Mitral Valve Prolapse and Regurgitation, Animation
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- čas přidán 6. 09. 2024
- (USMLE topics, cardiology) Mitral (bicuspid) valve diseases: pathology, complications, diagnosis and treatment.
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The mitral valve serves to ensure ONE-WAY blood flow from the left atrium to the left ventricle of the heart. It OPENS during diastole when the left atrial pressure is higher than the left ventricular pressure, allowing blood to fill the left ventricle; and CLOSES during systole, when the pressure gradient is reversed, to prevent blood from flowing BACK to the atrium as the ventricles contract. The mitral valve has 2 flaps, known as anterior and posterior mitral leaflets, which are supported by a fibrous ring, called mitral annulus. During ventricular contraction, the leaflets are kept from opening in the wrong direction by the action of papillary muscles which attach to the leaflets via cord-like tendons called chordae tendineae, or tendinous chords.
The most common of all heart valve diseases is mitral valve prolapse, or MVP. In MVP, the mitral leaflets bulge into the left atrium every time the ventricles contract. In many people, the reason why this happens is unclear. In others, it is linked to connective tissue disorders such as Ehlers-Danlos or Marfan syndrome. Connective tissue problems are believed to weaken the leaflets, INcrease leaflet area and cause elongation of the chordae tendineae. In most people, MVP is Asymptomatic and does not require treatment. However, it does increase the risks of developing other heart diseases such as arrhythmias, endocarditis, and most frequently, mitral valve regurgitation. In fact, mitral valve prolapse is the most common cause of mitral regurgitation. The billowing leaflets may not fit together properly; elongated chords may also rupture, resulting in a LEAKY valve, which permits BACKflow of the blood to the left atrium when the ventricles contract. When the volume of regurgitated blood is significant, the left side of the heart experiences volume OVERLOAD and eventually fails; blood is backed up to the lungs, causing pulmonary congestion, a hallmark of left-sided heart failure.
Mitral valve prolapse and regurgitation produce characteristic ABNORMAL heart sounds, such as clicks and murmurs, which can be heard during auscultation. Diagnosis is usually confirmed by echocardiography, a procedure in which heart valves and blood flows can be visualized LIVE using ultrasound.
A leaky valve requires surgical repair or replacement. In a typical valve repair surgery, the floppy portion of the valve is removed and the remaining parts are REconnected. The procedure may also include tightening or replacing the mitral annulus, known as annuloplasty. Valve replacement is considered when repair is not possible. Artificial valves can be mechanical or bio-prosthetic. Mechanical valves last longer but usually require life-long administration of anticoagulant medications to prevent formation of blood clots.
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I thought the most common cause of MR is MI due to limited/insufficient post-MI healing?
I had rheumatic fever when I was a child ,when I was 48 I had to get a replacement. I've got a metal valve in2007 I'm on blood thinners,it's been 16yrs I've been flattened 4 times ,had an ablation surgery,it's been a long road .I've also had a stroke and stage4 cancer and hve survived them all with God's grace and mercy,if anyone out there going threw heartsurgery dnt give up stay positive and walk with God!! Amen
🙏🙏🙏
May God continue to bless you sir amen
I've had this condition mvp with mild regurgitation since i was 17 and now im 47 nothing bad happened to me
I need advice please reply , 2 year ago I did check up cause I'm getting tired too quickly doctor said my heart valve is bent a little bit what should I do
Get an Echocardiography done
Most of MVP are benign and nothing to be done further. They remain there without any problem. Some patients develop left atrial dilation or enlargement that can cause atrial fibrillation and other rhythm problems that need treatment.
Get cardiology consultation
I am so worried about my 16 yrs old son he had like this....
@@liamnewasalsie2861 yeah I understand ur concerns u can see Pediatric cardiologist
This channel is the best thing that has happened to med students...crisp,short and easy to understand...just what was needed when you dont have time for big videos
I have this condition when I was 16 and now It's gone. I recall that I faint everytime my heart beats fast and I suddenly ran out of breath. But that didn't stop me from running and cycling. And maybe that made my heart strong and up to now, I can still feel shivers everytime I remember MVP.
How old are you now ?
Im 25
Hello brother, I am 17 years old and today the doctor told me I have mild mvp. I am so worried do you have any advise
How is it gone?... Maybe different echocardiogram specialist had different criteria now. You should do regularly echo (like once in 3-5 years) to know about your heart, it's very important, this valve prolapse might be mild and then show up again.
@@wlfgang Thank you for your concern, I''ll do it but I'm afraid to go to clinics nowadays, might get covid. just being extra careful. hehe
I was diagnosed with MVP + Regurgitation 15 yrs ago and was prescribed with a beta blocker (metoprolol) to manage my heart rate. I added magnesium taurate and omega 3 to my daily supplements. So far, the occurence of chest pains have been rare.
So u r taking metoprolol daily ?
@@KB-ml2tf Yes 50mg
@@ellelle777
My husband takes bisoprolol 1.25 mg
He has MVPgarde 1 without mitral regurgitation
For how many days where u on beta blocker
I just noticed i have never said THANK YOU. i LOVE these animations. they have been very helpful for my nursing program. Thanks
Thank you. I have EDS and searched for an animation to show my 9 year old as she asked why I have heart scans. I only looked for a MVP vid, so it was cool to see EDS mentioned in this video at the same time. I asked her why she thought the valves might be "leaky" in some people like me and she was like, "because.... the doors are stretchy?!" XD
It’s so great that you are educating her. It makes things less scary to children who will think the worst when they don’t understand. I also have EDS and was told that I have 3 leaky valves (two mild-moderate and one moderate) but they said that’s normal for everyone? They didn’t know I had EDS at the time.
I have EDS also. I have chronic fatigue and POTS, but the doctor I went to said my heart was fine and did ultrasound. My resting heart rate is usually always over 100, but they don’t seem to care about that either. What are the symptoms of mitral valve prolapse?
I have eds as well and had a ecg done this week to see if my heart has anything wrong with it. Hopefully all good. I have palpitations which was thought it was anxiety. But now just checked my heart as a precaution .
@@cassandrawest1784 - my ECG showed up normal but an echocardiogram showed severe mitral regurgitation.
@@lindseym3810dear sir / mam can I beg to contact you mam please give me your contact number 🙏 . I have the same issue I don't have a person to consult this except the doctor.
Welcome to the university of CZcams!
These videos are very well made, thank you.
Great explanation
thanks a lot dear dr i m pg medicine pakistan .best videos medical i have watched
Recently diagnosed with MVP, my symptoms are palpitations, shortness of breath and dizziness..
Do you have regurgitation mine was trace which was small but I have palpations 24/7 shortness of breath and dizziness!! This is insane
@@MzDaUgly no prolapse, do you get frequent pvc's?
Thanks.. Went through 4 horrible videos before I found this one. Well explained . ty
I am very thankful to you......very Nyc explanation...Excellent for All Medical students
Muchas gracias por explicarlo tan bien porque me lo han sacado y con su explicación lo he entendido todo.
Thx for video very I informative.i recently learned my wife might have this issue with her heart.very scared at the moment
Jeremiah Couch Don’t be scared I’m 12 and have had it my whole life and I am fine!
@@kaitlynayrer7866 any symptoms?
rashid khan i have this syndrome too but in a lower scale, the only symptoms I got was constant heart attacks for over medication. I think we’re only more likely to have heart attacks but nothing to be scared about! Hope this helped
@@kaitlynayrer7866 God Bless you ❤
Is she fine now? just curious since Ive been recently diagnosed
Great Arabic translation, amazing video ❤
no need to worry about it as my cousin is a doctor he said to avoid lifting heavy object s and need to maintain proper diet and take medicines if they prescribed
His mobile number
@@spanishmodrenhousesdha8180 sorry bro i can't give. But if you are having symptoms of mvp take appointment with cardiologist
Sure?
@@puneeth7514 i m scared
I need advice please reply , 2 year ago I did check up cause I'm getting tired too quickly doctor said my heart valve is bent a little bit what should I do , I didn't gone for checkup then I'm 19 right now
First time when I had the mitral valve prolapse condition, I felt like I was having a heart attack. The pain was shooting and was like somebody was slicing my heart with a knife.
Fortunately Dr gave me painkiller medication and it stopped on its own.
aaditya J did you have any sort of surgery as treatment? sorry just curious
@@izzahfarhana7434 Hello, Dr informed thay my type of mitral valve prolapse would not require surgery after he checked my ECG and 2D eco. He gave me pain killer safediclo capsule ( In India it is sold under that name) if required and prescribed 6 months course of Inderal tablet ( I think it was beta blocker). It has been 11 years and I have had periodic attacks of mitral valve but not as lasting and painful as the first one.
@@bandu2512 hi noted on that, thank you for your response :))
@@bandu2512 i also have mitral valve
I am feeling palpitations every time.i want to live for my 2 year old.it mitral valve dangerous?
@@bandu2512 hello.....do u have blood leaking too
Now when there is an MVP in a game I just think of mitral valve prolapse.
i cannot thank you enough for this :')
Very nicely explained the mitral valve problem thanks 16/11/2020
MVPs rise UP 🔥🔥🔥🦾
Thank you for mentioning EDS
amazing animation and explanation .. thanks a lot
🌟 *Excellent* 🌟 *way of describing it!*
*Thank you so much!!*
Have they already tried to replace for ruptured cordae and other pressure related prolapsing of left atrioventricular valve (was that mitral valve) that very valve with prosthetic structure like TAVI? Because those are not ever de facto curative, but how about very adaptive stucture stent with traditional and biological-evolutional-sense ventricoarterial valve structure prosthetic device for those as well av-valves? Must have done already, so obvious is not it? Would not be nice, no opening of thoracic space and so on, extremely heavy surgery, extreme burden for stuff and especially, the patient...
I have this condition… it was diagnosed a few years back… now I have some issues with my breathing pattern… should I go for a re check??
An autonomic response to the heart sending out a signal causes a sympathetic response followed by a parasympathetic response the mimic depression , a beta blocker correct this, however if your response is due to arrhythmia causing these responses the rate treatment will not work, try anti- arrhythmia meds or get ablation , with this problem you will have additional symptoms if initially feeling hot and later feeling cold, night sweats sometimes, acid reflux and anxiety attacks
I need advice please reply for me , 2 year ago I did check up cause I'm getting tired too quickly doctor said my heart valve is bent a little bit what should I do
Take medicines. Don't worry. Nothing serious. I am 65
Im in the process of getting a root canal and had my doctor prescribe antibiotics. While im trying to get approval for the procedure, are bacteria in my cavities going to be an issue on my valves while im waiting?
Mine is Nonrheumatic mitral valve regurgitation
I'm the MVP baby!!!!
Amazing animation alot of concepts can be😘😍 cleared wow 😍😘
My Ex has this disease but it was underlying until she got COVID-19 infection, and now she has those symptoms of MVP
Did she get better?
This was perfect review! 👌🏾 Ty!!
Im 18 yrs old with mvr. My doctor said my left ventricle doesnt close all the way so it leaks. But he said it doesn't need surgery just need to take Atenolol. Idk if this is true or not
How has it been for you? I have it too and I’m awaiting to hear back from my doctor
How are u now? it’s true. U don’t need surgery. The medicine is a beta blocker that helps your heart to function better. keep taking the medication. Nothing to worry about.
@@skoopic197 will that mean we have to be on the medication for life im taking propranolol 10mg. I have MVR trace which is small leak.
Do you have MR?
Thanks, in simple n clear words
Great expl and videos
Thank you so much
I came to know about this problem in 2013 and now in 2021 nothing serious but sometimes it cause serious pain choke
which problem did you have bro
I have mild TR
Is it progressive and cause of worry ?
@@nikhilsharma6676 muje to bhai mitral Valve prolapse tha ....fir 2020me gym chalu ki iske bad vo kbhi kbhi pain hota vo bhi bnd ho gya permanent
@@kushal_singh_rao bhai yeh mild TR bdta h kya future me ?
@@nikhilsharma6676nahi . Darna nahi
@@nikhilsharma6676 tumhara age?Mujhe bhi he akdm thoda sa..
I’m 25 and I was recently diagnosed with MVP
Many thanks for the explanation
Best videos ever,thankyou
I'm 19. I have irregular heartbeat when climbing stairs, smoking, running and even when walking
. I diagnosed with MVP.
What type of irregular heartbeat you have are they pvcs?
@@nabeeranawaz9028 I have palpations flutters 24/7 they suck
I CURED MY HEART ATTACK BY TAKING AN ANDRIOL CAPSUL ONCE A MONTH .
thanks apart from cardio a bit examination of git neuro pulmo etc it will be great
Hey can somebody help. I feel a popping sensation in my chest with my
heart beat. I don't always feel it. I feel it more when I lay down. Is
this MVP? I've gotten EKG's and blood tests and I never come back bad.
Please help. Thank you and God bless.
Hi, it's probably best to go to the GP. Proper medical advice/a diagnosis often cannot be given without inspection by a doctor in real life.
Feel like skipping heart beats ?
You need an echocardiogram my EKG’s are normal and you can’t here my mvp through a stethoscope. Better to be certain than not.
Very helpful, tfs!
the key MPV is health stomach. Treat GERD with kunir putih
It's so helpful. Thankyou
Any food for recover mitral valve prolapsed without repair or replacement
Sorry but food can't repair it.
So good senpai!
My echo judt showed that I have mild to severe mitral valve regurgitation. What do I do? Must I have surgery or will medication work? Please give me your opinion. Thank you
Great video.😊
How old you are
I also have MVP doctor gave me msdicine. Xm beta 25
Take medicines only
this was awesome
Dear sir please reply after operation fix machanical valve why patient feel tick tick sound in heart
I'm only 20 and I have figured out today I probably have this. On holiday even. Fuck.
omg same. im 20. celebrated christmas in the hospital.
@@cheyennecubilla8061 same I have to go tomorrow and get an mri done 😭
@@carvellwilliams8024 good luck about that. i'm already home with my fam. HAPPY NEW YEAR
Same here I've also figured it today (20 years) don't forget to tell me if there are any remedies. Thank you!
Same! I’m 21 and about a month ago I figured that I have MVP
Wonderful animation and explanation. Thank you
It is good explanation ❤👏👏
Very nice lecture
Thank You!
Thank you for the info
my husband has such a problem. sagging valve 1 cm. frequent severe arrhythmia. I think the operation is coming soon. who already did? what solution did you choose? repair or replacement?
Repair is best option because it's your own tissue. If you replace it with metal you're gonna need anti-blood-clotting medication for the rest of your life.
I had mvp repaired 10 years ago. Was a easy operation for me, done robotically at Cleveland Clinic. Repair is always better, though the surgeon will determine what is best for the patient. Now days some of the operations are done with the heart still beating and not stopped, this is supposed to be better on the patient.
@@wlfgangcorrect
Thanks you
Please make the detailed vedios including pathophysiology
I am diagnosed with MVP, No MR
I have mvp and also have palpitation problem during any physical activity , my dr suggested me beta blockers , wil this get worsen ?
How r u
How are you and what is your beta blocker?
@@seeryancabanilla4504 how are you??! Which beta blocker did you take. I’m on propranolol 10mg 3 times a day but I want to know if MVR is reverseable or will I need to be on medication for life
Xm beta 25
Please make a video on neuphrological diseases
Hi I have mild mr & mvp i am 34 yers how to manga my helth i have shortness of breath plz help me
Best video
I got diagnosed with severe MVP 4years ago and am still find
how are you now have you a symptoms?
@@vialaxamana-tp3tkaap ko bhi hai
I was told I have this from my doctor after an echo, and my cardiologist just said that I'm wrong and I'm just suffering from stress and anxiety. When I have a heart attack in 2 weeks I hope my cardiologist goes to jail.
Are you okay now?
Hey I was told that I have this same thing too and they said its stress cuz I have anxiety
Stress and anxiety can cause a multitude of problems for people. And yes it can mess with the hearts ability to function properly. Anxiety can cause a person to feel as though they are having a heart attack.
My cardiologist also say stress after I digonoise mvp
@@ak-lj2lv did yours show regurgitation too?? I have it and have constant palpations and shortness of breathe and my cardiologist said same thing change lifestyle and I did am excersing more and still feel it super bad :( all this sucks
Great 🤍
Can I run or exercise if i have MVP?
Yes sure ! One way of managing asymptomatic people is to do exercise
Even i have both mvp and mr so my advice to you is don't run too fast for a long time
Don't give more pressure to your heart that might be life threatening at times
Apart from that you can try aerobic exercises which is actually good for your heart
any one have pvcs along with mvp?
@@rashidkhan-xm4rl yes, I had pvc's, MVP and MR. Eventually I was diagnosed as severe and warned of imminent HF if not repaired soon. I had open heart miv robotic valve repair Sept 2019 (not replacement) Surgery was successful and at 5 months out of surgery I am doing well. I still have some pvc's but not significant according to my cardiologist. I have been able to do fairly strenuous activity and am able to have a normal lifestyle. I am a 75 year old male. I feel the miv procedure worked well for me and reduced recovery time. I understand pvc's are not really caused by mr or MVP but mine seemed to be less noticeable to me after surgery...
@@kenkozola7323 hope you do well in your future sir i am 19 years old and from 4 month i have almost non pvcs they come and goes on there own in my case
Thank u allah bless u 🙏🏻🙏🏻🧚🏻♂️
Can anyone suggest me some good channel for biomechanics lecture?
add english subtitle it may be more helpful
thank u
I just got diagnosed with mitral
valve mild regurgitation and I’m so worried🥺
Me too but I’m moderate to severe I’m really worried plz can you tell me what your doctor said about your condition?
No worries
@@sellydaeexol3659 My doctor said it’s nothing to worry about but he did put me on heart medication to control the PVCs I was having which has helped me tremendously
Don't worry..
How r you now? Have you consulted with cardiologist recently?
Can pulse rate determine this condition ???
No.
I was expecting a goregrind song.
Awesome
i love you
Yesterday i's also diagnosed with mitral regurgitation of 1st degree i'm now so afraid and worried about my heart
R u okay?
Thank you
Amazing animation but it would have been better if both videos were separate.
good
Tq 👍
Super 👌🏻👌🏻
Badhiya baba
Is mitral valve prolapse is serious and life threatening in 12 years old boy? Pls reply
No life threatening. I have mitral valve prolapse 20 year ago I don't have any problem
@@amazingworld4423 ok thank you 😊
Did you take echo regurerly @@amazingworld4423
After this procedure is this possible to be a pregnant?
I had it my whole life unknowingly until the last few years. I’ve had two children.
Absolutely.
Yes
I have also a mitral valve... I'm so nervous Everytime I feel it..may I ask..If I can get a COVID-19 vaccine it's dangerous to my health??
U should get vaccinated.it will be fine
The vaccine should have no adverse effects on your heart.
When Dr Tanya Benenson listened to Conan's heart, this is what she heard.
Meron din akong ganito.. 7 years ago simula nung na diagnosed ako 3 months lang ako naggamot.. pero ngyun parang may nararamdaman n nmn ako...
Kamustanka na po ngayun meron din po ako MVP
@@seeryancabanilla4504 ako din meron ako. wid enlargment and ask po ako araw araw po ba kayong palpitate?
@@seeryancabanilla4504araw araw po kayo mgpalpitate po?
musta po kayo.
im 21 years old , same here , hyperventilation, chest pain , anxiety, stress , fear , shortness of breath, etc etc
I am so worried about it , can i get a reply from you so that i will know more about it as im very much worried about it , i always feel that i will get a heart attack etc , i just got diagnosed with MVP without mitral regurgitation but still i feel all this !!!
Please reply , anyone who can help !!
Try not to stress man. You have to find ways to relieve your stress. Deep breathing. Then do research, don’t focus on the negatives, just research the ways to change your lifestyle and habits. Research vitamins and foods that help you. Then visit a doctor to learn about what the steps are that you need to take in order to prevent or to help your condition. These things just happen to us, this is just life, all we can do is just find ways to prevent it from becoming worse, or fix is all together. But most importantly just do deep breathing exercises and stop thinking about negative thoughts.
Same here I got my diagnosis today :( hope you are finding it easier to deal with now? Were you prescribed any medications? I was given 2.5 mg beta blocker to manage my palpitations
@@XNadax First month i was supposed to take antidepressants like beta blocker same like you after that im supposed to take metoprolol tablet which keeps bp normal and im doing good now , i feel less stress and all
@@XNadax We can manage it !!!
@@HandsomeJules i try my best to not take stress but it happens naturally, i dont know why I become more frustrated and why do i am afraid and actually i have took fear of this!!! Im trying my best to overcome but its tough
02:10 mr auscultation
I am also diagnosed with AML prolapse and i am worried about it,😭😭😭
Anterior leaflet prolapse is often more benign than PML and BML prolapse.
test
test
Bro. How r You know.. I'm also diagnosed with this a week ago.. Are u from Kashmir too
👍👍
i have this, my 2Decho result i ihave MVP
how to treat these problem hank you
Try Cupping for heart it remove bad blood ... i feel better and also do long breathing exercise
@@Irfan-cv1et Tf
See Mayoclinic for treatment plans...
I have this problem .no fun