management

Last reviewed 01/2018

The main features of the management of mitral valve prolapse include:

• symptomatic treatment:
• mild symptoms may respond to reassurance alone
• beta blockade may produce improvement in patients with chest pain and/or palpitations

• prophylaxis for endocarditis should be given if the patient has a murmur

• antiplatelet therapy is often used as prophylaxis against thromboembolism

• if a patient with mitral valve prolapse has had a ventricular tachyarrhythmia then treatment should be guided by invasive electrophysiological testing