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Prolapso da valva mitral

Última revisão: 20 Aug 2025
Última atualização: 27 Sep 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • clique a meio da sístole
  • sopro sistólico tardio
Detalhes completos

Outros fatores diagnósticos

  • palpitações
Detalhes completos

Fatores de risco

  • história familiar
  • tipo de corpo magro
  • doenças do tecido conjuntivo
  • disjunção anular mitral (DAM)
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • ecocardiograma
Detalhes completos

Investigações a serem consideradas

  • Holter ou monitoramento de eventos
  • ressonância nuclear magnética (RNM) cardíaca
Detalhes completos

Algoritmo de tratamento

AGUDA

assintomático

pacientes sintomáticos

Colaboradores

Autores

Sheila Klassen, MD

Assistant Professor of Medicine

Harvard Medical School

Associate Director of Cardiovascular Integration

Center for Integration Science

Brigham and Women's Hospital

Boston

MA

Declarações

SK declares that he has no competing interests.

Agradecimentos

Dr Sheila Klassen would like to gratefully acknowledge Dr Brian Griffin, Dr Shaberio Lo Presti, Dr Carmel Halley, and Dr Serge Harb, previous contributors to this topic.

Disclosures

BG, SLP, CH, and SH declared that they had no competing interests.

Revisores

John Dent, MD

Associate Professor of Internal Medicine

Director of Stress Testing Laboratory and Echocardiography

University of Virginia Health System

Cardiovascular Fellowship Program

Charlottesville

VA

Disclosures

JD declares that he has no competing interests.

Prakash Punjabi, MBBS

Honorary Clinical Senior Lecturer

National Heart and Lung Institute

Imperial College London

London

UK

Disclosures

PP declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2021 Feb 2;143(5):e72-e227.Full text  Abstract

Delgado V, Ajmone Marsan N, de Waha S, et al. 2023 ESC guidelines for the management of endocarditis. Eur Heart J. 2023 Oct 14;44(39):3948-4042.Full text

Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2021 Aug 28:ehab395.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Prolapso da valva mitral images
  • Differentials

    • Doença valvar aórtica
    • Doença valvar pulmonar
    • Mixoma atrial
    More Differentials
  • Guidelines

    • 2023 ESC guidelines for the management of endocarditis
    • 2021 ESC/EACTS guidelines for the management of valvular heart disease
    More Guidelines
  • Patient information

    Prolapso da valva mitral

    More Patient information
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