Talk:Mitral valve prolapse

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[edit] 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)

[edit] 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)

[edit] External link to add

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

[edit] 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)

[edit] 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.

[edit] 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)

[edit] 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).

[edit] 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)

[edit] 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)

[edit] 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 email me at j.l.barthel@gmail.com or just post on my user board User: j.l.barthel Thanks and good luck to everyone else that may have the condition!

Air bubbles in the blood are lethal (see air embolism and decompression sickness). They continue until the blood vessel they are in is too small for them to fit through, then they stop and block bloodflow. It is a severe medical crisis that disables the individual almost immediately. See also http://www.madsci.org/posts/archives/dec98/915077913.Me.r.html
When the lower esophageal sphincter is damaged, it can cause funny noises, often heard after each swallow. See http://www.surgery.usc.edu/foregut/understandingesophagealphysiology.html
Some conditions that cause pain near the heart include heartburn and problems with the pleura (e.g. mesothelioma), ribs (e.g., cracked rib), rib joints (e.g., costo chondritis), spine (e.g., slipped disk, inflamed disk, etc.).
Vitamin C is a membrane stabilizer (helps prevent wear and tear, lesions, scarring, etc.), an immunostimulant (boosts the immune system), and speeds up the body's repair mechanisms. Vitamin E helps prevent scarring and helps reduce existing scarring, and is synergistic with vitamin C (both are antioxidants and prevent certain forms of aging in tissues and blood). Vinpocetine is a microcirculation enhancer. Baking soda reduces the acidity of the blood - see acidosis.
Enlargening of the heart is a problem because when the muscles of the heart get bigger, they don't just expand outward, they expand inward as well, reducing the size of the heart's chambers. The smaller the chambers, the less blood pumped with each contraction. This forces the heart to beat faster in an attempt to supply the body with enough bloodflow. See cardiac insufficiency at http://www.ngfn.de/englisch/glossar859.htm.
Just some topics I found interesting. Hope you do too. Chill Factor Five 18:48, 2 August 2007 (UTC)

[edit] 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)

[edit] 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)