was) you are more qualified than many other editors. Careful and well written edits accompanied with good sources are always appreciated. EtherDoc (talk) 16:40, 18 February 2012 (UTC)

History and "Signs and Symptoms" Lacks Citations.

I wrote something else before. It no longer matters. I am deleting these sections that claim a lack of a link between the condition and panic disorders. Under Signs and Symptoms, it links to a page about the bi-polar relationship. Under history, the same citation (1) appears twice, and both link to a lancet article "http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2805%2917869-6/fulltext" that, as is clear, says absolutely nothing about the claim of no link.

Considering how horrible sufferers tend to feel, and that I am one myself, I didnt feel at first it was appropriate to edit these, as my view is not in any way neutral. But they contain no information about anything relating to that claim of lack of a connection between the prolapse and panic disorder (among other things symptoms.) 74.128.56.194 (talk) 16:06, 5 July 2011 (UTC)

Description of mitral valve and picture of St Zenon

Do we need the note about the valve looking like a hat? Surely this is only needed on the mitral valve page itself. — Preceding unsigned comment added by Millionmice (talk • contribs) 03:30, 11 December 2013 (UTC)

Propose removing overview and history sections

Overview is covered in introduction. History too short to warrent its own section. Pathophysiology (currently under overview) can be moved to its own place. Will action if no one objects. Millionmice (talk) 03:53, 16 April 2014 (UTC)

Review

Circulation, about epidemiology and pathophysiology doi:10.1161/CIRCULATIONAHA.113.006702 JFW | T@lk 21:05, 27 May 2014 (UTC)

Please replace "External Link" reference.

The one reference provided in the "External Link" section is to an article at the "Curlie" website. This appears to be another crowd-sourced project similar to Wikipedia. The authors there may conceivably be some of the same authors who worked on this WP article. I do not see how that site is considered reliable.

I request that you eliminate the Curlie reference and replace it with a reliable source, like this one at Johns Hopkins, "Mitral Valve Prolapse", that is written for a lay audience- It is clear and informative. I am sure that there are other reliable sources, too, if you find Johns Hopkins objectionable.

https://www.hopkinsmedicine.org/health/conditions-and-diseases/mitral-valve-prolapse

Thank you for your time, Wordreader (talk) 03:45, 28 August 2023 (UTC)