Mitral valve prolapse in children

Postgraduate Medicine
R D Greenwood

Abstract

Mitral valve prolapse is the most common cardiovascular abnormality in children and is diagnosed by the presence of a nonejection click with or without an associated murmur. Abnormalities are infrequently seen on ECG, but when present they raise concern as to long-term prognosis. Children who have such abnormalities should undergo exercise testing and Holter monitoring. Patients who have dysrhythmia should be followed closely, even if they are asymptomatic, because they may be at risk for morbidity and death. Restrictions on physical activity are required only if it exacerbates chest pain or dysrhythmia.

References

Dec 1, 1984·The Journal of Pediatrics·R E KaveyC J Byrum
Feb 1, 1982·American Journal of Diseases of Children·D G McNamara
Jul 1, 1982·Current Problems in Cardiology·R V Lucas, J E Edwards

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