Mitral Valve Leaflet Prolapse 640 Lesson
The patient was supine during auscultation.
Description
In this case, a mid-systolic click is immediately followed by a late systolic diamond-shaped murmur that runs to the end of systole. The intensity of the murmur increases and its starting point begins earlier in systole as left ventricular volume decreases (going from supine to standing).
On the anatomy video you can see that the murmur is caused by the prolapse of the posterior mitral valve leaflet. The murmur is represented by turbulent flow from the left ventricle into the left atrium.
Phonocardiogram
Anatomy
Mitral Valve Leaflet Prolapse 640
Play the animation and take note of the prolapse of both the anterior and posterior mitral valve leaflets and turbulent flow across the incompetent mitral leaflets (murmur of mitral regurgitation).
Authors and Sources
Authors and Reviewers
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Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
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David Lieberman, Audio Engineering
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Heart sounds mentorship by >W. Proctor Harvey, MD
- Special thanks for the medical mentorship of Dr. Raymond Murphy
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
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Last Update: 11/10/2021
Sources
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Heart and Lung Sounds Reference Library
Diane S. Wrigley
Publisher: PESI -
Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
Diane S Wrigley & Rosale Lobo - Practical Clinical Skills: Lung Sounds
- PESI Faculty - Diane S Wrigley
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Case Profiles in Respiratory Care 3rd Ed, 2019
William A.French
Published by Delmar Cengage -
Essential Lung Sounds
by William A. French
Published by Cengage Learning, 2011 -
Understanding Lung Sounds
Steven Lehrer, MD
-
Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009) -
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
